Posttraumatic growth following a first episode of psychosis: a mixed methods research protocol using a convergent design

BMC Psychiatry

Study Protocol

Ashok Malla¹  Srividya N. Iyer¹  Gerald Jordan² 

[1] Prevention and Early Intervention Program for Psychosis, Douglas Mental Health University Institute, 6875 Boul LaSalle, H4H 1R3, Verdun, QC, Canada;Department of Psychiatry, ACCESS Open Minds/Esprits ouverts, Prevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute; McGill University, 6875 Boulevard LaSalle, H4H 1R3, Verdun, QC, Canada;Department of Psychiatry, McGill University, Montreal, QC, Canada;Prevention and Early Intervention Program for Psychosis, Douglas Mental Health University Institute, 6875 Boul LaSalle, H4H 1R3, Verdun, QC, Canada;Department of Psychiatry, McGill University, Montreal, QC, Canada;

关键词: First episode psychosis;    Posttraumatic growth;    Coping;    Social support;    Resilience;    Recovery;    Mixed methods;   

DOI  :  10.1186/s12888-016-0977-4

 received in 2015-09-30, accepted in 2016-06-13,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe suffering people experience following a first episode of psychosis is great, and has been well-investigated. Conversely, potential positive outcomes following a first episode of psychosis have been under-investigated. One such outcome that may result from a first episode of psychosis is posttraumatic growth, or a positive aftermath following the trauma of a first psychotic episode. While posttraumatic growth has been described following other physical and mental illnesses, posttraumatic growth has received very little attention following a first episode of psychosis. To address this research gap, we will conduct a mixed methods study aimed at answering two research questions: 1) How do people experience posttraumatic growth following a first episode of psychosis? 2) What predicts, or facilitates, posttraumatic growth following a first episode of psychosis?Methods/designThe research questions will be investigated using a mixed methods convergent design. All participants will be service-users being offered treatment for a first episode of psychosis at a specialized early intervention service for young people with psychosis, as well as their case managers.. A qualitative descriptive methodology will guide data-collection through semi-structured interviews with service-users. Service-users and case managers will complete questionnaires related to posttraumatic growth and its potential predictors using quantitative methods. These predictors include the impact a first episode of psychosis on service-users’ lives, the coping strategies they use; the level of social support they enjoy; and their experiences of resilience and recovery. Qualitative data will be subject to thematic analysis, quantitative data will be subject to multiple regression analyses, and results from both methods will be combined to answer the research questions in a holistic way.DiscussionFindings from this study are expected to show that in addition to suffering, people with a first episode of psychosis may experience positive changes. This study will be one of few to have investigated posttraumatic growth following a first episode of psychosis, and will be the first to do so with a mixed methods approach.

【 授权许可】

CC BY   
© The Author(s). 2016