Birkbeck University of London, London, United Kingdom.
Tower Hamlets Early Intervention Service, Three Colts Lane, London, United Kingdom.
J Ment Health. 2024 Aug;33(4):500-506. doi: 10.1080/09638237.2024.2332805. Epub 2024 Apr 8.
Early intervention for people diagnosed with bipolar disorder has been identified as a priority, but little is known about how existing early intervention services are experienced by this group or could be tailored to their needs.
This study examined the experience of early intervention in psychosis (EIP) services for people diagnosed with bipolar disorder, following first episode psychotic mania.
Semi-structured interviews were conducted with 11 adults in EIP services and analysed using Interpretative Phenomenological Analysis.
One superordinate theme was formed, Rebuilding within EIP service, consisting of five subthemes: (i) Piecing together episode through talking to staff; (ii) Exploring other perspectives during CBT; (iii) Empowered through shared decision-making; (iv) Reconsidering future and purpose; (v) Service as safety-net. EIP provision was pivotal in helping participants understand their episode, adjust their perspective, build confidence and progress.
Aspects of the service that were valued, including person-centred relationships with staff, shared decision-making and the development of motivation and opportunities, reflect key principles of mental health care for young people following first episode psychosis. Furthermore, findings point to elements that may be particularly relevant to early intervention following first episode psychotic mania including managing mood escalation and individualised approaches to goals.
早期干预被确定为双相情感障碍患者的优先事项，但对于该群体如何体验现有的早期干预服务，或者如何根据他们的需求进行调整，知之甚少。
本研究旨在探讨首发躁狂后被诊断为双相情感障碍的个体在接受早期精神病干预（EIP）服务时的体验。
对 11 名接受 EIP 服务的成年人进行了半结构化访谈，并使用解释性现象学分析进行了分析。
形成了一个超级主题，即 EIP 服务中的重建，包括五个子主题：（i）通过与工作人员交谈了解病情；（ii）在认知行为疗法期间探索其他观点；（iii）通过共同决策获得权力；（iv）重新考虑未来和目标；（v）服务作为安全网。EIP 的提供对于帮助参与者理解他们的病情、调整他们的观点、建立信心和取得进展至关重要。
服务中受到重视的方面，包括与工作人员的以患者为中心的关系、共同决策以及动机和机会的发展，反映了年轻人首次出现精神病后心理健康护理的关键原则。此外，研究结果还指出了一些可能特别适用于首发躁狂后早期干预的因素，包括管理情绪升级和针对个人目标的方法。
