{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T01:29:26Z","timestamp":1787621366761,"version":"build-2736575974"},"update-to":[{"DOI":"10.1371\/journal.pntd.0013748","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000}}],"reference-count":47,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100021734","name":"Leprosy Research Initiative","doi-asserted-by":"publisher","award":["FP23\/100019"],"award-info":[{"award-number":["FP23\/100019"]}],"id":[{"id":"10.13039\/501100021734","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Healing in leprosy has long been synonymous with bacteriological cure, often overlooking persistent disability, stigma, and psychosocial consequences. Insights from other chronic diseases may inform a broader understanding of healing. recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To map how healing is defined and experienced in leprosy, tuberculosis, HIV\/AIDS, diabetes mellitus, and schizophrenia, and to identify conceptual and practical lessons relevant for post-cure leprosy care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A scoping review was conducted following the Arksey and O\u2019Malley framework and reported in accordance with PRISMA-ScR guidelines. PubMed and PsycINFO were searched for qualitative studies (January 2012\u2013December 2022) in English language from low- and middle-income countries. Eligible studies explored definitions, determinants, or models of healing in the five conditions. Data were charted and thematically synthesized across physical, psychological, socioeconomic, socio-relational, and spiritual domains following the Joanna Briggs approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighty-five studies met inclusion criteria (leprosy\u2009=\u200920, TB\u2009=\u20099, diabetes\u2009=\u20098, HIV\u2009=\u200936, schizophrenia\u2009=\u200912). Healing was most often defined as adaptation, resilience, or reintegration rather than cure. Across diseases, five interrelated dimensions\u2014physical, psychological, socioeconomic, socio-relational, and spiritual\u2014shaped recovery. Compared to other chronic conditions, leprosy literature remained largely biomedical, with limited exploration of psychosocial and spiritual healing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Achieving zero leprosy requires person-centred care that embraces multidimensional healing. The proposed 5D Healing Framework offers a roadmap for integrating psychosocial, economic, and spiritual dimensions into post-cure leprosy services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pntd.0013748","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T18:37:57Z","timestamp":1772476677000},"page":"e0013748","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Understanding healing: A comparative analysis in chronic diseases with leprosy\u2014A scoping review"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3242-8875","authenticated-orcid":true,"given":"Joydeepa","family":"Darlong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subhojit","family":"Goswami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chhavi","family":"Tyagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Govindasamy","family":"Karthikeyan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mythily Vandana S.","family":"Charles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aashish","family":"Masih","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rama V.","family":"Baru","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,3,2]]},"reference":[{"issue":"3","key":"pntd.0013748.ref001","article-title":"Neglected tropical diseases: epidemiology and global burden","volume":"2","author":"AK Mitra","year":"2017","journal-title":"Trop Med Infect Dis"},{"issue":"2","key":"pntd.0013748.ref002","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1093\/trstmh\/trab015","article-title":"The history of the neglected tropical disease movement","volume":"115","author":"DH Molyneux","year":"2021","journal-title":"Trans R Soc Trop Med Hyg"},{"issue":"2","key":"pntd.0013748.ref003","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1128\/CMR.19.2.338-381.2006","article-title":"The continuing challenges of leprosy","volume":"19","author":"DM Scollard","year":"2006","journal-title":"Clin Microbiol Rev"},{"issue":"12","key":"pntd.0013748.ref004","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1093\/trstmh\/try131","article-title":"Chronic aspects of leprosy-neglected but important","volume":"113","author":"DNJ Lockwood","year":"2019","journal-title":"Trans R Soc Trop Med Hyg"},{"issue":"4","key":"pntd.0013748.ref005","article-title":"Understanding \u201cpatient discharge in leprosy\u201d: a concept analysis","volume":"38","year":"2018","journal-title":"Rev Gaucha Enferm"},{"issue":"2","key":"pntd.0013748.ref006","doi-asserted-by":"crossref","first-page":"221","DOI":"10.47276\/lr.87.2.221","article-title":"The use of steroids and thalidomide in the management of erythema nodosum leprosum; 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