Abstract
Background: Whether the clubhouse model of psychiatric rehabilitation is well-implemented in China and whether patients with schizophrenia successfully achieve symptom remission and functional recovery through engaging in the clubhouse remain unclear.Methods: Seven electronic databases were searched for relevant articles from inception to April 21, 2021. Quality assessment, data synthesis, and subgroup analysis were performed on the included studies.Results: Seven randomized controlled studies with 682 participants were included in the present meta-analysis. The clubhouse model of psychiatric rehabilitation has a significant effect on promoting the remission of psychiatric symptoms, especially negative symptoms. However, it does not show a definite effect on promoting recovery of positive symptoms. The clubhouse model of psychiatric rehabilitation has a significant effect on promoting social functioning recovery, reducing the family burden, improving the quality of life, and promoting the remission of depressive and anxiety symptoms of patients with schizophrenia in China.Conclusions: Our findings suggest that the clubhouse model of psychiatric rehabilitation can promote the remission of symptoms and functional recovery of Chinese with schizophrenia. It may be suitable to address the urgent need for better mental health services in China.
Highlights
China has made substantial advancements in the treatment and management of mental disorders, these disorders still pose a heavy burden
According to the pooled standardized mean difference (SMD), engaging in the clubhouse did not have a significant effect on promoting the remission of positive symptoms, but it had a significant effect on promoting the remission of negative symptoms
The heterogeneity was low in synthesizing the outcomes assessed at 3 and 6 months, but it was high in synthesizing the outcomes assessed at 12 months. These findings indicated that at least in the first year engaging in clubhouse, the longer time engaged might get a better outcome in promoting psychiatric symptoms remission
Summary
China has made substantial advancements in the treatment and management of mental disorders, these disorders still pose a heavy burden. A recent study estimated that the lifetime prevalence of most mental disorders and schizophrenia in China was 1.3% (∼17 million Chinese citizens) and 0.6% Despite substantial advances in clinical treatment, patients with SMI continue to suffer poor social predicaments, including high rates of unemployment, stigma, and homelessness (5–7). These challenges highlight the necessity of delivering mental health service that addresses both social and clinical needs. Whether the clubhouse model of psychiatric rehabilitation is well-implemented in China and whether patients with schizophrenia successfully achieve symptom remission and functional recovery through engaging in the clubhouse remain unclear
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