Table 1.

Descriptive Statistics of Included Studies

Study NameaN (Baseline-FU)Age (SD)% FemalePrimary DiagnosisComorbidityTreatmentBaseline DOI (y)FU Duration (y)Attrition RateOutcome Categories Reported
Addington 2000S180-6533.2 (8.9)21.1%Schizophrenia (100%)NRAntipsychotics (100%); Routine care (100%)11.2 y2.5 y18.8%Overall subjective quality of life
BeaudoinS2919-91941.1 (11.0)27.1%Schizophrenia (100%)Obsessive-Compulsive disorder (4.4%); Other anxiety disorder (8.5%); Major depression (13.5%); Alcohol dependence (8.4%); Alcohol abuse (8.5%); Drug dependence (6.9%); Drug abuse (11.0%); Antisocial personality disorder (0.5%); Other personality disorder (1.0%); Other comorbid diagnosis (4.0%)NR>10 y1.5 y24.7%Overall subjective quality of life
Buonocore 2018S360-6034.9 (9.7)45.3%Schizophrenia (100%)NRComputer-assisted CRT (100%); Standard rehabilitation therapy (SRT; 100%); Risperidone (23%); Haloperidol (15%); Clozapine (39%); Olanzapine (7%); Aripiprazole (8%); Paliperidone (2%); Fluphenazine (3%); Chlorpromazine (3%)10.8 y5 y6.3%Overall subjective quality of life
Chan 2003S425-2540.4 (7.8)44.0%Schizophrenia (100%)NRNR15.4 y0.3 y; 0.7 y; 1 y16.0%Connectedness; Meaning in life
Chien 2014S5,S6124-12425.6 (7.7)43.0%Schizophrenia (100%)NRAntipsychotics (71.0%); Antidepressants (12.1%)2.6 y1 y; 2 y0.9%Connectedness; Overall personal recovery
Conley 2007S72228-116741.8 (11.2)38.5%Schizophrenia (57.18%); Schizoaffective disorder (33.57%); Other psychotic disorder (9.25%)Substance use disorder: 27.96%; Personality disorder: 14.50%; Depressive disorder: 39.36%Antidepressants (38.78%); Anti-anxiety agents (11.31%); Mood stabilizers (31.24%); Hypnotics (1.71%); Antiparkinsonian agents (44.79%); Atypical antipsychotics (59.78%); Typical antipsychotics (58.21%)21.6 y3 y4.3%Connectedness; Overall subjective quality of life
Dellazizzo 2021S874-3042.5 (12.7)24.3%Schizophrenia (77.0%); Schizoaffective disorder (23.0%)NRAtypical antipsychotics (96%); Virtual reality (VR)-assisted therapy (50%); Cognitive behavioral therapy (50%)16.0 y0.5 y; 1 y16.2%Overall subjective quality of life
Fernández-Modamio 2021S9299-18844.3 (13.4)39.5%Schizophrenia; Schizoaffective disorderNRSocial Cognition Training Program (SCTP; 50.0%); Neurocognitive training (100%); Antipsychotics (100%)22.9 y0.5 y; 1 y37.1%Connectedness; Overall subjective quality of life
Fowler 2012S10255-20737.6 (11.0)30.0%Schizophrenia (85%); Schizoaffective disorder (13%); Delusional disorder (2%)NRNR10.7 y0.3 y; 1 y18.2%Identity
Fowler 2018S11135-9324.5 (7.9)21.8%Nonaffective psychosis (100%)NREarly Intervention Services (100%); Social recovery therapy (49.03%)2.1 y0.8 y; 1.3 y17.4%Hope and optimism; Empowerment; Meaning in life
Galderisi 2020S12921-61840.2 (10.7)30.4%Schizophrenia (100%)Substance abuse (5.0%); Alcohol abuse (4.9%)Antipsychotics (76.8%); Integrated treatment (26.8%)16.2 y4 y32.9%Connectedness; Empowerment; Hope and optimism; Identity
Godin 2019S13770-32532.7 (9.9)26.0%Schizophrenia (100%)Anxiety disorder (37.40%); Tobacco smoking (51.56%); Cannabis use disorder (28.44%); Alcohol use disorder (20.13%)Antipsychotics (21.17%); Antidepressants (25.71%)10.7 y1 y61.4%Meaning in life
Gorna 2008S14125-12524.7 (6.7)37.8%Schizophrenia (100%)NRNR<2 y1 y; 5 y21.3%Connectedness; Meaning in life; Overall subjective quality of life
Gumley 2022S1573-5443.0 (12.0)49.3%Schizophrenia spectrum disorder (100%)NREmpower intervention (57.5%); TAU (42.5%)NR0.5 y; 1 y17.8%Meaning in life; Overall personal Recovery
Hayhurst 2014S16354-29039.5 (11.4)32.0%Schizophrenia, schizoaffective, schizophreniform, or delusional disorder,NRAntipsychotics (100%)11.6 y1 y18.1%Overall subjective quality of life
Heering 2015S17648-64827.7 (8.0)23.8%Schizophrenia; Schizophreniform disorder; Schizoaffective disorderNRNR4.4 y3.3 y42.1%Overall subjective quality of life
Ito 2015S1854-5430.6 (10.1)53.2%Schizophrenia spectrum disorder (100%)NRAntipsychotics (100%)2.0 y0.5 y; 1 y; 1.5 y53.9%Overall subjective quality of life
Jørgensen 2015S19101-9437.5 (12.6)53.5%Schizophrenia (92.08%); Schizoaffective disorder (7.92%)NRAntipsychotics (100%); Guided self-determination intervention (49.5%)9.8 y0.3 y; 0.5 y; 1 y7.9%Connectedness; Empowerment; Hope and optimism; Overall personal recovery
Kane 2016S20,S21404-40423.1 (5.1)27.5%Schizophrenia (52.97%); Schizoaffective disorder, bipolar (5.94%); Schizoaffective disorder, depressive (14.11%); Schizophreniform disorder (16.58%); Brief psychotic disorder (0.50%); Psychotic disorder NOS (9.90%)Alcohol abuse/dependence (36.39%); Cannabis abuse/dependence (35.64%)Antipsychotics (83.42%); Personalized medication management, family psychoeducation, resilience-focused individual therapy, and supported employment and education (55.20%); Community care (44.80%)3.7 y0.5 y; 1 y; 1.5 y; 2 y43.8%Connectedness; Hope and optimism; Overall personal recovery; Overall subjective quality of life
Kelly 2009S12243-4344.1 (8.3)27.9%Schizophrenia (100%)NRHaloperidol (58,14%); Olanzapine (41,86%)22.1 y1 y23.2%Overall subjective quality of life
Kim 2019S2387-8733.6 (9.8)49.4%Schizophrenia (100%)NRAntipsychotics (100%)8.8 y0.5 y; 1 y29.9%Meaning in life
Kumazaki 2012S2456-3660.3 (6.2)44.0%Schizophrenia (100%)NROptimal Treatment Project (OTP) interventions (100%)27.6 y1 y; 2 y; 3 y; 4 y; 5 y; 6 y; 12 y; 15 y35.7%Connectedness; Meaning in life; Overall subjective quality of life
Lasser 2005S25582-58240.9 (13.0)33.9%Schizophrenia (83.39%); Schizoaffective disorder (16.61%)NRAntipsychotics (98.79%)NR1 y20.3%Connectedness
Lee 2023S2654-5432.3 (9.3)38.9%Schizophrenia; Schizoaffective disorderNRAntipsychotics (100%)12.7 y14.1 y40.7%Overall subjective quality of life
Litman 2023S27215-17539.3 (10.8)39.1%Schizophrenia (100%)NRAntipsychotics (100%)10.9 y0.23 y; 0.46 y; 1 y10.7%Connectedness; Empowerment; Overall subjective quality of life
Liu 2023S2896-7636.3 (10.2)55.2%Schizophrenia/schizophreniform disorder (78.1%); Other Schizophrenia spectrum disorder (21.9%)NRAntipsychotics (100%)11.3 y2 y20.8%Meaning in life
Lopez-Morinigo 2022S2977-2847.7 (9.6)46.8%Schizophrenia spectrum disorder (100%)NRMetacognitive training (50.6%); Psychoeducation (49.4%); Clozapine (15.6%); Other antipsychotics (58.4%)>5 y0.15 y; 1 y62.8%Overall subjective quality of life
Marino 2015S3063-1522.2 (4.2)36.9%Schizophrenia (66.15%); Schizoaffective disorder (13.85%); Schizophreniform disorder (6.15%); Psychosis NOS (4.62%); Brief psychotic disorder (1.54%); No diagnosis (3.08%); Unknown (4.62%)NRTreatment connection program (100%)10.2 y2 y69.2%Connectedness; Overall personal recovery; Overall subjective quality of life
McNeely 2022S3151-4045.5 (13.7)41.2%Schizophrenia and related psychotic disorders (100%)NRSelf-management Engaging Together (SET) for Health (100%)21.3 y1.1 y21.6%Hope and optimism about the future; Meaning in life
Moncrieff 2023S32253-17546.3 (11.8)32.4%Schizophrenia (68.77%); Other psychotic disorders (31.23%)NRAntipsychotics (100%)>5 y0.5 y; 1 y; 2 y24.9%Overall personal recovery; Overall subjective quality of life
Morrison 2018S3375-6023.6 (6.1)42.7%Schizophrenia, schizoaffective disorder, or delusional disorderNRCBT (68%); Antipsychotics (65.33%)<2 y0.5 y; 1 y20.0%Overall personal recovery; Overall subjective quality of life
Na 2016S3425-2528.2 (6.4)48.0%Schizophrenia (60.00%); Schizoaffective disorder (12.00%); Psychotic disorder NOS (28.00%)NRAntipsychotics (100%); Mind flower programs (100%)NR0.5 y; 1 y4.0%Empowerment; Identity
Neill 2022S3585-4339.7 (9.3)71.8%Schizophrenia (91.9%); Schizoaffective disorder (8.1%)NRAntipsychotics (100%)15.7 y0.2 y; 0.5 y; 1 y49.4%Overall subjective quality of life
Ortega 2020S3661-6124.1 (4.3)24.6%First episode Psychosis (100%)NRAntipsychotics (100%)<5 y1 yunclearMeaning in life
Prouteau 2005S3755-5534.3 (12.0)34.6%Schizophrenia (70.90%); Schizoaffective disorder (23.60%); Schizophreniform disorder (3.6%); Unspecified psychotic disorder (1.8%)NRAntipsychotics (100%); Integrated Psychological Treatment (100%); Antidepressants (23.64%); Mood stabilizers (20.00%); Antiparkinsonians (40.00%); Anxiolytics (3.64%)7.4 y0.5 y; 1 y; 1.3 y0.0%Empowerment
Rowland 2018S38263-21621.3 (4.9)25.8%Schizophrenia (84.52%); Delusional disorder (15.48%)Substance use (70.03%)Early Intervention Services (100%)0.0 y1 y17.9%Meaning in life
Salyers 2014S39,S40116-7047.7 (8.9)20.7%Schizophrenia (46.55%); Schizoaffective disorder (55.17%)NRIllness Management and Recovery (50.8%); Intensive Problem Solving (49.2%); Antipsychotics (100%)NR0.8 y; 1.5 y40.7%Hope and optimism; Overall personal recovery; Overall subjective quality of life
Schmidt 2017S41120-12034.3 (11.2)43.3%Schizophrenia (55%); Schizoaffective disorder (19.17%); Schizophreniform disorder (14.17%); Delusional disorder (5.83%); Psychotic disorder NOS (5.83%)Substance use disorder (41.67%)Quetiapine (100%); ACT integrated care treatment (100%)NR1 y15.8%Meaning in life
Sikira 2021S4265-5043.0 (11.1)53.9%Schizophrenia spectrum disorder (100%)NRVolunteer befriending intervention (50.8%); Antipsychotics (95.4%)NR0.5 y; 1 y23.1%Overall subjective quality of life
Tabo 2017S43120-12040.9 (10.9)28.3%Schizophrenia (100%)NRNR16.3 y1 yunclearOverall subjective quality of life
Usui 2022S4459-5922.6 (5.2)37.0%Schizophrenia (74.1%); Schizophreniform disorder (11.1%); Delusional disorder (3.7%); Psychotic disorder NOS (11.1%)NRAntipsychotics (100%)<5 y2.0 y54.2%Connectedness; Meaning in life
Veerman 2016S4525-2542.0 (10.4)24.0%Schizophrenia (100%)Alcohol use (20%); Nicotine use (56%); Cocaine use (12%)Clozapine (100%); Psychotherapy (8%)19.6 y1 y19.4%Overall subjective quality of life
Wilson-d’Almeida 2013S46306-30641.1 (10.1)30.1%Schizophrenia (100%)NRAntipsychotics (100%)NR0.5 y; 1 y12.3%Hope and optimism; Meaning in life
Wunderink 2009S47125-12526.4 (6.4)31.2%Schizophrenia (45.60%); Other nonaffective psychosis (54.40%)Cannabis dependence (24%)Antipsychotics (100%)0.7 y0.5 y; 1.3 y; 2 y14.4%Overall subjective quality of life
Xie 2005S48,S49152-15232.4 (7.2)22.4%Schizophrenia (70.41%); Schizoaffective disorder (29.59%)Substance use disorder (100%); Alcohol use disorder (81.58%); Cannabis use disorder (44.74%); Cocaine use disorder (15.13%); Bipolar disorder (100%)Integrated dual disorder treatment (100%)12 y0.5 y; 1 y; 1.5 y; 2 y; 2.5 y; 3 y; 4 y; 5 y; 6 y; 7 y; 8 y; 9 y; 10 y23.1%Connectedness; Meaning in life
Zäske 2018S5048-2432.0 (10.1)45.8%Schizophrenia (100%)NRAntipsychotics (100%)<2 y1 y50.0%Identity; Overall subjective quality of life
Study NameaN (Baseline-FU)Age (SD)% FemalePrimary DiagnosisComorbidityTreatmentBaseline DOI (y)FU Duration (y)Attrition RateOutcome Categories Reported
Addington 2000S180-6533.2 (8.9)21.1%Schizophrenia (100%)NRAntipsychotics (100%); Routine care (100%)11.2 y2.5 y18.8%Overall subjective quality of life
BeaudoinS2919-91941.1 (11.0)27.1%Schizophrenia (100%)Obsessive-Compulsive disorder (4.4%); Other anxiety disorder (8.5%); Major depression (13.5%); Alcohol dependence (8.4%); Alcohol abuse (8.5%); Drug dependence (6.9%); Drug abuse (11.0%); Antisocial personality disorder (0.5%); Other personality disorder (1.0%); Other comorbid diagnosis (4.0%)NR>10 y1.5 y24.7%Overall subjective quality of life
Buonocore 2018S360-6034.9 (9.7)45.3%Schizophrenia (100%)NRComputer-assisted CRT (100%); Standard rehabilitation therapy (SRT; 100%); Risperidone (23%); Haloperidol (15%); Clozapine (39%); Olanzapine (7%); Aripiprazole (8%); Paliperidone (2%); Fluphenazine (3%); Chlorpromazine (3%)10.8 y5 y6.3%Overall subjective quality of life
Chan 2003S425-2540.4 (7.8)44.0%Schizophrenia (100%)NRNR15.4 y0.3 y; 0.7 y; 1 y16.0%Connectedness; Meaning in life
Chien 2014S5,S6124-12425.6 (7.7)43.0%Schizophrenia (100%)NRAntipsychotics (71.0%); Antidepressants (12.1%)2.6 y1 y; 2 y0.9%Connectedness; Overall personal recovery
Conley 2007S72228-116741.8 (11.2)38.5%Schizophrenia (57.18%); Schizoaffective disorder (33.57%); Other psychotic disorder (9.25%)Substance use disorder: 27.96%; Personality disorder: 14.50%; Depressive disorder: 39.36%Antidepressants (38.78%); Anti-anxiety agents (11.31%); Mood stabilizers (31.24%); Hypnotics (1.71%); Antiparkinsonian agents (44.79%); Atypical antipsychotics (59.78%); Typical antipsychotics (58.21%)21.6 y3 y4.3%Connectedness; Overall subjective quality of life
Dellazizzo 2021S874-3042.5 (12.7)24.3%Schizophrenia (77.0%); Schizoaffective disorder (23.0%)NRAtypical antipsychotics (96%); Virtual reality (VR)-assisted therapy (50%); Cognitive behavioral therapy (50%)16.0 y0.5 y; 1 y16.2%Overall subjective quality of life
Fernández-Modamio 2021S9299-18844.3 (13.4)39.5%Schizophrenia; Schizoaffective disorderNRSocial Cognition Training Program (SCTP; 50.0%); Neurocognitive training (100%); Antipsychotics (100%)22.9 y0.5 y; 1 y37.1%Connectedness; Overall subjective quality of life
Fowler 2012S10255-20737.6 (11.0)30.0%Schizophrenia (85%); Schizoaffective disorder (13%); Delusional disorder (2%)NRNR10.7 y0.3 y; 1 y18.2%Identity
Fowler 2018S11135-9324.5 (7.9)21.8%Nonaffective psychosis (100%)NREarly Intervention Services (100%); Social recovery therapy (49.03%)2.1 y0.8 y; 1.3 y17.4%Hope and optimism; Empowerment; Meaning in life
Galderisi 2020S12921-61840.2 (10.7)30.4%Schizophrenia (100%)Substance abuse (5.0%); Alcohol abuse (4.9%)Antipsychotics (76.8%); Integrated treatment (26.8%)16.2 y4 y32.9%Connectedness; Empowerment; Hope and optimism; Identity
Godin 2019S13770-32532.7 (9.9)26.0%Schizophrenia (100%)Anxiety disorder (37.40%); Tobacco smoking (51.56%); Cannabis use disorder (28.44%); Alcohol use disorder (20.13%)Antipsychotics (21.17%); Antidepressants (25.71%)10.7 y1 y61.4%Meaning in life
Gorna 2008S14125-12524.7 (6.7)37.8%Schizophrenia (100%)NRNR<2 y1 y; 5 y21.3%Connectedness; Meaning in life; Overall subjective quality of life
Gumley 2022S1573-5443.0 (12.0)49.3%Schizophrenia spectrum disorder (100%)NREmpower intervention (57.5%); TAU (42.5%)NR0.5 y; 1 y17.8%Meaning in life; Overall personal Recovery
Hayhurst 2014S16354-29039.5 (11.4)32.0%Schizophrenia, schizoaffective, schizophreniform, or delusional disorder,NRAntipsychotics (100%)11.6 y1 y18.1%Overall subjective quality of life
Heering 2015S17648-64827.7 (8.0)23.8%Schizophrenia; Schizophreniform disorder; Schizoaffective disorderNRNR4.4 y3.3 y42.1%Overall subjective quality of life
Ito 2015S1854-5430.6 (10.1)53.2%Schizophrenia spectrum disorder (100%)NRAntipsychotics (100%)2.0 y0.5 y; 1 y; 1.5 y53.9%Overall subjective quality of life
Jørgensen 2015S19101-9437.5 (12.6)53.5%Schizophrenia (92.08%); Schizoaffective disorder (7.92%)NRAntipsychotics (100%); Guided self-determination intervention (49.5%)9.8 y0.3 y; 0.5 y; 1 y7.9%Connectedness; Empowerment; Hope and optimism; Overall personal recovery
Kane 2016S20,S21404-40423.1 (5.1)27.5%Schizophrenia (52.97%); Schizoaffective disorder, bipolar (5.94%); Schizoaffective disorder, depressive (14.11%); Schizophreniform disorder (16.58%); Brief psychotic disorder (0.50%); Psychotic disorder NOS (9.90%)Alcohol abuse/dependence (36.39%); Cannabis abuse/dependence (35.64%)Antipsychotics (83.42%); Personalized medication management, family psychoeducation, resilience-focused individual therapy, and supported employment and education (55.20%); Community care (44.80%)3.7 y0.5 y; 1 y; 1.5 y; 2 y43.8%Connectedness; Hope and optimism; Overall personal recovery; Overall subjective quality of life
Kelly 2009S12243-4344.1 (8.3)27.9%Schizophrenia (100%)NRHaloperidol (58,14%); Olanzapine (41,86%)22.1 y1 y23.2%Overall subjective quality of life
Kim 2019S2387-8733.6 (9.8)49.4%Schizophrenia (100%)NRAntipsychotics (100%)8.8 y0.5 y; 1 y29.9%Meaning in life
Kumazaki 2012S2456-3660.3 (6.2)44.0%Schizophrenia (100%)NROptimal Treatment Project (OTP) interventions (100%)27.6 y1 y; 2 y; 3 y; 4 y; 5 y; 6 y; 12 y; 15 y35.7%Connectedness; Meaning in life; Overall subjective quality of life
Lasser 2005S25582-58240.9 (13.0)33.9%Schizophrenia (83.39%); Schizoaffective disorder (16.61%)NRAntipsychotics (98.79%)NR1 y20.3%Connectedness
Lee 2023S2654-5432.3 (9.3)38.9%Schizophrenia; Schizoaffective disorderNRAntipsychotics (100%)12.7 y14.1 y40.7%Overall subjective quality of life
Litman 2023S27215-17539.3 (10.8)39.1%Schizophrenia (100%)NRAntipsychotics (100%)10.9 y0.23 y; 0.46 y; 1 y10.7%Connectedness; Empowerment; Overall subjective quality of life
Liu 2023S2896-7636.3 (10.2)55.2%Schizophrenia/schizophreniform disorder (78.1%); Other Schizophrenia spectrum disorder (21.9%)NRAntipsychotics (100%)11.3 y2 y20.8%Meaning in life
Lopez-Morinigo 2022S2977-2847.7 (9.6)46.8%Schizophrenia spectrum disorder (100%)NRMetacognitive training (50.6%); Psychoeducation (49.4%); Clozapine (15.6%); Other antipsychotics (58.4%)>5 y0.15 y; 1 y62.8%Overall subjective quality of life
Marino 2015S3063-1522.2 (4.2)36.9%Schizophrenia (66.15%); Schizoaffective disorder (13.85%); Schizophreniform disorder (6.15%); Psychosis NOS (4.62%); Brief psychotic disorder (1.54%); No diagnosis (3.08%); Unknown (4.62%)NRTreatment connection program (100%)10.2 y2 y69.2%Connectedness; Overall personal recovery; Overall subjective quality of life
McNeely 2022S3151-4045.5 (13.7)41.2%Schizophrenia and related psychotic disorders (100%)NRSelf-management Engaging Together (SET) for Health (100%)21.3 y1.1 y21.6%Hope and optimism about the future; Meaning in life
Moncrieff 2023S32253-17546.3 (11.8)32.4%Schizophrenia (68.77%); Other psychotic disorders (31.23%)NRAntipsychotics (100%)>5 y0.5 y; 1 y; 2 y24.9%Overall personal recovery; Overall subjective quality of life
Morrison 2018S3375-6023.6 (6.1)42.7%Schizophrenia, schizoaffective disorder, or delusional disorderNRCBT (68%); Antipsychotics (65.33%)<2 y0.5 y; 1 y20.0%Overall personal recovery; Overall subjective quality of life
Na 2016S3425-2528.2 (6.4)48.0%Schizophrenia (60.00%); Schizoaffective disorder (12.00%); Psychotic disorder NOS (28.00%)NRAntipsychotics (100%); Mind flower programs (100%)NR0.5 y; 1 y4.0%Empowerment; Identity
Neill 2022S3585-4339.7 (9.3)71.8%Schizophrenia (91.9%); Schizoaffective disorder (8.1%)NRAntipsychotics (100%)15.7 y0.2 y; 0.5 y; 1 y49.4%Overall subjective quality of life
Ortega 2020S3661-6124.1 (4.3)24.6%First episode Psychosis (100%)NRAntipsychotics (100%)<5 y1 yunclearMeaning in life
Prouteau 2005S3755-5534.3 (12.0)34.6%Schizophrenia (70.90%); Schizoaffective disorder (23.60%); Schizophreniform disorder (3.6%); Unspecified psychotic disorder (1.8%)NRAntipsychotics (100%); Integrated Psychological Treatment (100%); Antidepressants (23.64%); Mood stabilizers (20.00%); Antiparkinsonians (40.00%); Anxiolytics (3.64%)7.4 y0.5 y; 1 y; 1.3 y0.0%Empowerment
Rowland 2018S38263-21621.3 (4.9)25.8%Schizophrenia (84.52%); Delusional disorder (15.48%)Substance use (70.03%)Early Intervention Services (100%)0.0 y1 y17.9%Meaning in life
Salyers 2014S39,S40116-7047.7 (8.9)20.7%Schizophrenia (46.55%); Schizoaffective disorder (55.17%)NRIllness Management and Recovery (50.8%); Intensive Problem Solving (49.2%); Antipsychotics (100%)NR0.8 y; 1.5 y40.7%Hope and optimism; Overall personal recovery; Overall subjective quality of life
Schmidt 2017S41120-12034.3 (11.2)43.3%Schizophrenia (55%); Schizoaffective disorder (19.17%); Schizophreniform disorder (14.17%); Delusional disorder (5.83%); Psychotic disorder NOS (5.83%)Substance use disorder (41.67%)Quetiapine (100%); ACT integrated care treatment (100%)NR1 y15.8%Meaning in life
Sikira 2021S4265-5043.0 (11.1)53.9%Schizophrenia spectrum disorder (100%)NRVolunteer befriending intervention (50.8%); Antipsychotics (95.4%)NR0.5 y; 1 y23.1%Overall subjective quality of life
Tabo 2017S43120-12040.9 (10.9)28.3%Schizophrenia (100%)NRNR16.3 y1 yunclearOverall subjective quality of life
Usui 2022S4459-5922.6 (5.2)37.0%Schizophrenia (74.1%); Schizophreniform disorder (11.1%); Delusional disorder (3.7%); Psychotic disorder NOS (11.1%)NRAntipsychotics (100%)<5 y2.0 y54.2%Connectedness; Meaning in life
Veerman 2016S4525-2542.0 (10.4)24.0%Schizophrenia (100%)Alcohol use (20%); Nicotine use (56%); Cocaine use (12%)Clozapine (100%); Psychotherapy (8%)19.6 y1 y19.4%Overall subjective quality of life
Wilson-d’Almeida 2013S46306-30641.1 (10.1)30.1%Schizophrenia (100%)NRAntipsychotics (100%)NR0.5 y; 1 y12.3%Hope and optimism; Meaning in life
Wunderink 2009S47125-12526.4 (6.4)31.2%Schizophrenia (45.60%); Other nonaffective psychosis (54.40%)Cannabis dependence (24%)Antipsychotics (100%)0.7 y0.5 y; 1.3 y; 2 y14.4%Overall subjective quality of life
Xie 2005S48,S49152-15232.4 (7.2)22.4%Schizophrenia (70.41%); Schizoaffective disorder (29.59%)Substance use disorder (100%); Alcohol use disorder (81.58%); Cannabis use disorder (44.74%); Cocaine use disorder (15.13%); Bipolar disorder (100%)Integrated dual disorder treatment (100%)12 y0.5 y; 1 y; 1.5 y; 2 y; 2.5 y; 3 y; 4 y; 5 y; 6 y; 7 y; 8 y; 9 y; 10 y23.1%Connectedness; Meaning in life
Zäske 2018S5048-2432.0 (10.1)45.8%Schizophrenia (100%)NRAntipsychotics (100%)<2 y1 y50.0%Identity; Overall subjective quality of life

Note: DOI, duration of illness; NA, not applicable; NR, not reported; y, years.

aThe reference list (S1–S50) of the included studies are presented in supplementary material 7.

Table 1.

Descriptive Statistics of Included Studies

Study NameaN (Baseline-FU)Age (SD)% FemalePrimary DiagnosisComorbidityTreatmentBaseline DOI (y)FU Duration (y)Attrition RateOutcome Categories Reported
Addington 2000S180-6533.2 (8.9)21.1%Schizophrenia (100%)NRAntipsychotics (100%); Routine care (100%)11.2 y2.5 y18.8%Overall subjective quality of life
BeaudoinS2919-91941.1 (11.0)27.1%Schizophrenia (100%)Obsessive-Compulsive disorder (4.4%); Other anxiety disorder (8.5%); Major depression (13.5%); Alcohol dependence (8.4%); Alcohol abuse (8.5%); Drug dependence (6.9%); Drug abuse (11.0%); Antisocial personality disorder (0.5%); Other personality disorder (1.0%); Other comorbid diagnosis (4.0%)NR>10 y1.5 y24.7%Overall subjective quality of life
Buonocore 2018S360-6034.9 (9.7)45.3%Schizophrenia (100%)NRComputer-assisted CRT (100%); Standard rehabilitation therapy (SRT; 100%); Risperidone (23%); Haloperidol (15%); Clozapine (39%); Olanzapine (7%); Aripiprazole (8%); Paliperidone (2%); Fluphenazine (3%); Chlorpromazine (3%)10.8 y5 y6.3%Overall subjective quality of life
Chan 2003S425-2540.4 (7.8)44.0%Schizophrenia (100%)NRNR15.4 y0.3 y; 0.7 y; 1 y16.0%Connectedness; Meaning in life
Chien 2014S5,S6124-12425.6 (7.7)43.0%Schizophrenia (100%)NRAntipsychotics (71.0%); Antidepressants (12.1%)2.6 y1 y; 2 y0.9%Connectedness; Overall personal recovery
Conley 2007S72228-116741.8 (11.2)38.5%Schizophrenia (57.18%); Schizoaffective disorder (33.57%); Other psychotic disorder (9.25%)Substance use disorder: 27.96%; Personality disorder: 14.50%; Depressive disorder: 39.36%Antidepressants (38.78%); Anti-anxiety agents (11.31%); Mood stabilizers (31.24%); Hypnotics (1.71%); Antiparkinsonian agents (44.79%); Atypical antipsychotics (59.78%); Typical antipsychotics (58.21%)21.6 y3 y4.3%Connectedness; Overall subjective quality of life
Dellazizzo 2021S874-3042.5 (12.7)24.3%Schizophrenia (77.0%); Schizoaffective disorder (23.0%)NRAtypical antipsychotics (96%); Virtual reality (VR)-assisted therapy (50%); Cognitive behavioral therapy (50%)16.0 y0.5 y; 1 y16.2%Overall subjective quality of life
Fernández-Modamio 2021S9299-18844.3 (13.4)39.5%Schizophrenia; Schizoaffective disorderNRSocial Cognition Training Program (SCTP; 50.0%); Neurocognitive training (100%); Antipsychotics (100%)22.9 y0.5 y; 1 y37.1%Connectedness; Overall subjective quality of life
Fowler 2012S10255-20737.6 (11.0)30.0%Schizophrenia (85%); Schizoaffective disorder (13%); Delusional disorder (2%)NRNR10.7 y0.3 y; 1 y18.2%Identity
Fowler 2018S11135-9324.5 (7.9)21.8%Nonaffective psychosis (100%)NREarly Intervention Services (100%); Social recovery therapy (49.03%)2.1 y0.8 y; 1.3 y17.4%Hope and optimism; Empowerment; Meaning in life
Galderisi 2020S12921-61840.2 (10.7)30.4%Schizophrenia (100%)Substance abuse (5.0%); Alcohol abuse (4.9%)Antipsychotics (76.8%); Integrated treatment (26.8%)16.2 y4 y32.9%Connectedness; Empowerment; Hope and optimism; Identity
Godin 2019S13770-32532.7 (9.9)26.0%Schizophrenia (100%)Anxiety disorder (37.40%); Tobacco smoking (51.56%); Cannabis use disorder (28.44%); Alcohol use disorder (20.13%)Antipsychotics (21.17%); Antidepressants (25.71%)10.7 y1 y61.4%Meaning in life
Gorna 2008S14125-12524.7 (6.7)37.8%Schizophrenia (100%)NRNR<2 y1 y; 5 y21.3%Connectedness; Meaning in life; Overall subjective quality of life
Gumley 2022S1573-5443.0 (12.0)49.3%Schizophrenia spectrum disorder (100%)NREmpower intervention (57.5%); TAU (42.5%)NR0.5 y; 1 y17.8%Meaning in life; Overall personal Recovery
Hayhurst 2014S16354-29039.5 (11.4)32.0%Schizophrenia, schizoaffective, schizophreniform, or delusional disorder,NRAntipsychotics (100%)11.6 y1 y18.1%Overall subjective quality of life
Heering 2015S17648-64827.7 (8.0)23.8%Schizophrenia; Schizophreniform disorder; Schizoaffective disorderNRNR4.4 y3.3 y42.1%Overall subjective quality of life
Ito 2015S1854-5430.6 (10.1)53.2%Schizophrenia spectrum disorder (100%)NRAntipsychotics (100%)2.0 y0.5 y; 1 y; 1.5 y53.9%Overall subjective quality of life
Jørgensen 2015S19101-9437.5 (12.6)53.5%Schizophrenia (92.08%); Schizoaffective disorder (7.92%)NRAntipsychotics (100%); Guided self-determination intervention (49.5%)9.8 y0.3 y; 0.5 y; 1 y7.9%Connectedness; Empowerment; Hope and optimism; Overall personal recovery
Kane 2016S20,S21404-40423.1 (5.1)27.5%Schizophrenia (52.97%); Schizoaffective disorder, bipolar (5.94%); Schizoaffective disorder, depressive (14.11%); Schizophreniform disorder (16.58%); Brief psychotic disorder (0.50%); Psychotic disorder NOS (9.90%)Alcohol abuse/dependence (36.39%); Cannabis abuse/dependence (35.64%)Antipsychotics (83.42%); Personalized medication management, family psychoeducation, resilience-focused individual therapy, and supported employment and education (55.20%); Community care (44.80%)3.7 y0.5 y; 1 y; 1.5 y; 2 y43.8%Connectedness; Hope and optimism; Overall personal recovery; Overall subjective quality of life
Kelly 2009S12243-4344.1 (8.3)27.9%Schizophrenia (100%)NRHaloperidol (58,14%); Olanzapine (41,86%)22.1 y1 y23.2%Overall subjective quality of life
Kim 2019S2387-8733.6 (9.8)49.4%Schizophrenia (100%)NRAntipsychotics (100%)8.8 y0.5 y; 1 y29.9%Meaning in life
Kumazaki 2012S2456-3660.3 (6.2)44.0%Schizophrenia (100%)NROptimal Treatment Project (OTP) interventions (100%)27.6 y1 y; 2 y; 3 y; 4 y; 5 y; 6 y; 12 y; 15 y35.7%Connectedness; Meaning in life; Overall subjective quality of life
Lasser 2005S25582-58240.9 (13.0)33.9%Schizophrenia (83.39%); Schizoaffective disorder (16.61%)NRAntipsychotics (98.79%)NR1 y20.3%Connectedness
Lee 2023S2654-5432.3 (9.3)38.9%Schizophrenia; Schizoaffective disorderNRAntipsychotics (100%)12.7 y14.1 y40.7%Overall subjective quality of life
Litman 2023S27215-17539.3 (10.8)39.1%Schizophrenia (100%)NRAntipsychotics (100%)10.9 y0.23 y; 0.46 y; 1 y10.7%Connectedness; Empowerment; Overall subjective quality of life
Liu 2023S2896-7636.3 (10.2)55.2%Schizophrenia/schizophreniform disorder (78.1%); Other Schizophrenia spectrum disorder (21.9%)NRAntipsychotics (100%)11.3 y2 y20.8%Meaning in life
Lopez-Morinigo 2022S2977-2847.7 (9.6)46.8%Schizophrenia spectrum disorder (100%)NRMetacognitive training (50.6%); Psychoeducation (49.4%); Clozapine (15.6%); Other antipsychotics (58.4%)>5 y0.15 y; 1 y62.8%Overall subjective quality of life
Marino 2015S3063-1522.2 (4.2)36.9%Schizophrenia (66.15%); Schizoaffective disorder (13.85%); Schizophreniform disorder (6.15%); Psychosis NOS (4.62%); Brief psychotic disorder (1.54%); No diagnosis (3.08%); Unknown (4.62%)NRTreatment connection program (100%)10.2 y2 y69.2%Connectedness; Overall personal recovery; Overall subjective quality of life
McNeely 2022S3151-4045.5 (13.7)41.2%Schizophrenia and related psychotic disorders (100%)NRSelf-management Engaging Together (SET) for Health (100%)21.3 y1.1 y21.6%Hope and optimism about the future; Meaning in life
Moncrieff 2023S32253-17546.3 (11.8)32.4%Schizophrenia (68.77%); Other psychotic disorders (31.23%)NRAntipsychotics (100%)>5 y0.5 y; 1 y; 2 y24.9%Overall personal recovery; Overall subjective quality of life
Morrison 2018S3375-6023.6 (6.1)42.7%Schizophrenia, schizoaffective disorder, or delusional disorderNRCBT (68%); Antipsychotics (65.33%)<2 y0.5 y; 1 y20.0%Overall personal recovery; Overall subjective quality of life
Na 2016S3425-2528.2 (6.4)48.0%Schizophrenia (60.00%); Schizoaffective disorder (12.00%); Psychotic disorder NOS (28.00%)NRAntipsychotics (100%); Mind flower programs (100%)NR0.5 y; 1 y4.0%Empowerment; Identity
Neill 2022S3585-4339.7 (9.3)71.8%Schizophrenia (91.9%); Schizoaffective disorder (8.1%)NRAntipsychotics (100%)15.7 y0.2 y; 0.5 y; 1 y49.4%Overall subjective quality of life
Ortega 2020S3661-6124.1 (4.3)24.6%First episode Psychosis (100%)NRAntipsychotics (100%)<5 y1 yunclearMeaning in life
Prouteau 2005S3755-5534.3 (12.0)34.6%Schizophrenia (70.90%); Schizoaffective disorder (23.60%); Schizophreniform disorder (3.6%); Unspecified psychotic disorder (1.8%)NRAntipsychotics (100%); Integrated Psychological Treatment (100%); Antidepressants (23.64%); Mood stabilizers (20.00%); Antiparkinsonians (40.00%); Anxiolytics (3.64%)7.4 y0.5 y; 1 y; 1.3 y0.0%Empowerment
Rowland 2018S38263-21621.3 (4.9)25.8%Schizophrenia (84.52%); Delusional disorder (15.48%)Substance use (70.03%)Early Intervention Services (100%)0.0 y1 y17.9%Meaning in life
Salyers 2014S39,S40116-7047.7 (8.9)20.7%Schizophrenia (46.55%); Schizoaffective disorder (55.17%)NRIllness Management and Recovery (50.8%); Intensive Problem Solving (49.2%); Antipsychotics (100%)NR0.8 y; 1.5 y40.7%Hope and optimism; Overall personal recovery; Overall subjective quality of life
Schmidt 2017S41120-12034.3 (11.2)43.3%Schizophrenia (55%); Schizoaffective disorder (19.17%); Schizophreniform disorder (14.17%); Delusional disorder (5.83%); Psychotic disorder NOS (5.83%)Substance use disorder (41.67%)Quetiapine (100%); ACT integrated care treatment (100%)NR1 y15.8%Meaning in life
Sikira 2021S4265-5043.0 (11.1)53.9%Schizophrenia spectrum disorder (100%)NRVolunteer befriending intervention (50.8%); Antipsychotics (95.4%)NR0.5 y; 1 y23.1%Overall subjective quality of life
Tabo 2017S43120-12040.9 (10.9)28.3%Schizophrenia (100%)NRNR16.3 y1 yunclearOverall subjective quality of life
Usui 2022S4459-5922.6 (5.2)37.0%Schizophrenia (74.1%); Schizophreniform disorder (11.1%); Delusional disorder (3.7%); Psychotic disorder NOS (11.1%)NRAntipsychotics (100%)<5 y2.0 y54.2%Connectedness; Meaning in life
Veerman 2016S4525-2542.0 (10.4)24.0%Schizophrenia (100%)Alcohol use (20%); Nicotine use (56%); Cocaine use (12%)Clozapine (100%); Psychotherapy (8%)19.6 y1 y19.4%Overall subjective quality of life
Wilson-d’Almeida 2013S46306-30641.1 (10.1)30.1%Schizophrenia (100%)NRAntipsychotics (100%)NR0.5 y; 1 y12.3%Hope and optimism; Meaning in life
Wunderink 2009S47125-12526.4 (6.4)31.2%Schizophrenia (45.60%); Other nonaffective psychosis (54.40%)Cannabis dependence (24%)Antipsychotics (100%)0.7 y0.5 y; 1.3 y; 2 y14.4%Overall subjective quality of life
Xie 2005S48,S49152-15232.4 (7.2)22.4%Schizophrenia (70.41%); Schizoaffective disorder (29.59%)Substance use disorder (100%); Alcohol use disorder (81.58%); Cannabis use disorder (44.74%); Cocaine use disorder (15.13%); Bipolar disorder (100%)Integrated dual disorder treatment (100%)12 y0.5 y; 1 y; 1.5 y; 2 y; 2.5 y; 3 y; 4 y; 5 y; 6 y; 7 y; 8 y; 9 y; 10 y23.1%Connectedness; Meaning in life
Zäske 2018S5048-2432.0 (10.1)45.8%Schizophrenia (100%)NRAntipsychotics (100%)<2 y1 y50.0%Identity; Overall subjective quality of life
Study NameaN (Baseline-FU)Age (SD)% FemalePrimary DiagnosisComorbidityTreatmentBaseline DOI (y)FU Duration (y)Attrition RateOutcome Categories Reported
Addington 2000S180-6533.2 (8.9)21.1%Schizophrenia (100%)NRAntipsychotics (100%); Routine care (100%)11.2 y2.5 y18.8%Overall subjective quality of life
BeaudoinS2919-91941.1 (11.0)27.1%Schizophrenia (100%)Obsessive-Compulsive disorder (4.4%); Other anxiety disorder (8.5%); Major depression (13.5%); Alcohol dependence (8.4%); Alcohol abuse (8.5%); Drug dependence (6.9%); Drug abuse (11.0%); Antisocial personality disorder (0.5%); Other personality disorder (1.0%); Other comorbid diagnosis (4.0%)NR>10 y1.5 y24.7%Overall subjective quality of life
Buonocore 2018S360-6034.9 (9.7)45.3%Schizophrenia (100%)NRComputer-assisted CRT (100%); Standard rehabilitation therapy (SRT; 100%); Risperidone (23%); Haloperidol (15%); Clozapine (39%); Olanzapine (7%); Aripiprazole (8%); Paliperidone (2%); Fluphenazine (3%); Chlorpromazine (3%)10.8 y5 y6.3%Overall subjective quality of life
Chan 2003S425-2540.4 (7.8)44.0%Schizophrenia (100%)NRNR15.4 y0.3 y; 0.7 y; 1 y16.0%Connectedness; Meaning in life
Chien 2014S5,S6124-12425.6 (7.7)43.0%Schizophrenia (100%)NRAntipsychotics (71.0%); Antidepressants (12.1%)2.6 y1 y; 2 y0.9%Connectedness; Overall personal recovery
Conley 2007S72228-116741.8 (11.2)38.5%Schizophrenia (57.18%); Schizoaffective disorder (33.57%); Other psychotic disorder (9.25%)Substance use disorder: 27.96%; Personality disorder: 14.50%; Depressive disorder: 39.36%Antidepressants (38.78%); Anti-anxiety agents (11.31%); Mood stabilizers (31.24%); Hypnotics (1.71%); Antiparkinsonian agents (44.79%); Atypical antipsychotics (59.78%); Typical antipsychotics (58.21%)21.6 y3 y4.3%Connectedness; Overall subjective quality of life
Dellazizzo 2021S874-3042.5 (12.7)24.3%Schizophrenia (77.0%); Schizoaffective disorder (23.0%)NRAtypical antipsychotics (96%); Virtual reality (VR)-assisted therapy (50%); Cognitive behavioral therapy (50%)16.0 y0.5 y; 1 y16.2%Overall subjective quality of life
Fernández-Modamio 2021S9299-18844.3 (13.4)39.5%Schizophrenia; Schizoaffective disorderNRSocial Cognition Training Program (SCTP; 50.0%); Neurocognitive training (100%); Antipsychotics (100%)22.9 y0.5 y; 1 y37.1%Connectedness; Overall subjective quality of life
Fowler 2012S10255-20737.6 (11.0)30.0%Schizophrenia (85%); Schizoaffective disorder (13%); Delusional disorder (2%)NRNR10.7 y0.3 y; 1 y18.2%Identity
Fowler 2018S11135-9324.5 (7.9)21.8%Nonaffective psychosis (100%)NREarly Intervention Services (100%); Social recovery therapy (49.03%)2.1 y0.8 y; 1.3 y17.4%Hope and optimism; Empowerment; Meaning in life
Galderisi 2020S12921-61840.2 (10.7)30.4%Schizophrenia (100%)Substance abuse (5.0%); Alcohol abuse (4.9%)Antipsychotics (76.8%); Integrated treatment (26.8%)16.2 y4 y32.9%Connectedness; Empowerment; Hope and optimism; Identity
Godin 2019S13770-32532.7 (9.9)26.0%Schizophrenia (100%)Anxiety disorder (37.40%); Tobacco smoking (51.56%); Cannabis use disorder (28.44%); Alcohol use disorder (20.13%)Antipsychotics (21.17%); Antidepressants (25.71%)10.7 y1 y61.4%Meaning in life
Gorna 2008S14125-12524.7 (6.7)37.8%Schizophrenia (100%)NRNR<2 y1 y; 5 y21.3%Connectedness; Meaning in life; Overall subjective quality of life
Gumley 2022S1573-5443.0 (12.0)49.3%Schizophrenia spectrum disorder (100%)NREmpower intervention (57.5%); TAU (42.5%)NR0.5 y; 1 y17.8%Meaning in life; Overall personal Recovery
Hayhurst 2014S16354-29039.5 (11.4)32.0%Schizophrenia, schizoaffective, schizophreniform, or delusional disorder,NRAntipsychotics (100%)11.6 y1 y18.1%Overall subjective quality of life
Heering 2015S17648-64827.7 (8.0)23.8%Schizophrenia; Schizophreniform disorder; Schizoaffective disorderNRNR4.4 y3.3 y42.1%Overall subjective quality of life
Ito 2015S1854-5430.6 (10.1)53.2%Schizophrenia spectrum disorder (100%)NRAntipsychotics (100%)2.0 y0.5 y; 1 y; 1.5 y53.9%Overall subjective quality of life
Jørgensen 2015S19101-9437.5 (12.6)53.5%Schizophrenia (92.08%); Schizoaffective disorder (7.92%)NRAntipsychotics (100%); Guided self-determination intervention (49.5%)9.8 y0.3 y; 0.5 y; 1 y7.9%Connectedness; Empowerment; Hope and optimism; Overall personal recovery
Kane 2016S20,S21404-40423.1 (5.1)27.5%Schizophrenia (52.97%); Schizoaffective disorder, bipolar (5.94%); Schizoaffective disorder, depressive (14.11%); Schizophreniform disorder (16.58%); Brief psychotic disorder (0.50%); Psychotic disorder NOS (9.90%)Alcohol abuse/dependence (36.39%); Cannabis abuse/dependence (35.64%)Antipsychotics (83.42%); Personalized medication management, family psychoeducation, resilience-focused individual therapy, and supported employment and education (55.20%); Community care (44.80%)3.7 y0.5 y; 1 y; 1.5 y; 2 y43.8%Connectedness; Hope and optimism; Overall personal recovery; Overall subjective quality of life
Kelly 2009S12243-4344.1 (8.3)27.9%Schizophrenia (100%)NRHaloperidol (58,14%); Olanzapine (41,86%)22.1 y1 y23.2%Overall subjective quality of life
Kim 2019S2387-8733.6 (9.8)49.4%Schizophrenia (100%)NRAntipsychotics (100%)8.8 y0.5 y; 1 y29.9%Meaning in life
Kumazaki 2012S2456-3660.3 (6.2)44.0%Schizophrenia (100%)NROptimal Treatment Project (OTP) interventions (100%)27.6 y1 y; 2 y; 3 y; 4 y; 5 y; 6 y; 12 y; 15 y35.7%Connectedness; Meaning in life; Overall subjective quality of life
Lasser 2005S25582-58240.9 (13.0)33.9%Schizophrenia (83.39%); Schizoaffective disorder (16.61%)NRAntipsychotics (98.79%)NR1 y20.3%Connectedness
Lee 2023S2654-5432.3 (9.3)38.9%Schizophrenia; Schizoaffective disorderNRAntipsychotics (100%)12.7 y14.1 y40.7%Overall subjective quality of life
Litman 2023S27215-17539.3 (10.8)39.1%Schizophrenia (100%)NRAntipsychotics (100%)10.9 y0.23 y; 0.46 y; 1 y10.7%Connectedness; Empowerment; Overall subjective quality of life
Liu 2023S2896-7636.3 (10.2)55.2%Schizophrenia/schizophreniform disorder (78.1%); Other Schizophrenia spectrum disorder (21.9%)NRAntipsychotics (100%)11.3 y2 y20.8%Meaning in life
Lopez-Morinigo 2022S2977-2847.7 (9.6)46.8%Schizophrenia spectrum disorder (100%)NRMetacognitive training (50.6%); Psychoeducation (49.4%); Clozapine (15.6%); Other antipsychotics (58.4%)>5 y0.15 y; 1 y62.8%Overall subjective quality of life
Marino 2015S3063-1522.2 (4.2)36.9%Schizophrenia (66.15%); Schizoaffective disorder (13.85%); Schizophreniform disorder (6.15%); Psychosis NOS (4.62%); Brief psychotic disorder (1.54%); No diagnosis (3.08%); Unknown (4.62%)NRTreatment connection program (100%)10.2 y2 y69.2%Connectedness; Overall personal recovery; Overall subjective quality of life
McNeely 2022S3151-4045.5 (13.7)41.2%Schizophrenia and related psychotic disorders (100%)NRSelf-management Engaging Together (SET) for Health (100%)21.3 y1.1 y21.6%Hope and optimism about the future; Meaning in life
Moncrieff 2023S32253-17546.3 (11.8)32.4%Schizophrenia (68.77%); Other psychotic disorders (31.23%)NRAntipsychotics (100%)>5 y0.5 y; 1 y; 2 y24.9%Overall personal recovery; Overall subjective quality of life
Morrison 2018S3375-6023.6 (6.1)42.7%Schizophrenia, schizoaffective disorder, or delusional disorderNRCBT (68%); Antipsychotics (65.33%)<2 y0.5 y; 1 y20.0%Overall personal recovery; Overall subjective quality of life
Na 2016S3425-2528.2 (6.4)48.0%Schizophrenia (60.00%); Schizoaffective disorder (12.00%); Psychotic disorder NOS (28.00%)NRAntipsychotics (100%); Mind flower programs (100%)NR0.5 y; 1 y4.0%Empowerment; Identity
Neill 2022S3585-4339.7 (9.3)71.8%Schizophrenia (91.9%); Schizoaffective disorder (8.1%)NRAntipsychotics (100%)15.7 y0.2 y; 0.5 y; 1 y49.4%Overall subjective quality of life
Ortega 2020S3661-6124.1 (4.3)24.6%First episode Psychosis (100%)NRAntipsychotics (100%)<5 y1 yunclearMeaning in life
Prouteau 2005S3755-5534.3 (12.0)34.6%Schizophrenia (70.90%); Schizoaffective disorder (23.60%); Schizophreniform disorder (3.6%); Unspecified psychotic disorder (1.8%)NRAntipsychotics (100%); Integrated Psychological Treatment (100%); Antidepressants (23.64%); Mood stabilizers (20.00%); Antiparkinsonians (40.00%); Anxiolytics (3.64%)7.4 y0.5 y; 1 y; 1.3 y0.0%Empowerment
Rowland 2018S38263-21621.3 (4.9)25.8%Schizophrenia (84.52%); Delusional disorder (15.48%)Substance use (70.03%)Early Intervention Services (100%)0.0 y1 y17.9%Meaning in life
Salyers 2014S39,S40116-7047.7 (8.9)20.7%Schizophrenia (46.55%); Schizoaffective disorder (55.17%)NRIllness Management and Recovery (50.8%); Intensive Problem Solving (49.2%); Antipsychotics (100%)NR0.8 y; 1.5 y40.7%Hope and optimism; Overall personal recovery; Overall subjective quality of life
Schmidt 2017S41120-12034.3 (11.2)43.3%Schizophrenia (55%); Schizoaffective disorder (19.17%); Schizophreniform disorder (14.17%); Delusional disorder (5.83%); Psychotic disorder NOS (5.83%)Substance use disorder (41.67%)Quetiapine (100%); ACT integrated care treatment (100%)NR1 y15.8%Meaning in life
Sikira 2021S4265-5043.0 (11.1)53.9%Schizophrenia spectrum disorder (100%)NRVolunteer befriending intervention (50.8%); Antipsychotics (95.4%)NR0.5 y; 1 y23.1%Overall subjective quality of life
Tabo 2017S43120-12040.9 (10.9)28.3%Schizophrenia (100%)NRNR16.3 y1 yunclearOverall subjective quality of life
Usui 2022S4459-5922.6 (5.2)37.0%Schizophrenia (74.1%); Schizophreniform disorder (11.1%); Delusional disorder (3.7%); Psychotic disorder NOS (11.1%)NRAntipsychotics (100%)<5 y2.0 y54.2%Connectedness; Meaning in life
Veerman 2016S4525-2542.0 (10.4)24.0%Schizophrenia (100%)Alcohol use (20%); Nicotine use (56%); Cocaine use (12%)Clozapine (100%); Psychotherapy (8%)19.6 y1 y19.4%Overall subjective quality of life
Wilson-d’Almeida 2013S46306-30641.1 (10.1)30.1%Schizophrenia (100%)NRAntipsychotics (100%)NR0.5 y; 1 y12.3%Hope and optimism; Meaning in life
Wunderink 2009S47125-12526.4 (6.4)31.2%Schizophrenia (45.60%); Other nonaffective psychosis (54.40%)Cannabis dependence (24%)Antipsychotics (100%)0.7 y0.5 y; 1.3 y; 2 y14.4%Overall subjective quality of life
Xie 2005S48,S49152-15232.4 (7.2)22.4%Schizophrenia (70.41%); Schizoaffective disorder (29.59%)Substance use disorder (100%); Alcohol use disorder (81.58%); Cannabis use disorder (44.74%); Cocaine use disorder (15.13%); Bipolar disorder (100%)Integrated dual disorder treatment (100%)12 y0.5 y; 1 y; 1.5 y; 2 y; 2.5 y; 3 y; 4 y; 5 y; 6 y; 7 y; 8 y; 9 y; 10 y23.1%Connectedness; Meaning in life
Zäske 2018S5048-2432.0 (10.1)45.8%Schizophrenia (100%)NRAntipsychotics (100%)<2 y1 y50.0%Identity; Overall subjective quality of life

Note: DOI, duration of illness; NA, not applicable; NR, not reported; y, years.

aThe reference list (S1–S50) of the included studies are presented in supplementary material 7.

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