Barriers and Facilitators to Motivation for Work and School in First Episode Psychosis: A Qualitative Exploration

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-02-04 DOI:10.1111/eip.70011

O. Balogun, N. R. DeTore, K. Dokholyan, C. Cather, M. C. Tepper, M. Lanca, K. T. Mueser, Z. Russinova

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Abstract

Aim

Decreased motivation has been found to be the strongest predictor of poor work or school functioning among individuals with psychosis. Since motivation decreases immediately following onset of psychosis, it may be an ideal potential target for intervention. The aim of this study was to explore the specific barriers and facilitators to motivation through experiences of those living with first episode psychosis.

Method

A total of 40 individuals recently diagnosed with psychosis and receiving treatment within a coordinated specialty care program completed a semi-structured qualitative interview. Audio recordings were transcribed and independently coded by three reviewers.

Results

Themes emerged regarding barriers to work and school motivation, such as challenging mental health symptoms, discouragement resulting from negative perceptions/experiences, mental health treatment/side effects, uncertainty about the future, pressure of expectations from others, financial and legal concerns, and fear of symptom recurrence. Similarly, participants described several motivational facilitators for work and school including the opinions of others, financial needs and desires, career aspirations, beneficial mental health treatment, positive attitudes about mental illness, desire for autonomy and desire for meaning in daily life.

Discussion

Better understanding of the factors that drive motivation for work and school among those with first episode psychosis may facilitate identification of ways to optimise existing treatments and/or develop more targeted approaches.

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首发精神病患者工作和学习动机的障碍和促进因素：一项质的探索

研究发现，在精神病患者中，动机下降是工作或学业表现不佳的最强预测因素。由于动机在精神病发作后立即下降，它可能是一个理想的潜在干预目标。本研究的目的是通过首次发作精神病患者的经历来探索具体的障碍和促进动机。方法对40例新近诊断为精神病并在协调的专科护理计划中接受治疗的患者进行半结构化定性访谈。录音由三名审稿人转录并独立编码。结果出现了关于工作和学习动机障碍的主题，例如具有挑战性的心理健康症状，负面看法/经历导致的气馁，心理健康治疗/副作用，对未来的不确定性，他人期望的压力，财务和法律问题，以及对症状复发的恐惧。同样，参与者描述了工作和学习的几个激励因素，包括他人的意见、财务需求和愿望、职业抱负、有益的心理健康治疗、对精神疾病的积极态度、对自主的渴望和对日常生活意义的渴望。更好地理解驱动首发精神病患者工作和学习动机的因素可能有助于确定优化现有治疗方法和/或开发更有针对性的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.