Efficacité des interventions de pair-aidants (schizophrénie,trouble bipolaire). Revue systématique de la littérature |
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| Institution: | 1. Centre hospitalier Charles-Perrens, 33000 Bordeaux, France;2. University Bordeaux, Inserm, Bordeaux Population Health Research Center, Team Pharmacoepidemiology, UMR 1219, 33000 Bordeaux, France;3. Établissement public de Santé mentale de la Marne, 51100 Reims, France;1. Centre hospitalier Charles-Perrens, 33000 Bordeaux, France;2. Université Bordeaux, Inserm, Bordeaux Population Health Research Center, Team Pharmacoepidemiology, UMR 1219, 33000 Bordeaux, France;1. Centre hospitalier universitaire Toulouse Purpan, service de psychiatrie, place du Dr-Baylac, TSA 40031, 31059 Toulouse cedex 9, France;2. Département universitaire de médecine générale, université Paul-Sabatier Toulouse III, 133, route de Narbonne, 31062 Toulouse, France;3. UMR 1295 CERPOP Inserm, université Paul-Sabatier, 37, allées Jules-Guesde, 31000 Toulouse, France;1. Department of Psychiatry, Jawahar Lal Nehru Memorial Hospital, Srinagar, Jammu and Kashmir, India;2. Consultant Psychiatrist , Emergency Mental Health , Sunshine Hospital, Melbourne, Australia;3. Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, 88100 Viale Europa, Catanzaro, Italy;4. Kabir Medical College, Gandhara University, Peshawar, Pakistan;1. Département de psychiatrie, Faculté de Médecine de l’Université Saint-Joseph, Beyrouth, Liban;2. Service de psychiatrie, Hôtel Dieu de France, Centre Hospitalier de l’Université Saint-Joseph, Beyrouth, Liban;1. Centre référent de réhabilitation psychosociale REHALise, GCSMS REHACOOR42, Saint-Étienne, France;3. Centre de Neurosciences Cognitives, UMR 5229, CNRS & Université Lyon 1, Lyon, France;4. Service de psychiatrie de l’enfant et de l’adolescent, CHU de Saint-Étienne, Saint-Étienne, France;5. Fondation FondaMental, Créteil, France;6. CEReSS-Health Service Research and Quality of Life Center, Aix-Marseille university, AP–HM, 27, boulevard Jean-Moulin, 13005 Marseille, France;7. Cabinet libéral, Le Tampon, Réunion;8. Inserm UMR1266, institut de psychiatrie et de neurosciences de Paris, université de Paris, Paris, France;9. Service de psychiatrie, hôpital Louis Mourier, AP–HP, Colombes, France |
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| Abstract: | ObjectiveThe effectiveness of programs integrating trained and paid peer helpers on symptoms, quality of life and recovery of persons with bipolar disorder or schizophrenia is still poorly understood. The factors influencing the integration of peer helpers into healthcare teams are also poorly understood.MethodA systematic review of the literature was performed. We systematically searched multiple electronic databases for articles: (i) exploring the effectiveness of the intervention of trained and paid peer helpers in bipolar disorder and schizophrenia (ii) reporting barriers and facilitators to the integration of peer helpers.ResultsForty-eight articles were included, 24 on the effectiveness of the intervention of peer helpers, 18 on barriers and 13 on facilitators to the integration of peer helpers in health teams. Of them, 25 were based upon qualitative methods (7 concerning the effectiveness of the intervention of peer helpers, 14 the barriers and 7 the facilitators to their integration); 23 were based upon quantitative methods (9 studies focused on the effectiveness of peer helper intervention, 2 on barriers and 6 on integration facilitators). The 23 quantitative studies included 8 randomized controlled trials.ConclusionIn spite of their heterogeneity, the results suggest that that interventions of peer helpers have a positive impact on the recovery, quality of life, social functioning, physical health and clinical outcome of persons with bipolar disorder or schizophrenia. The results also showed that the integration of peer helpers is favored by caregivers’ awareness about the role of peer helpers and knowledge about the recovery model. The results highlight the need for peer helpers to have a well-defined role and to be supervised, preferably by another peer helper. |
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| Keywords: | Peer helpers Schizophrenia Bipolar disorder |
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