Highlights
- •Relapses remain a challenge in the care of individuals with psychotic disorders;
- •Few qualitative studies were conducted on psychotic relapse;
- •Qualitative studies help to understand more deeply the phenomenon of relapses;
- •Our study explored the perceptions of patients and their families about psychotic relapses.
Abstract
This qualitative study was carried out with 10 dyads of patients-family members to
explore their perception about psychotic relapses. Data were collected through a semi-structured
interview from April to August 2019, in Brazil, and analyzed using the thematic analysis
proposed by Braun & Clark. Four main themes emerged from the interviews: (1) defining
and describing the psychotic relapses; (2) risk factors for psychotic relapse; (3)
protective factors for psychotic relapse; and (4) early warning signs: identification
of an episode of psychotic relapse. Exploring the perception of patients with psychotic
disorders and their families about relapse is fundamental for the development of relapse
risk assessment tools and to guide further research on this topic.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Archives of Psychiatric NursingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Factors associated with psychotic relapse in patients with schizophrenia in a Pakistani cohort.International Journal of Mental Health Nursing. 2016; 26: 384-390https://doi.org/10.1111/inm.12260
- Relapse in schizophrenia: Costs, clinical outcomes and quality of life.The British Journal of Psychiatry: the Journal of Mental Science. 2004; 184: 346-351https://doi.org/10.1192/bjp.184.4.346
- Risk factors for relapse following treatment for first episode psychosis: A systematic review and meta-analysis of longitudinal studies.Schizophrenia Research. 2012; 139: 116-128https://doi.org/10.1016/j.schres.2012.05.007
- Awareness of illness in schizophrenia.Schizophrenia Bulletin. 1991; 17: 113-132https://doi.org/10.1093/schbul/17.1.113
- Diagnostic and statistical manual of mental disorders.5th ed. 2013https://doi.org/10.1176/appi.books.9780890425596
- The cost of relapse and the predictors of relapse in the treatment of schizophrenia.BMC Psychiatry. 2010; 10: 2https://doi.org/10.1186/1471-244X-10-2
- Predictors of relapse and functioning in first-episode psychosis: A two-year follow-up study.Psychiatric Services. 2016; 67: 227-233https://doi.org/10.1176/appi.ps.201400316
- Schizophrenia: Early warning signs.Advances in Psychiatric Treatment. 2000; 6: 93-101https://doi.org/10.1192/apt.6.2.93
- A descriptive review of qualitative studies in first episode psychosis.Early Intervention in Psychiatry. 2010; 4: 7-24https://doi.org/10.1111/j.1751-7893.2009.00154.x
- Using thematic analysis in psychology.Qualitative Research in Psychology. 2006; 3: 77-101
- Rates and predictors of relapse in first-episode psychosis: an Australian cohort study.Schizophrenia Bulletin Open. 2020; 1sgaa017https://doi.org/10.1093/schizbullopen/sgaa017
- Longitudinal assessment of the effect of cannabis use on hospital readmission rates in early psychosis: A 6-year follow-up in an inpatient cohort.Psychiatry Research. 2018; 268: 381-387https://doi.org/10.1016/j.psychres.2018.08.005
- Early intervention in psychosis in emerging countries: Findings from a first-episode psychosis programme in the Ribeirão Preto catchment area, southeastern Brazil.Early Intervention in Psychiatry. 2022; 16: 800-807https://doi.org/10.1111/eip.13252
- Exercise improves clinical symptoms, quality of life, global functioning, and depression in schizophrenia: A systematic review and meta-analysis.Schizophrenia Bulletin. 2016; 42: 588-599https://doi.org/10.1093/schbul/sbv164
- Qualitative investigation of targets for and barriers to interventions to prevent psychosis relapse.BMC Psychiatry. 2014; 14: 201https://doi.org/10.1186/1471-244X-14-201
- Psychotic relapse and associated factors among patients attending health services in Southwest Ethiopia: A cross-sectional study.BMC Psychiatry. 2016; 16: 354https://doi.org/10.1186/s12888-016-1076-2
- A systematic review and meta-analysis of exercise interventions in schizophrenia patients.Psychological Medicine. 2015; 45: 1343-1361https://doi.org/10.1017/S0033291714003110
- Cannabis use and psychosis: A review of reviews.European Archives of Psychiatry and Clinical Neuroscience. 2020; 270: 403-412https://doi.org/10.1007/s00406-019-01068-z
- A 3-year retrospective cohort study of predictors of relapse in first-episode psychosis in Hong Kong.The Australian and New Zealand Journal of Psychiatry. 2013; 47: 746-753https://doi.org/10.1177/0004867413487229
- Perception towards relapse and its predictors in psychosis patients: A qualitative study.Early Intervention Psychiatry. 2016; 12: 856-862https://doi.org/10.1111/eip.12378
- "Worried about relapse": Family members' experiences and perspectives of relapse in first-episode psychosis.Early Intervention in Psychiatry. 2019; 13: 24-29https://doi.org/10.1111/eip.12440
- The predictive power of expressed emotion and its components in relapse of schizophrenia: A meta-analysis and meta-regression.Psychological Medicine. 2021; 51: 365-375https://doi.org/10.1017/S0033291721000209
- Are adult stressful life events associated with psychotic relapse? A systematic review of 23 studies.Psychological Medicine. 2020; 50: 2302-2316https://doi.org/10.1017/S0033291720003554
- Physical activity interventions for people with mental illness: A systematic review and meta-analysis.The Journal of Clinical Psychiatry. 2014; 75: 964-974https://doi.org/10.4088/JCP.13r08765
- Family environment and depressive episode are associated with relapse after first-episode psychosis.Journal of Psychiatric and Mental Health Nursing. 2021; 28: 1065-1078https://doi.org/10.1111/jpm.12735
- Relapse in schizophrenia: Definitively not a bolt from the blue.Neuroscience Letters. 2018; 669: 68-74https://doi.org/10.1016/j.neulet.2016.04.044
- Does relapse contribute to treatment resistance? Antipsychotic response in first- vs. second-episode schizophrenia.Neuropsychopharmacology: Official publication of the american college ofNeuropsychopharmacology. 2019; 44: 1036-1042https://doi.org/10.1038/s41386-018-0278-3
- Relapse risk assessment in early phase psychosis: The search for a reliable and valid tool.Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie. 2014; 59: 655-658https://doi.org/10.1177/070674371405901207
- Classificação de Transtornos Mentais e de Comportamento da CID-10: Descrições clínicas e diretrizes diagnósticas [The ICD-10 Classification of Mental and Behavioural Disorders: Clinical descriptions and diagnostic guidelines].Artes Médicas, Porto Alegre, Brazil1998
- Negative symptoms predict high relapse rates and both predict less favorable functional outcome in first episode psychosis, independent of treatment strategy.Schizophrenia Research. 2020; 216: 192-199https://doi.org/10.1016/j.schres.2019.12.001
Article info
Publication history
Published online: September 27, 2022
Accepted:
September 19,
2022
Received in revised form:
September 13,
2022
Received:
August 20,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.