Understanding Adaptation to First Episode Psychosis Through the Creation of Images

Attard, Angelica; Larkin, Michael; Boden, Zoë; Jackson, Christopher

doi:10.1007/s40737-017-0079-8

Cited by 26 publications

(30 citation statements)

References 47 publications

(94 reference statements)

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“…However, ours is the only study to report descriptive statistics on domains and items of the Posttraumatic Growth Inventory among persons having experienced an FEP. Notably, our qualitative findings are consistent with those observed in our review of other studies that, in studying recovery, found positive changes following FEP (4, 42). In explicitly focusing on positive change, our study therefore makes a substantial novel contribution.…”

Section: Discussionsupporting

confidence: 92%

“It’s Brought Me a Lot Closer to Who I Am”: A Mixed Methods Study of Posttraumatic Growth and Positive Change Following a First Episode of Psychosis

2019

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Background: A first episode of psychosis is often a traumatic experience that may also lead to positive change, a phenomenon that has received little attention. This knowledge gap may impede service providers’ capacity to foster positive change among service users. Objective: To investigate aspects of positive change among persons receiving early intervention services for psychosis. Design: The study objective was addressed using a mixed methods convergent design, which entailed simultaneously employing qualitative and quantitative methods. Setting: This study was conducted at a specialized early intervention service for psychosis based in Montreal, Quebec, Canada. Participants: Participants included service users receiving services at an early intervention service for psychosis. Participants had to be fluent in English or French, be clinically stable enough to take part in the study, and have received at least 6 months of treatment. Participants were conveniently sampled in the quantitative component and purposefully sampled in the qualitative component. The quantitative component was carried out using a cross-sectional survey design. Ninety-four participants completed the Posttraumatic Growth Inventory, a widely used measure of positive change. Data on the extent and domains of posttraumatic growth were summarized using descriptive statistics. The qualitative component was carried out using a qualitative descriptive approach. Semistructured interviews were conducted with 12 participants. Data were analyzed using thematic analysis. Findings from both components were integrated using a weaving method in the discussion section. Results: Quantitative results indicated that most participants reported a moderate amounts of posttraumatic growth. A greater appreciation of life was the most commonly endorsed domain, whereas spiritual growth was the least commonly endorsed domain. The qualitative results revealed that in addition to suffering, participants experienced positive changes, such as improved health and personality, and a stronger sense of self; stronger, more balanced religiosity and spirituality; improved relationships with others; and improved lifestyles, goals, and expectations for the future. Conclusions: Positive change may be a common phenomenon in the aftermath of first episode psychosis. The study findings may provide hope to those who have experienced a first episode of psychosis and can inform efforts by early intervention services to provide recovery-oriented, growth-focused care.

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Section: Discussionsupporting

confidence: 92%

“It’s Brought Me a Lot Closer to Who I Am”: A Mixed Methods Study of Posttraumatic Growth and Positive Change Following a First Episode of Psychosis

2019

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“…The first study asked each couple to bring five objects or photos to the interview to remind them of particular times they'd taken MDMA together (Reavey, 2011). The incorporation of visual methods was intended to better reflect the multi-modal nature of reality (Attard, Larkin, Boden & Jackson, 2017;Boden & Eatough, 2014;Reavey, 2011;Reavey & Johnson, 2008;Silver & Reavey, 2010) and focus couples' accounts on specific drug experiences.…”

Section: Data Collectionmentioning

confidence: 99%

‘Never drop without your significant other, cause that way lies ruin’: The boundary work of couples who use MDMA together

Anderson

Reavey

Boden

2019

International Journal of Drug Policy

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“…A quantitative study of 121 people with severe mental illness using community mental health rehabilitation centres in Israel found high levels of trauma,25 and that meaning-making and coping self-efficacy mediated post-traumatic growth experiences 26. Three small (n=7,27 n=7,28 n=1029) qualitative studies using interpretative phenomenological analysis of semi-structured interviews all identified themes of personal growth.…”

Section: Introductionmentioning

confidence: 99%

Post-traumatic growth in mental health recovery: qualitative study of narratives

et al. 2019

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ObjectivesPost-traumatic growth, defined as positive psychological change experienced as a result of the struggle with challenging life circumstances, is under-researched in people with mental health problems. The aim of this study was to develop a conceptual framework for post-traumatic growth in the context of recovery for people with psychosis and other severe mental health problems.DesignQualitative thematic analysis of cross-sectional semi-structured interviews about personal experiences of mental health recovery.SettingEngland.ParticipantsParticipants were adults aged over 18 and: (1) living with psychosis and not using mental health services (n=21); (2) using mental health services and from black and minority ethnic communities (n=21); (3) underserved, operationalised as lesbian, gay, bisexual and transgender community or complex needs or rural community (n=19); or (4) employed in peer roles using their lived experience with others (n=16). The 77 participants comprised 42 (55%) female and 44 (57%) white British.ResultsComponents of post-traumatic growth were present in 64 (83%) of recovery narratives. Six superordinate categories were identified, consistent with a view that post-traumatic growth involves learning about oneself (self-discovery) leading to a new sense of who one is (sense of self) and appreciation of life (life perspective). Observable positively valued changes comprise a greater focus on self-management (well-being) and more importance being attached to relationships (relationships) and spiritual or religious engagement (spirituality). Categories are non-ordered and individuals may start from any point in this process.ConclusionsPost-traumatic growth is often part of mental health recovery. Changes are compatible with research about growth following trauma, but with more emphasis on self-discovery, integration of illness-related experiences and active self-management of well-being. Trauma-related growth may be a preferable term for participants who identify as having experienced trauma. Trauma-informed mental healthcare could use the six identified categories as a basis for new approaches to supporting recovery.Trial registration numberISRCTN11152837

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Understanding Adaptation to First Episode Psychosis Through the Creation of Images

Cited by 26 publications

References 47 publications

“It’s Brought Me a Lot Closer to Who I Am”: A Mixed Methods Study of Posttraumatic Growth and Positive Change Following a First Episode of Psychosis

“It’s Brought Me a Lot Closer to Who I Am”: A Mixed Methods Study of Posttraumatic Growth and Positive Change Following a First Episode of Psychosis

‘Never drop without your significant other, cause that way lies ruin’: The boundary work of couples who use MDMA together

Post-traumatic growth in mental health recovery: qualitative study of narratives

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