Subjective distress in a representative sample of outpatients with psychotic disorders

Abstract

Background: The affective burden of psychotic disorders has been increasingly recognised.

Sources of Distress in First-Episode Psychosis: A Systematic Review and Qualitative Metasynthesis

“…Despite significant developments in our theoretical understanding of distress specific to psychotic symptoms (e.g., Garety, Kuipers, Fowler, Freeman, & Bebbington, 2001; Morrison, 2001), less attention has been paid to other sources of distress for people who experience psychosis (Andrade et al, 2016; Vracotas, Schmitz, Joober, & Malla, 2007). Increased knowledge about this subject would support the development of interventions designed to reduce psychological distress, encourage clinicians to take a wider view on service users’ difficulties, and promote the delivery of care tailored to meet individual needs.…”

“…Given the increased risk of suicide, reduced social functioning, and relatively poor clinical outcomes associated with experiencing psychosis (Díaz-Caneja et al, 2015), the assumption that psychosis is inherently distressing might appear reasonable. However, to date, there has been little research exploring distress for people experiencing psychosis from a first-person perspective (Andrade et al, 2016; Vracotas et al, 2007) despite arguments for prioritizing the development of interventions that focus less on symptom reduction and more on reducing psychological distress (Chadwick, 2006; Greenwood et al, 2010)…”

Need for information in a representative sample of outpatients with schizophrenia disorders

“…These services provide outpatient care and have no structured educational programs. Sample calculation and procedures were described elsewhere (Andrade et al, 2016). The study included patients at least 18 years old, with a diagnosis of schizophrenia disorders and attending the service for the 1-year period before the study.…”

Psychosis-Spectrum Screening and Assessment within a College Counseling Center: A Pilot Study Exploring Feasibility and Clinical Need

“…It is frequently accompanied by comorbid difficulties such as depression, anxiety, post-traumatic stress disorder, and substance use (Buckley et al, 2009). The onset of these symptoms can cause a great deal of distress and confusion, oftentimes disrupting one's ability to maintain productive relationships and fulfill instrumental life roles (Andrade et al, 2016;Griffiths et al, 2019;Häfner et al, 1995;Marwaha & Johnson, 2004). Given that psychosis typically emerges when young people are establishing their identities, major life goals, and independence, the development and persistence of psychosis can be particularly debilitating and devastating to one's sense of self and future.…”