A qualitative study on identity in individuals at clinical high risk for psychosis: " … Why does it have to be one thing?".
A qualitative study on identity in individuals at clinical high risk for psychosis: " … Why does it have to be one thing?".
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DOI：
10.1037/prj0000492
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发表时间：
2022-03
影响因子：
1.9
通讯作者：
Corcoran CM
中科院分区：
文献类型：
--
作者：
Sarac C;DeLuca JS;Bilgrami ZR;Herrera SN;Myers JJ;Dobbs MF;Haas SS;Todd TL;Srivastava A;Jespersen R;Shaik RB;Landa Y;Davidson L;Pavlo AJ;Corcoran CM
定性研究可以揭示临床高危精神病个体的主观体验，补充定量研究，拓宽我们对临床高危精神病体验的理解，并为干预措施的制定提供信息。本研究的目的是透过质性的研究，探讨在疗养院的个体的生活经验。参与者为CHR的37人（男性20人，女性17人），年龄16至34岁（Mage=23.32±5.26），以及16名健康对照（hc，男性7人，女性9人），年龄18至34岁（Mage=25.37±4.05）。定性数据通过开放式访谈（30-45分钟）获得。不做先验假设，用主题分析来发展主题。通过反复的主题分析，确定了与身份相关的四个主要主题和一个次要主题：定义自我概念（以创造力为副主题）、身份发展/形成、与他人不同的感觉、从以前的自我改变。超过80%的CHR队列自发地讨论与他们身份相关的话题，而hcc的这一比例为38%。hc只报告定义自我概念主题内的内容，而CHR组报告所有主题内的内容。目前的研究表明，一般来说，身份形成是青少年的一个主要过程，而精神病经历会使这一过程更具挑战性。在开放式访谈中，CHR参与者自发地提出了与身份相关的多个主题，这表明该主题在该人群中具有相关性。临床医生应继续在个体基础上探索与身份相关的问题，研究应侧重于将这一框架整合到CHR的概念化和治疗中。
Qualitative research can shed light on the subjective experiences of individuals at clinical high-risk (CHR) for psychosis, complement quantitative research, broaden our understanding of experiencing CHR, and inform intervention development. The aim of this study was to explore life experiences of individuals at CHR through qualitative research. Participants were 37 individuals at CHR (20 male, 17 female) aged 16 to 34 (Mage=23.32±5.26), and 16 healthy controls (HCs; 7 male, 9 female) aged 18 to 34 (Mage=25.37±4.05). Qualitative data were obtained through open-ended interviews (30–45 minutes). No a priori hypotheses were made, and thematic analyses were used to develop themes. Four major themes and one sub-theme related to identity were identified through the iterative thematic analysis: defining a self-concept (with a sub-theme of creativity), identity development/formation, feeling different from others, and change from a former self. Over 80% of the CHR cohort spontaneously discussed topics related to their identity, compared to 38% of HCs. HCs only reported content within the defining a self-concept theme, while the CHR group reported content within all themes. The current study demonstrates that identity formation is a major process for youth in general and that psychosis experiences can make this process more challenging. CHR participants spontaneously brought up multiple themes related to identity in open-ended interviews, suggesting the relevance of this topic in this population. Clinicians should continue to probe identity-related concerns on an individual basis and research should focus on integrating this framework into the conceptualization and treatment of CHR.
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影响因子：
3.8
作者：
Ben-David, Shelly;Birnbaum, Michael L.;Corcoran, Cheryl M.
通讯作者：
Corcoran, Cheryl M.
影响因子：
--
作者：
Addington, Jean;Devoe, Daniel J;Santesteban-Echarri, Olga
通讯作者：
Santesteban-Echarri, Olga
DOI：
10.1080/17522439.2018.1472630
发表时间：
2018-01-01
影响因子：
1.2
作者：
Best, Michael W.;Grossman, Michael;Bowie, Christopher R.
通讯作者：
Bowie, Christopher R.
影响因子：
4.6
作者：
ELKIND, D
通讯作者：
ELKIND, D
DOI：
10.1080/17482631.2017.1342504
发表时间：
2017-07-10
影响因子：
1.8
作者：
Brew, Benjamin;Shannon, Ciaran;Mulholland, Ciaran
通讯作者：
Mulholland, Ciaran