Making Sense of Recovery From First Psychosis With Antipsychotic Medication: A Qualitative Phenomenological Study.

IF 5.3 1区 医学 Q1 PSYCHIATRY
Stéphanie Astrid Dijkstra, Jennifer Rijkeboer, Arjen Noordhof, Lindy-Lou Boyette, Steven Berendsen, Mariken de Koning, Romy Liza Japien Bennen, Tim Hofman, Lieuwe de Haan
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Abstract

Background and hypothesis: Recovering from a first psychosis is a highly individual process and requires the person to make sense of their experiences. Clinicians, in turn, need to comprehend these first-person perspectives, creating a mutual sense-making dynamic. Antipsychotic medication is a substantial part of psychosis treatment. Providing insight in the lived experience of recovery with antipsychotics could improve the mutual understanding and help bridge the gap between the perspective of the clinician and that of the person recovering from psychosis.

Study design: 14 persons in recovery from a first psychosis with the use of antipsychotics were interviewed. Their narratives were analyzed using Interpretative Phenomenological Analysis (IPA).

Study results: Five overarching themes were found, representing important and meaningful experiences in recovering with antipsychotic medication. Theme 1: antipsychotics as external dampening (4 subthemes); Theme 2: shifting of realities; Theme 3: pace of recovery; Theme 4: antipsychotics' influence on identity; and Theme 5: is it truly the antipsychotics?

Conclusions: Our findings show that recovery from psychosis with antipsychotics is an all-encompassing, multi-faceted, and ambivalent experience. The themes found in this research could inspire clinicians to discuss less obvious aspects of the experience of recovering with antipsychotics. Even more so, paying attention to the first-person perspective could lead to a more thorough understanding and benefit therapeutic relationships.

理解抗精神病药物治疗首次精神病康复的意义:定性现象学研究。
背景和假设:从首次精神病中恢复过来是一个高度个性化的过程,需要患者对自己的经历有所感悟。反过来,临床医生也需要理解这些第一人称视角,从而形成一种相互感知的动力。抗精神病药物治疗是精神病治疗的重要组成部分。研究设计:我们采访了 14 名使用抗精神病药物的首次精神病康复者。采用解释性现象分析法(IPA)对他们的叙述进行了分析:研究结果:我们发现了五大主题,它们代表了使用抗精神病药物康复过程中重要而有意义的经历。主题 1:抗精神病药物作为外部抑制(4 个次主题);主题 2:现实的转变;主题 3:康复的步伐;主题 4:抗精神病药物对身份的影响;以及主题 5:是否真的是抗精神病药物的作用?我们的研究结果表明,使用抗精神病药物从精神病中康复是一种全方位、多层面和矛盾的体验。本研究中发现的主题可以启发临床医生讨论抗精神病药物治疗康复经历中不那么明显的方面。更重要的是,对第一人称视角的关注会让我们对其有更透彻的理解,并有利于治疗关系的建立。
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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.
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