Department of Psychiatry, Federal University of São Paulo, São Paulo, Brazil.
Early Interv Psychiatry. 2012 Nov;6(4):476-80. doi: 10.1111/j.1751-7893.2012.00353.x. Epub 2012 Mar 8.
To understand the subjective factors involved in the recovery process following a first-episode psychosis.
Sixteen individuals from a First Episode Program in São Paulo, Brazil were evaluated by a semistructured interview designed to elicit an in-depth narrative of participants' subjective experience of recovery after a first-episode psychosis. Eligibility was established by using the Structured Clinical Interview for DSM-IV Axis I Disorders. The interviews were recorded, the transcripts were coded and themes were grouped together to form conceptual categories.
The participants described the recovery course as a slow and gradual process. Improvement was perceived as based on a decrease or absence of psychotic symptoms, changes in social relationships, renewed autonomy and independence, and restoration of self-reliance and trust in others.
Recovering after a first-episode psychosis can be considered a complex process correlated with treatment, social support, and individual experiences and characteristics. These are important areas to be addressed in first psychotic psychosis interventions, and gains can probably only be obtained in specialized first-episode psychosis programmes.
了解首发精神病后康复过程中的主观因素。
在巴西圣保罗的首次发作计划中，对 16 名个体进行了半结构化访谈，旨在深入了解参与者在首次发作精神病后的主观康复体验。使用DSM-IV 轴 I 障碍的结构临床访谈来确定入选标准。对访谈进行录音，对转录本进行编码，并将主题分组为概念类别。
参与者描述了康复过程是一个缓慢而渐进的过程。改善被认为是基于精神病症状的减少或消失、社会关系的变化、重新获得自主权和独立性，以及恢复自力更生和对他人的信任。
首发精神病后康复可以被认为是一个复杂的过程，与治疗、社会支持以及个体经历和特征相关。这些是首次精神病干预的重要领域，并且可能只有在专门的首发精神病计划中才能获得收益。
