Urban remediation: a new recovery-oriented strategy to manage urban stress after first-episode psychosis.

Détails

Ressource 1Télécharger: 31667561.pdf (788.54 [Ko])
Etat: Public
Version: Author's accepted manuscript
Licence: Non spécifiée
ID Serval
serval:BIB_C55DD1A60400
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Urban remediation: a new recovery-oriented strategy to manage urban stress after first-episode psychosis.
Périodique
Social psychiatry and psychiatric epidemiology
Auteur⸱e⸱s
Baumann P.S., Söderström O., Abrahamyan Empson L., Söderström D., Codeluppi Z., Golay P., Birchwood M., Conus P.
ISSN
1433-9285 (Electronic)
ISSN-L
0933-7954
Statut éditorial
Publié
Date de publication
03/2020
Peer-reviewed
Oui
Volume
55
Numéro
3
Pages
273-283
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Urban living is a major risk factor for psychosis. Considering worldwide increasing rates of urbanization, new approaches are needed to enhance patients' wellbeing in cities. Recent data suggest that once psychosis has emerged, patients struggle to adapt to urban milieu and that they lose access to city centers, which contributes to isolation and reduced social contacts. While it is acknowledged that there are promising initiatives to improve mental health in cities, concrete therapeutic strategies to help patients with psychosis to better handle urban stress are lacking. We believe that we should no longer wait to develop and test new therapeutic approaches.
In this review, we first focus on the role of urban planning, policies, and design, and second on possible novel therapeutic strategies at the individual level. We review how patients with psychosis may experience stress in the urban environment. We then review and describe a set of possible strategies, which could be proposed to patients with the first-episode psychosis.
We propose to group these strategies under the umbrella term of 'urban remediation' and discuss how this novel approach could help patients to recover from their first psychotic episode.
The concepts developed in this paper are speculative and a lot of work remains to be done before it can be usefully proposed to patients. However, considering the high prevalence of social withdrawal and its detrimental impact on the recovery process, we strongly believe that researchers should invest this new domain to help patients regain access to city centers.
Mots-clé
Adult, Cities, Female, Humans, Male, Mental Health, Psychotic Disorders/psychology, Risk Factors, Stress, Psychological, Urbanization, City, Cognitive maps, Stress, Treatment, Urbanicity
Pubmed
Création de la notice
08/10/2019 7:55
Dernière modification de la notice
12/02/2021 7:10
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