Qualitative investigation of targets for and barriers to preventative interventions for psychosis relapse

Eisner, E and Barrowclough, Christine and Lobban, Fiona and R, Drake (2014) Qualitative investigation of targets for and barriers to preventative interventions for psychosis relapse. BMC Psychiatry, 14. ISSN 1471-244X

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Abstract

Background Early signs based relapse prevention interventions for psychosis show promise. In order to examine how they might be improved we sought to better understand the early relapse process, service users’ abilities to identify early signs, and any potential facilitators and barriers to early signs interventions. Methods Data from in-depth interviews with a convenience sample of service users with psychosis varying in gender, age, duration of mental health problems, and time since last relapse were analysed using a thematic approach. Interview transcripts were coded inductively and relationships between emerging themes were examined by the research team to provide a thorough synthesis of the data. Results Three central themes emerged from the analysis: 1) recognising risk factors (how risk factors were identified and linked to relapse, and reactions to such risk factors); 2) identifying early signs (issues related to both recognising and recalling signs of relapse); 3) reacting to deterioration (participants’ thoughts and feelings in response to early signs, including help seeking and its challenges). Conclusions There was considerable variation in the attention participants had paid to pre-relapse signs, the ease with which they were able to recall them, and their reactions to them. For many, there were substantial barriers to help seeking from services. A family or friend confidant was an important means of assistance, although the supportive presence of significant others was not always available. Based on these results, a number of recommendations about facilitating service users’ recognition of early signs and targeting potential accelerants of relapse are made.

Item Type: Journal Article
Journal or Publication Title: BMC Psychiatry
Uncontrolled Keywords: /dk/atira/pure/subjectarea/asjc/2700/2738
Subjects:
Departments: Faculty of Health and Medicine > Health Research
ID Code: 74483
Deposited By: ep_importer_pure
Deposited On: 03 Jul 2015 09:30
Refereed?: Yes
Published?: Published
Last Modified: 01 Jan 2020 09:16
URI: https://eprints.lancs.ac.uk/id/eprint/74483

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