title: Identifying the facilitators and processes which influence recovery in individuals with schizophrenia: a systematic review and thematic synthesis.
abstract: BACKGROUND
  Research is required to better understand the psychosocial factors that influence the recovery of individuals with schizophrenia.
  
  
  OBJECTIVE
  To conduct a systematic review and thematic synthesis and identify the factors which influence recovery.
  
  
  METHODS
  Major electronic databases were searched from inception until February 2014. Qualitative articles were included that considered the concept of recovery from individuals with schizophrenia, their caregivers or health care professionals. Methodological quality was assessed and studies were thematically synthesised.
  
  
  RESULTS
  Twenty articles involving 585 individuals with schizophrenia, 298 primary care givers or close sources of support and 47 health care professionals were included. The results identified and detailed the psychosocial factors and processes that influenced recovery. The factors which promoted recovery included: (1) adjustment, coping and reappraisal (2) responding to the illness (3) social support, close relationships and belonging. The factors which challenged recovery included: (1) negative interactions and isolation (2) internal barriers (3) uncertainty and hopelessness.
  
  
  CONCLUSIONS
  Health care professionals and researchers will benefit from a greater understanding of the psychosocial factors which influence recovery for individuals with schizophrenia. Implications are discussed within the text.
authors: School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham , Birmingham , UK .
authors: Andrew
authors: A
authors: Soundy
authors: Brendon
authors: B
authors: Stubbs
authors: Carolyn
authors: C
authors: Roskell
authors: Sarah E
authors: SE
authors: Williams
authors: Andrew
authors: A
authors: Fox
authors: Davy
authors: D
authors: Vancampfort
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D016208:Databases, Factual; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D011584:Psychology; D012559:Schizophrenia / Q000628:therapy*; D012944:Social Support; D016896:Treatment Outcome
keywords: Qualitative; recovery; schizophrenia; synthesis; well-being