Indian Journal of Health and Wellbeing

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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
     

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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
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  • 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


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

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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