Growth in the Aftermath of Psychosis: Characterizing Post-traumatic Growth in Persons With First Episode Psychosis in Singapore

Lee, Ying Ying; Seet, Vanessa; Chua, Yi Chian; Verma, Swapna; Subramaniam, Mythily

doi:10.3389/fpsyt.2021.784569

Cited by 11 publications

(6 citation statements)

References 54 publications

(68 reference statements)

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“…Though they may not have had a clear and positive plan for their own future, they expressed a willingness to assist individuals with SMI in the future. This finding is consistent with studies on posttraumatic growth and stress-related growth in mental illness conducted by recent studies (Lee et al, 2022 ; Ng et al, 2021 ; Slade et al, 2019 ), which highlighted changes in relationships and increased sensitivity. Since empathy is fundamentally a response to observing another person’s experiences (Furnham & Sjokvist, 2017 ), it supports the argument that psychological and mental illness experiences can contribute to improved empathy.…”

Section: Discussionsupporting

confidence: 92%

What makes Chinese adolescents “trapped” in severe mental illness? An interactionist perspective on self and identity

Wu,

Chiu,

et al. 2023

International Journal of Qualitative Studies on Health and Well

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The aim of this study was to explore the self and identity perspectives among Chinese adolescents with severe mental illness (SMI), with a focus on their illness experience and subjective meaning of a formal diagnosis. Thirty-one Chinese adolescents were interviewed and the interview data were analysed strictly according to principles suggested by the constructivist grounded theory approach. Five theoretical codes emerged in this study, including changes of personal values and beliefs, accumulated persistent developmental challenges and personal stresses, ineffective coping strategies and development, symptoms and development of mental illness, and changed perceptions and understandings of self. A proposed model of “The dynamic interactions of Chinese adolescents’ identity and mental illness”, was constructed and visualized. The results revealed that adolescents’ identity formation is a fluctuating and non-linear process, but tends to be predominantly negative. The negative self, as informed by long-term ineffective coping with accumulated persistent developmental challenges and stressful events, develops towards a more serious status of negative identity and contributes to relapse symptoms, although this impact occurs variably with perceived personal characteristics. Besides, some participants who had achieved a state of “Buddha-like numbness” made a conscious decision to live a seemingly normal life while coexisting with their illness. The study also highlighted the positive aspects of identity formation that can arise from the experience of illness, including an enhanced sense of realism and increased empathy. Our findings will imply much the need for person-centred treatment plan and services that take into account of individual situations.

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Section: Discussionsupporting

confidence: 92%

What makes Chinese adolescents “trapped” in severe mental illness? An interactionist perspective on self and identity

Wu,

Chiu,

et al. 2023

International Journal of Qualitative Studies on Health and Well

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“…Total scores range from 10 to 50, with higher scores indicating greater overall religious commitment. The RCI-10 has generally been shown to have good reliability (Worthington et al, 2003); in this study sample, it was shown to have a high internal consistency of Cronbach's α = 0.96 (Lee et al, 2022). For these analyses, RCI-10 total scores were used.…”

Section: Samplementioning

confidence: 93%

“…The data analysed in this study was collected as part of a larger study on posttraumatic growth as experienced by patients with psychosis (Lee et al, 2022). Participants ( n = 99) were recruited from the Early Psychosis Intervention Programme (EPIP) at the Institute of Mental Health, Singapore from April 2018 to May 2021.…”

Section: Methodsmentioning

confidence: 99%

“…The data analysed in this study was collected as part of a larger study on posttraumatic growth as experienced by patients with psychosis (Lee et al, 2022) The 10-item RCI-10 was used to measure the level of participants' religious commitment, comprising the sub-domains of intrapersonal and interpersonal religious commitment (Worthington et al, 2003).…”

Section: Samplementioning

confidence: 99%

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Self‐stigma and quality of life among people with psychosis: The protective role of religion

Seet,

Lee,

Chua

et al. 2023

Early Intervention Psych

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AimThe quality of life in people with psychosis has been consistently demonstrated to be lower than those without, with self‐stigma contributing greatly to this impairment. Hence, it is imperative to address this gap in order to facilitate recovery‐oriented and other outcomes. This study investigates the potential of religiosity in moderating the effects of self‐stigma on quality of life among those with psychosis.MethodsAdults with psychosis (n = 99) were recruited from the Early Psychosis Intervention Programme in Singapore from 2018 to 2021, and administered the self‐report Religious Commitment Index, Internalized Stigma of Mental Illness scale, and Abbreviated World Health Organization Quality of Life instrument. Linear regression analyses were conducted and the interaction between self‐stigma and religious commitment scores calculated to investigate the moderation effects of religiosity on the relationship between stigma and quality of life.ResultsPreliminary regression analyses revealed a significant association between sex and psychological quality of life. After controlling for sex, religiosity was found to moderate the relationship between self‐stigma and psychological quality of life.ConclusionsThe results of the study demonstrate the potential of religiosity in buffering the effects of self‐stigma on quality of life. This reveals an area that can be easily targeted and addressed in treatment programs to improve outcomes beyond the clinical setting among people living with psychosis, to facilitate their recovery journey and beyond.

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“…For example, in PTG studies involving psychosis (i.e. Jordan et al , 2019; Lee et al , 2022) and COVID-19 (i.e. Celdrán et al , 2021; Ellena et al , 2021), a large proportion of research indicates the greatest degree of psychological change within the domain of “appreciation of life”.…”

Section: Introductionmentioning

confidence: 99%

Post-adversarial appreciation: a novel re-conceptualisation of posttraumatic growth

Harding-White,

Mojtahedi,

Carson

2023

MHSI

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Purpose This paper aims to explore current inconsistencies within the theoretical framework of current posttraumatic growth (PTG) literature in support of the suggestion for an alternative novel phenomenon labelled “post-adversarial appreciation”. Design/methodology/approach This re-conceptualisation has developed from the findings of empirical research conducted by the authors and their understanding of PTG. Findings Significant inconsistencies persist across the PTG literature in relation to the parameters required for PTG to manifest. It appears that PTG or an alternative concept labelled adversarial growth does take place following adverse/traumatic events, but that a separate phenomenon may better explain positive improvements in perceived personal appreciation during such events. This phenomenon is theorised by the authors as “post-adversarial appreciation”. Originality/value This paper suggests the existence of a novel phenomenon that may address many of the inconsistencies and present within the current PTG literature. This highlights a significant need for further research within the field of trauma and adversity in relation to positive outcomes which may result from such negative experiences.

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Growth in the Aftermath of Psychosis: Characterizing Post-traumatic Growth in Persons With First Episode Psychosis in Singapore

Cited by 11 publications

References 54 publications

What makes Chinese adolescents “trapped” in severe mental illness? An interactionist perspective on self and identity

What makes Chinese adolescents “trapped” in severe mental illness? An interactionist perspective on self and identity

Self‐stigma and quality of life among people with psychosis: The protective role of religion

Post-adversarial appreciation: a novel re-conceptualisation of posttraumatic growth

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