The Subjective Experience of Youths at Clinically High Risk of Psychosis: A Qualitative Study
The Subjective Experience of Youths at Clinically High Risk of Psychosis: A Qualitative Study
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DOI：
10.1176/appi.ps.201300527
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发表时间：
2014-12-01
影响因子：
3.8
通讯作者：
Corcoran, Cheryl M.
中科院分区：
文献类型：
--
作者：
Ben-David, Shelly;Birnbaum, Michael L.;Corcoran, Cheryl M.
目的：了解精神分裂症各阶段个体的经历对于发展促进康复的服务是重要的。到目前为止，人们对表现出精神分裂症前驱症状的个体的经历知之甚少。研究方法：录音采访进行了27名参与者的不同种族，民族背景谁是在临床上精神病的高风险（15名男性和12名女性，平均年龄21）。现象学的定性研究技术的编码，共识和比较。结果：出现的主题不同的性别。男性的主题是感觉不正常或"破碎"，专注于"疯狂"，幻想和逃避现实，疏远和绝望，渴望关系。女性的主题是家庭成员中的精神病、个人创伤、与亲密关系的斗争以及职业和个人发展。结论：被确定为精神病风险的女性的相对社会参与和未来取向的发现是新颖的，并具有推广和治疗的意义。
Objective: Understanding the experience of individuals across stages of schizophrenia is important for development of services to promote recovery. As yet, little is known about the experience of individuals who exhibit prodromal symptoms of schizophrenia. Methods: Audiotaped interviews were conducted with 27 participants of diverse racial-ethnic backgrounds who were at clinically high risk of psychosis (15 males and 12 females; mean age 21). Phenomenological qualitative research techniques of coding, consensus, and comparison were used. Results: Emergent themes differed by gender. Themes for males were feeling abnormal or "broken," focus on going " crazy," fantasy and escapism, and alienation and despair, with a desire for relationships. Themes for females were psychotic illness among family members, personal trauma, struggle with intimate relationships, and career and personal development. Conclusions: The finding of relative social engagement and future orientation of females identified as at risk for psychosis is novel and has implications for outreach and treatment.