Windell Deborah L, Norman Ross, Lal Shalini, Malla Ashok
Prevention and Early Intervention for Program for Psychoses, London, Canada.
Soc Psychiatry Psychiatr Epidemiol. 2015 Jul;50(7):1069-77. doi: 10.1007/s00127-014-1006-x. Epub 2014 Dec 31.
Individuals with psychotic disorders identify several parallel dimensions of recovery as being important, including illness related, personal and social domains. Learning how patients deal with the experience of psychosis and recovery early in the course of illness may provide insights for improvement of early intervention services. The primary aim of the present research is to explore experiences related to recovery for individuals receiving services following a first episode of psychosis (FEP) in a specialized early intervention (SEI) program and to examine key turning points that shape such recovery.
Semi-structured interviews were carried out with 30 individuals in early recovery following an FEP. Interpretative phenomenological analysis (IPA) was used to examine the subjectively identified important processes and turning points in relation to the illness domain of recovery.
Participants described several early recovery processes including symptom recovery; reconciling the meaning of the illness experience; regaining control over the experience; and negotiation and acceptance of treatment. Of particular relevance were the various turning points associated with the recovery processes that were described.
Differences in illness acceptance trajectories and the turning points within such trajectories have important implications for understanding psychological adjustment to the experience of psychosis, its diagnosis and treatment. These findings underline the importance of assisting individuals with the construction of meaning following the initial illness experience.
患有精神疾病的个体认为康复有几个并行的重要维度，包括与疾病相关的、个人的和社会的领域。了解患者在疾病过程早期如何应对精神病体验和康复，可能为改善早期干预服务提供见解。本研究的主要目的是探索在专门的早期干预（SEI）项目中首次发作精神病（FEP）后接受服务的个体与康复相关的经历，并考察塑造这种康复的关键转折点。
对30名FEP后处于早期康复阶段的个体进行了半结构化访谈。采用解释现象学分析（IPA）来考察在康复的疾病领域中主观确定的重要过程和转折点。
参与者描述了几个早期康复过程，包括症状恢复；调和疾病体验的意义；重新获得对体验的控制；以及协商和接受治疗。特别相关的是所描述的与康复过程相关的各种转折点。
疾病接受轨迹的差异以及这些轨迹中的转折点对于理解对精神病体验、其诊断和治疗的心理调适具有重要意义。这些发现强调了在最初的疾病体验后帮助个体构建意义的重要性。
