Indian Journal of Health and Wellbeing

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Understanding the Importance of Self-management in Severe Mental Illness: An Overview


Affiliations
1 Ph.D. Scholar, Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences, (NIMHANS), Bengaluru, India
2 Additional Professor, Department of 2 Psychiatric Social Work, (NIMHANS), Bengaluru, India
3 Associate Professor, Department of Psychiatry 2 (NIMHANS), Bengaluru, India
     

   Subscribe/Renew Journal


There are many psycho-social interventions are contribute to the well-being of persons with severe mental illness (SMI). Self-management approaches are feasible and useful for SMI, but it is less explored in Indian context. This review is an attempt to explore the importance of self-management in SMI and highlighted the use of self management in severe mental illness and co-morbid condition. Literature search carried out in electronic data base (PubMed, ProQuest, & Google scholar). As per the selection criteria 28 articles reviewed. The key findings were, that self-management interventions can provide positive changes in persons with mental illness and co-morbid medical conditions. There is a requirement of shifting the focus of the psychosocial interventions to a comprehensive level in persons with mental illness. Self-management assessments and interventions can be considered as a part of regular follow-up of the patients for better results in their daily life.

Keywords

severe mental illness, self-management, positive changes
Subscription Login to verify subscription
User
Notifications
Font Size


  • Ben-Zeev, D., Kaiser, S. M., Brenner, C. J., Begale, M., Duffecy, J., & Mohr, D. C. (2013). Development and usability testing of FOCUS: A smartphone system for selfmanagement of schizophrenia. Psychiatric Rehabilitation Journal, 36(4), 289-296. https://doi.org/10.1037/prj0000019

  • Chambers, E., Cook, S., Thake, A., Foster, A., Shaw, S., Hutten, R., Parry, G., & Ricketts, T. (2015). The self-management of longer-term depression: Learning from the patient, a qualitative study. BMC Psychiatry, 15(1), 1-16. https://doi.org/10.1186/s12888-015-0550-6

  • Cimo, A., Stergiopoulos, E., Cheng, C., Bonato, S., & Dewa, C. S. (2012). Effective lifestyle interventions to improve type II diabetes self-management for those with schizophrenia or schizoaffective disorder: A systematic review. BMC Psychiatry, 12(1), 24. https://doi.org/10.1186/1471-244X-12-24

  • Cook, J. A., Copeland, M. E., Jonikas, J. A., Hamilton, M. M., Razzano, L. A., Grey, D. D., Floyd, C. B., Hudson, W. B., MacFarlane, R. T., Carter, T. M., & Boyd, S. (2012). Results of a randomized controlled trial of mental illness self-management using wellness recovery action planning. Schizophrenia Bulletin, 38(4), 881-891. https://doi.org/10.1093/schbul/sbr012

  • Cramm, J. M., Hartgerink, J. M., de Vreede, P. L., Bakker, T. J., Steyerberg, E. W., Mackenbach, J. P., & Nieboer, A. P. (2012). The relationship between older adults' self-management abilities, well-being and depression. European Journal of Ageing, 9(4), 353-360. https://doi.org/10.1007/s10433-012-0237-5

  • Druss, B. G., Zhao, L., Esenwein, S. A. von, DiClemente, J. R., & Lorig, K. (2010). The health and recovery peer (HARP) program: A peer-led intervention to improve medical self-management for persons with serious mental illness. Bone, 23(1), 1-7. https://doi.org/10.1038/jid.2014.371

  • Fortuna, K. L., DiMilia, P. R., Lohman, M. C., Bruce, M. L., Zubritsky, C. D., Halaby, M. R., Walker, R. M., Brooks, J. M., & Bartels, S. J. (2018). Feasibility, acceptability, and preliminary effectiveness of a peer-delivered and technology supported self-management intervention for older adults with serious mental illness. Psychiatric Quarterly, 89(2), 293-305. https://doi.org/10.1007/s11126-017-9534-7

  • Gliddon, E., Cosgrove, V., Berk, L., Lauder, S., Mohebbi, M., Grimm, D., Dodd, S., Coulson, C., Raju, K., Suppes, T., & Berk, M. (2019). A randomized controlled trial of MoodSwings 2.0: An internet-based self-management program for bipolar disorder. Bipolar Disorders, 21(1), 28-39. https://doi.org/10.1111/bdi.12669

  • Gotts, S. J., Simmons, W. K., Cox, R. W., & Martin, A. (2012). Spectrum disorders spectrum disorders. Nature Communications, 18(December 2015), 463-471. https://doi.org/10.1093/brain/aws160

  • Graham, C., Arthur, A., & Howard, R. (2002). The social functioning of older adults with schizophrenia. Aging and Mental Health, 6(2), 149-152. https://doi.org/10.1080/13607860220126772

  • Grant, C., Addington, J., Addington, D., & Konnert, C. (2001). Social functioning in first-and multi-episode schizophrenia. Canadian Journal of Psychiatry, 46(8) 746749. https://doi.org/10.1177/070674370104600808

  • Howes, O. D., McDonald, C., Cannon, M., Arseneault, L., Boydell, J., & Murray, R. M. (2004). Pathways to schizophrenia: The impact of environmental factors. International Journal of Neuropsychopharmacology, 7(Supplement_1), S7-S13.

  • Höhl, W., Moll, S., & Pfeiffer, A. (2017). Occupational therapy interventions in the treatment of people with severe mental illness. Current Opinion in Psychiatry, 30(4), 300-305.

  • Holubova, M., Prasko, J., Hruby, R., Latalova, K., Kamaradova, D., Marackova, M., & Gubova, T. (2016). Coping strategies and self-stigma in patients with schizophreniaspectrum disorders. Patient Preference and Adherence, 10, 1151.

  • Holubova, M., Prasko, J., Hruby, R., Kamaradova, D., Ociskova, M., Latalova, K., & Grambal, A. (2015). Coping strategies and quality of life in schizophrenia: Crosssectional study. Neuropsychiatric Disease and Treatment, 11, 3041.

  • Hunkeler, E. M., Hargreaves, W. A., Fireman, B., Terdiman, J., Meresman, J. F., Porterfield, Y., Lee, J., Dea, R., Simon, G. E., Bauer, M. S., Unützer, J., & Taylor, C. B. (2012). A web-delivered care management and patient self-management program for recurrent depression: A randomized trial. Psychiatric Services, 63(11), 10631071. https://doi.org/10.1176/appi.ps.005332011

  • Katakura, N., Matsuzawa, K., Ishizawa, K., & Takayanagi, C. (2013). Psychological and physical self-management of people with schizophrenia in community psychiatric rehabilitation settings: A qualitative study. International Journal of Nursing Practice, 19(SUPPL. 2), 24-33. https://doi.org/10.1111/ijn.12041

  • Khan, Z., Martin-Montañez, E., & Muly, E. (2013). Schizophrenia: Causes and treatments. Current Pharmaceutical Design, 19(36), 6451-6461. https://doi.org/ 10.2174/1381612811319360006

  • Kirschner, M., Aleman, A., & Kaiser, S. (2017). Secondary negative symptomsa review of mechanisms, assessment and treatment. Schizophrenia Research, 186, 29-38.

  • Lean, M., Fornells-Ambrojo, M., Milton, A., Lloyd-Evans, B., Harrison-Stewart, B., Yesufu-Udechuku, A., Kendall, T., & Johnson, S. (2019). Self-management interventions for people with severe mental illness: Systematic review and metaanalysis. British Journal of Psychiatry, 214(5), 260-268. https://doi.org/10.1192/bj p.2019.54

  • Lorig, K., Ritter, P. L., Pifer, C., & Werner, P. (2014). Effectiveness of the chronic disease self-management program for persons with a serious mental illness: A translation study. Community Mental Health Journal, 50(1), 96-103. https://doi.org/10.1007/s10597-013-9615-5

  • Michalak, E. E., Morton, E., Barnes, S. J., Hole, R., & Murray, G. (2019). Supporting self-management in bipolar disorder: Mixed-methods knowledge translation study. Journal of Medical Internet Research, 21(4), 1-29. https://doi.org/10.2196/13493

  • Michalak, E. E., Suto, M. J., Barnes, S. J., Hou, S., Lapsley, S., Scott, M., Murray, G., Austin, J., Elliott, N. B., Berk, L., & Crest, B.D. (2016). Effective self-management strategies for bipolar disorder: A community-engaged Delphi consensus consultation study. Journal of Affective Disorders, 206, 77-86. https://doi.org/10.1016/j.jad.2016.06.057

  • Milton, A., Lloyd-Evans, B., Fullarton, K., Morant, N., Paterson, B., Hindle, D., Kelly, K., Mason, O., Lambert, M., & Johnson, S. (2017). Development of a peersupported, self-management intervention for people following mental health crisis ISRCTN01027104 ISRCTN. BMC Research Notes, 10(1), 1-18. https://doi.org/10.1186/s13104-017-2900-6

  • Morton, E., Michalak, E. E., Hole, R., Buzwell, S., & Murray, G. (2018). 'Taking back the reins' A qualitative study of the meaning and experience of self-management in bipolar disorder. Journal of Affective Disorders, 228(November 2017), 160-165. https://doi.org/10.1016/j.jad.2017.12.018

  • Mulligan, K., McBain, H., Lamontagne-Godwin, F., Chapman, J., Haddad, M., Jones, J., Flood, C., Thomas, D., & Simpson, A. (2017). Barriers and enablers of type 2 diabetes self-management in people with severe mental illness. Health Expectations, 20(5), 1020-1030. https://doi.org/10.1111/hex.12543

  • Mueser, K. T., Deavers, F., Penn, D. L., & Cassisi, J. E. (2013). Psychosocial treatments for schizophrenia. Annual Review of Clinical Psychology, 9, 465-497.

  • Muralidharan, A., Brown, C. H., Peer, J. E., Klingaman, E. A., Hack, S. M., Li, L., Walsh, M. B., & Goldberg, R. W. (2019). Living well: An intervention to improve medical illness self-management among individuals with serious mental illness. Psychiatric Services, 70(1), 19-25. https://doi.org/10.1176/appi.ps.201800162

  • Murphy, J. K., Xie, H., Nguyen, V. C., Chau, L. W., Oanh, P. T., Nhu, T. K., O'Neil, J., Goldsmith, C. H., Van Hoi, N., Ma, Y., Lou, H., Jones, W., & Minas, H. (2020). Is supported self-management for depression effective for adults in community-based settings in Vietnam? A modified stepped-wedge cluster randomized controlled trial. International Journal of Mental Health Systems, 14(1), 1-17. https://doi.org/10.11 86/s13033-020-00342-1

  • Nicholas, J., Boydell, K., & Christensen, H. (2017). Self-management in young adults with bipolar disorder: Strategies and challenges. Journal of Affective Disorders, 209(August 2016), 201-208. https://doi.org/10.1016/j.jad.2016.11.040

  • Peterson, D. H. M., & Collings, S. C. (2015). “It's either do it or die”: The role of selfmanagement of suicidality in people with experience of mental illness. Crisis, 36(3), 173-178. https://doi.org/10.1027/0227-5910/a000308

  • Pratt, S. I., Bartels, S. J., Mueser, K. T., Naslund, J. A., Wolfe, R., Pixley, H. S., & Josephson, L. (2013). Feasibility and effectiveness of an automated telehealth intervention to improve illness self-management in people with serious psychiatric and medical disorders. Psychiatric Rehabilitation Journal, 36(4), 297-305.

  • https://doi.org/10.1037/prj0000022

  • Rabinowitz, J., Levine, S. Z., Garibaldi, G., Bugarski-Kirola, D., Berardo, C. G., & Kapur, S. (2012). Negative symptoms have greater impact on functioning than positive symptoms in schizophrenia: Analysis of CATIE data. Schizophrenia Research, 137(1-3), 147-150.

  • Sajatovic, M., Gunzler, D. D., Kanuch, S. W., Cassidy, K. A., Tatsuoka, C., McCormick, R., Blixen, C. E., Perzynski, A. T., Einstadter, D., Thomas, C. L., Lawless, M. E., Martin, S., Falck-Ytter, C., Seeholzer, E. L., McKibben, C. L., Bauer, M. S., & Dawson, N. V. (2017). A 60-week prospective RCT of a self-management intervention for individuals with serious mental illness and diabetes mellitus. Psychiatric Services, 68(9), 883-890. https://doi.org/10.1176/appi.ps.201600377

  • Sajatovic, M., Ridgel, A. L., Walter, E. M., Tatsuoka, C. M., Colón-Zimmermann, K., Ramsey, R. K., Welter, E., Gunzler, S. A., Whitney, C. M., & Walter, B. L. (2017). A randomized trial of individual versus group-format exercise and self-management in individuals with Parkinson's disease and co-morbid depression. Patient Preference and Adherence, 11, 965-973. https://doi.org/10.2147/PPA.S135551

  • Schmutte, T., Davidson, L., & O'Connell, M. (2018). Improved sleep, diet, and exercise in adults with serious mental illness: Results from a pilot self-management intervention. Psychiatric Quarterly, 89(1), 61-71. https://doi.org/10.1007/s11126-017-9516-9

  • Steare, T., O'Hanlon, P., Eskinazi, M., Osborn, D., Lloyd-Evans, B., Jones, R., Rostill, H., Amani, S., & Johnson, S. (2019). App to support recovery in early intervention services (ARIES) study: Protocol of a feasibility randomised controlled trial of a self-management smartphone application for psychosis. BMJ Open, 9(3), 1-10. https://doi.org/10.1136/bmjopen-2018-025823

  • Taylor, S. J., Pinnock, H., Epiphaniou, E., Pearce, G., Parke, H. L., Schwappach, A., & Sheikh, A. (2014). Health services and delivery research. A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS-Practical systematic Review of Self-Management Support for long-term conditions. Southampton (UK): NIHR Journals Library.

  • Todd, N. J., Jones, S. H., Hart, A., & Lobban, F. A. (2014). A web-based selfmanagement intervention for bipolar disorder “living with bipolar”: A feasibility randomised controlled trial. Journal of Affective Disorders, 169, 21-29. https://doi.org/10.1016/j.jad.2014.07.027

  • Van Grieken, R. A., Van Tricht, M. J., Koeter, M. W. J., Van Den Brink, W., & Schene, A. H. (2018). Correction: The use and helpfulness of self-management strategies for depression: The experiences of patients. PLoS One, 13(10), e0206262. DOI: 10.1371/journal.pone.0206262). PLoS One, 13(12), 1-12. https://doi.org/10.1371/journal.pone.0209109

  • Whitehead, L. (2017). Self-management of type 2 diabetes and severe mental illness. Issues in Mental Health Nursing, 38(7), 606-607. https://doi.org/10.1080/01612840.2017.1328859

  • World Health Organization (2002). World health report 2002: Reducing risks, promoting healthy life. World Health Report.

  • Wolf, H. (1996). Self-management and Mental health. Health, 6. https://www.who.int/news-room/fact-sheets/detail/depression https://www.who.int/news-room/detail/09-09-2019-suicide-one-person-dies-every-40-seconds


Abstract Views: 316

PDF Views: 0




  • Understanding the Importance of Self-management in Severe Mental Illness: An Overview

Abstract Views: 316  |  PDF Views: 0

Authors

Priyanka Devi
Ph.D. Scholar, Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences, (NIMHANS), Bengaluru, India
Vranda Mysore Narasimha
Additional Professor, Department of 2 Psychiatric Social Work, (NIMHANS), Bengaluru, India
Vijaya Kumar K. G.
Associate Professor, Department of Psychiatry 2 (NIMHANS), Bengaluru, India

Abstract


There are many psycho-social interventions are contribute to the well-being of persons with severe mental illness (SMI). Self-management approaches are feasible and useful for SMI, but it is less explored in Indian context. This review is an attempt to explore the importance of self-management in SMI and highlighted the use of self management in severe mental illness and co-morbid condition. Literature search carried out in electronic data base (PubMed, ProQuest, & Google scholar). As per the selection criteria 28 articles reviewed. The key findings were, that self-management interventions can provide positive changes in persons with mental illness and co-morbid medical conditions. There is a requirement of shifting the focus of the psychosocial interventions to a comprehensive level in persons with mental illness. Self-management assessments and interventions can be considered as a part of regular follow-up of the patients for better results in their daily life.

Keywords


severe mental illness, self-management, positive changes

References