Recovering from first episode psychotic mania: The experience of people diagnosed with bipolar disorder

被引:1
作者
Farr, Joanna [1 ]
Rhodes, John E. [1 ]
Smith, Jonathan A. [1 ]
机构
[1] Birkbeck Univ London, Dept Psychol Sci, London, England
关键词
bipolar disorder; early intervention; first episode BD; qualitative; recovery; 1ST-EPISODE PSYCHOSIS; SELF-MANAGEMENT; INTERVENTION; STRATEGIES;
D O I
10.1111/eip.13377
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
AimEarly intervention for people diagnosed with bipolar disorder is a priority, but little is known about how recovery from first episode psychotic mania is experienced by this group. This study aimed to explore the experience of recovery from first episode psychotic mania for people diagnosed with bipolar disorder. MethodsSemi-structured interviews were conducted with 11 young adults during recovery from first episode psychotic mania and were analysed using Interpretative Phenomenological Analysis. ResultsThree themes were identified: (i) 'Possession of purpose and staying well', (ii) 'Coping with compromise' and (iii) 'Manic relapse: pressure and proving self'. On becoming well, the participants experienced a sense of purpose through engaging with activities and goals that also drove their efforts to engage in strategies to stay well. However, these strategies created feelings of compromise that not all were prepared to accept. Though having purpose and goals created a positive sense of direction, for a minority of the participants they also created additional pressure, contributing to manic relapse. ConclusionsThe purpose created by engaging with aspirations and career-related activities during early intervention was found to be important for a meaningful recovery from first episode bipolar disorder. This instilled positivity and purpose, motivating efforts to maintain wellness. The feelings of compromise that some participants experienced point to the need for individually tailored interventions. Findings suggest a delicate relationship between the positivity of engaging in goals and the risk of manic relapse during recovery from first episode psychotic mania.
引用
收藏
页码:807 / 813
页数:7
相关论文
共 31 条
[1]   High Behavioral Approach System (BAS) Sensitivity, Reward Responsiveness, and Goal-Striving Predict First Onset of Bipolar Spectrum Disorders: A Prospective Behavioral High-Risk Design [J].
Alloy, Lauren B. ;
Bender, Rachel E. ;
Whitehouse, Wayne G. ;
Wagner, Clara A. ;
Liu, Richard T. ;
Grant, David A. ;
Jager-Hyman, Shari ;
Molz, Ashleigh ;
Choi, James Y. ;
Harmon-Jones, Eddie ;
Abramson, Lyn Y. .
JOURNAL OF ABNORMAL PSYCHOLOGY, 2012, 121 (02) :339-351
[2]  
American Psychiatric Association A, 1994, DIAGNOSTIC STAT MANU, DOI [10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]
[3]   The central role of self-agency in clinical recovery from first episode psychosis [J].
Bjornestad, Jone ;
Bronnick, Kolbjorn ;
Davidson, Larry ;
Hegelstad, Wenche ten Velden ;
Joa, Inge ;
Kandal, Oyvind ;
Larsen, Tor Ketil ;
Langeveld, Johannes ;
Veseth, Marius ;
Melle, Ingrid ;
Johannessen, Jan Olav .
PSYCHOSIS-PSYCHOLOGICAL SOCIAL AND INTEGRATIVE APPROACHES, 2017, 9 (02) :140-148
[4]   An exploration of young people's narratives of hope following experience of psychosis [J].
Bonnett, Victoria ;
Berry, Clio ;
Meddings, Sara ;
Holttum, Sue .
PSYCHOSIS-PSYCHOLOGICAL SOCIAL AND INTEGRATIVE APPROACHES, 2018, 10 (02) :99-109
[5]   The role of work in recovery from bipolar disorders [J].
Borg, Marit ;
Veseth, Marius ;
Binder, Per-Einar ;
Topor, Alain .
QUALITATIVE SOCIAL WORK, 2013, 12 (03) :323-339
[6]   Recovery From First-Episode Psychosis and Recovering Self: A Qualitative Study [J].
Connell, Melissa ;
Schweitzer, Robert ;
King, Robert .
PSYCHIATRIC REHABILITATION JOURNAL, 2015, 38 (04) :359-364
[7]   Hearing their voices: The lived experience of recovery from first-episode psychosis in schizophrenia in South Africa [J].
de Wet, Anneliese ;
Swartz, Leslie ;
Chiliza, Bonginkosi .
INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, 2015, 61 (01) :27-32
[8]   People with bipolar I disorder report avoiding rewarding activities and dampening positive emotion [J].
Edge, Michael D. ;
Miller, Christopher J. ;
Muhtadie, Luma ;
Johnson, Sheri L. ;
Carver, Charles S. ;
Marquinez, Nicole ;
Gotlib, Ian H. .
JOURNAL OF AFFECTIVE DISORDERS, 2013, 146 (03) :407-413
[9]   Experience of recovery from a first-episode psychosis [J].
Eisenstadt, Paula ;
Monteiro, Vera B. ;
Diniz, Matheus J. A. ;
Chaves, Ana C. .
EARLY INTERVENTION IN PSYCHIATRY, 2012, 6 (04) :476-480
[10]  
Flowers, 2009, INTERPRETATIVE PHENO