Inhibited autonomy for promoting physical health: qualitative analysis of narratives from persons living with severe mental illness.
Healthy lifestyle
health promotion
mental health service
personal autonomy
schizophrenia
Journal
BJPsych open
ISSN: 2056-4724
Titre abrégé: BJPsych Open
Pays: England
ID NLM: 101667931
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
entrez:
15
2
2019
pubmed:
15
2
2019
medline:
15
2
2019
Statut:
ppublish
Résumé
Autonomy is a key factor in the reduction of inequitable physical healthcare among people with severe mental illness compared with the general population.AimsTo clarify the critical mechanism underlying autonomy in physical health promotion based on the perspectives of people with severe mental illness. We employed a conventional content analysis of narrative data from the Healthy Active Lives in Japan (HeAL Japan) workshop meetings. 'Inhibited autonomy' was extracted as a central component and shaped by the users' experiences, both in a healthcare setting and in real life. This component emerged based on the lack of an empowerment mechanism in psychiatric services. A barrier to the encouragement of autonomy in physical health promotion was found in current psychiatric services. An effective strategy should be explored to foster an empowerment mechanism in psychiatric and mental health services.Declaration of interestNone.
Sections du résumé
BACKGROUND
BACKGROUND
Autonomy is a key factor in the reduction of inequitable physical healthcare among people with severe mental illness compared with the general population.AimsTo clarify the critical mechanism underlying autonomy in physical health promotion based on the perspectives of people with severe mental illness.
METHOD
METHODS
We employed a conventional content analysis of narrative data from the Healthy Active Lives in Japan (HeAL Japan) workshop meetings.
RESULTS
RESULTS
'Inhibited autonomy' was extracted as a central component and shaped by the users' experiences, both in a healthcare setting and in real life. This component emerged based on the lack of an empowerment mechanism in psychiatric services.
CONCLUSIONS
CONCLUSIONS
A barrier to the encouragement of autonomy in physical health promotion was found in current psychiatric services. An effective strategy should be explored to foster an empowerment mechanism in psychiatric and mental health services.Declaration of interestNone.
Identifiants
pubmed: 30762505
pii: S2056472418000777
doi: 10.1192/bjo.2018.77
pmc: PMC6343122
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e10Références
Qual Health Res. 2005 Nov;15(9):1277-88
pubmed: 16204405
JAMA. 2008 Jan 9;299(2):185-93
pubmed: 18182600
Schizophr Res. 2008 Apr;101(1-3):273-86
pubmed: 18258416
World Psychiatry. 2011 Feb;10(1):52-77
pubmed: 21379357
World Psychiatry. 2011 Jun;10(2):138-51
pubmed: 21633691
Issues Ment Health Nurs. 2011;32(9):589-97
pubmed: 21859410
N Engl J Med. 2013 Apr 25;368(17):1594-602
pubmed: 23517118
Psychiatr Serv. 2013 Aug 1;64(8):729-36
pubmed: 23677386
BMJ. 2013 May 21;346:f2539
pubmed: 23694688
World Psychiatry. 2013 Oct;12(3):251-7
pubmed: 24096791
Psychiatry Res. 2013 Dec 30;210(3):812-8
pubmed: 24182688
J Clin Psychiatry. 2014 Sep;75(9):964-74
pubmed: 24813261
Psychol Med. 2015 May;45(7):1343-61
pubmed: 25650668
Acta Psychiatr Scand. 2015 Aug;132(2):109-21
pubmed: 25958971
World Psychiatry. 2015 Jun;14(2):119-36
pubmed: 26043321
J Clin Psychiatry. 2015 Aug;76(8):1068-74; quiz 1074
pubmed: 26335084
Australas Psychiatry. 2016 Feb;24(1):62-6
pubmed: 26635377
Gen Hosp Psychiatry. 2016 Mar-Apr;39:15-23
pubmed: 26719106
Clin Psychopharmacol Neurosci. 2017 May 31;15(2):132-137
pubmed: 28449560
World Psychiatry. 2017 Jun;16(2):163-180
pubmed: 28498599
Psychiatry Res. 2017 Sep;255:87-93
pubmed: 28531821
BJPsych Open. 2017 Aug 11;3(4):193-195
pubmed: 28811927