Cairns Victoria A, Reid Graeme S, Murray Craig
Department of Pain Management, Royal Preston Hospital, Preston, UK.
Early Interv Psychiatry. 2015 Jun;9(3):185-99. doi: 10.1111/eip.12157. Epub 2014 Jun 23.
Family members often play a vital role in seeking help for loved ones experiencing first-episode psychosis. Understanding this experience is crucial in facilitating the help-seeking process. Qualitative research offers valuable insight into the lived experience of family members who seek help on behalf of a loved one experiencing first-episode psychosis.
The current research presents a systematic review of qualitative studies exploring the family member experience of seeking help for first-episode psychosis.
A meta-synthesis of 13 qualitative studies has revealed four themes relating to family members' experience of seeking help for first-episode psychosis. These include a sense of not knowing, the reaching of crisis point, the impact upon the family member and the mediating role of interactions with others. A further synthesis of translation captures the interaction of these themes within this experience.
The findings provide a novel insight into this experience, suggesting implications for clinical practice. These include a focus upon the facilitation of early positive interactions with family members and for first-episode psychosis to be presented to families in a normalizing manner. The need for future research that examines the experience of those who do not seek help from health services is discussed.
家庭成员在为经历首次发作精神病的亲人寻求帮助时往往发挥着至关重要的作用。了解这一经历对于推动求助过程至关重要。定性研究为代表经历首次发作精神病的亲人寻求帮助的家庭成员的生活经历提供了宝贵的见解。
当前的研究对探索家庭成员为首次发作精神病寻求帮助的经历的定性研究进行了系统综述。
对13项定性研究的元综合揭示了与家庭成员为首次发作精神病寻求帮助的经历相关的四个主题。这些主题包括不知所措感、达到危机点、对家庭成员的影响以及与他人互动的调解作用。进一步的翻译综合捕捉了这些主题在这一经历中的相互作用。
这些发现为这一经历提供了新的见解,对临床实践具有启示意义。这些启示包括注重促进与家庭成员的早期积极互动,以及以常态化方式向家庭介绍首次发作精神病。文中还讨论了未来研究那些未向医疗服务机构寻求帮助的人的经历的必要性。