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Cited by 48Mental Health and Patient InvolvementPsychology and Mental HealthIdentity, Memory, and Therapy

Adolescents with anxiety and depression: is social recovery relevant?

Simonds, Laura M., Pons, Rebecca A., Stone, Nicola J., Warren, Fiona, John, Mary·2014·Clinical Psychology & Psychotherapy
DOI 10.1002/cpp.1841
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Abstract

UNLABELLED: Social recovery has become a prominent aspect of mental health service design and delivery in the past decade. Much of the literature on social recovery is derived from first-person accounts or primary research with adult service users experiencing severe mental illness. There is a lack of both theoretical and empirical work that could inform consideration of how the concept of social recovery might apply to adolescents experiencing common (non-psychotic) mental health problems such as anxiety and depression. The current study was conducted to understand the process of experiencing anxiety and depression in young people. Semi-structured interviews were conducted with nine adolescents with anxiety and depression (seven girls and two boys aged 14-16 years) and 12 mothers who were recruited from a specialist Child and Adolescent Mental Health Service in the South of England. Thematic analysis indicated that young people do experience a process of 'recovery'; the processes participants described have some congruence with the earlier stages of adult recovery models involving biographical disruption and the development of new meanings, in this case of anxiety or depression, and changes in sense of identity. The accounts diverge with regard to later stages of adult models involving the development of hope and responsibility. The findings suggest that services should attend to social isolation and emphasise support for positive aspirations for future selves whilst also attending to young people's and parents' expectations about change. Methodological challenges face enquiry about 'recovery' given its connotations with cure in everyday language. KEY PRACTITIONER MESSAGE: Theoretical and empirical work on social recovery in young people and families is lacking. Using interviews, this study sought to understand the relevance of social recovery for adolescents with anxiety and depression and their mothers. Findings suggest some congruence with the earlier stages of adult recovery models involving meaning and identity. Findings diverge with regard to later stages of adult recovery models involving hope and responsibility. Social recovery in mental health services for young people needs significant empirical attention and critical debate.

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Authors
Simonds, L. M., Pons, R. A., Stone, N. J., Warren, F., & John, M.
Affiliations
  • University of Surrey (GB)
  • Southern Health NHS Foundation Trust (GB)
  • Sussex Partnership NHS Foundation Trust (GB)
Corresponding author
John, Mary
ORCID
Venue
Clinical Psychology & Psychotherapy
Publisher
Wiley
Published
2013-05
Volume
21
Issue
4
Pages
289-298
ISSN
  • 1063-3995 (ISSN-L)
  • 1099-0879
DOI
10.1002/cpp.1841
OpenAlex
W1759384240
Cited by
48
References
17
Citations by year
2025: 4 · 2024: 3 · 2023: 4 · 2022: 8 · 2021: 12 · 2020: 5 · 2019: 2 · 2018: 3 · 2017: 5 · 2014: 1 · 2013: 1
FWCI
1.20
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Clinical Psychology & Psychotherapy (publishedVersion)
  • PubMed (publishedVersion)
  • Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
  • Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
  • Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
Keywords
social recovery, adolescent anxiety, adolescent depression, recovery model, biographical disruption, identity construction, hope, social isolation, future self, mothers of adolescents, child and adolescent mental health services, lived experience of mental illness
MeSH terms
Adolescent, Adolescent Behavior, Anxiety Disorders, Depressive Disorder, Ego, England, Female, Humans, Interviews as Topic, Male, Mental Health Services, Mothers, Social Isolation, Hope

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