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Psychotic relapses from the perspective of patients and family members

  • Amanda Heloisa Santana da Silva
    Correspondence
    Corresponding author at: Department of Psychiatric Nursing and Human Sciences, University of São Paulo at Ribeirão Preto College of Nursing, World Health Organization Collaborating Centre for Nursing Research Development, Avenida Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, São Paulo, Brazil - 14040-902.
    Affiliations
    Department of Psychiatric Nursing and Human Sciences, University of São Paulo at Ribeirão Preto College of Nursing, World Health Organization Collaborating Centre for Nursing Research Development, Ribeirão Preto, São Paulo, Brazil.
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  • Larissa Eloy Peixoto
    Affiliations
    Department of Psychiatric Nursing and Human Sciences, University of São Paulo at Ribeirão Preto College of Nursing, World Health Organization Collaborating Centre for Nursing Research Development, Ribeirão Preto, São Paulo, Brazil.
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  • Isabela dos Santos Martin
    Affiliations
    Department of Psychiatric Nursing and Human Sciences, University of São Paulo at Ribeirão Preto College of Nursing, World Health Organization Collaborating Centre for Nursing Research Development, Ribeirão Preto, São Paulo, Brazil.
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  • Sueli Aparecida Frari Galera
    Affiliations
    Department of Psychiatric Nursing and Human Sciences, University of São Paulo at Ribeirão Preto College of Nursing, World Health Organization Collaborating Centre for Nursing Research Development, Ribeirão Preto, São Paulo, Brazil.
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  • Kelly Graziani Giacchero Vedana
    Affiliations
    Department of Psychiatric Nursing and Human Sciences, University of São Paulo at Ribeirão Preto College of Nursing, World Health Organization Collaborating Centre for Nursing Research Development, Ribeirão Preto, São Paulo, Brazil.
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  • Larissa Amorim de Freitas
    Affiliations
    Department of Psychiatric Nursing and Human Sciences, University of São Paulo at Ribeirão Preto College of Nursing, World Health Organization Collaborating Centre for Nursing Research Development, Ribeirão Preto, São Paulo, Brazil.
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  • Ana Carolina Guidorizzi Zanetti
    Affiliations
    Department of Psychiatric Nursing and Human Sciences, University of São Paulo at Ribeirão Preto College of Nursing, World Health Organization Collaborating Centre for Nursing Research Development, Ribeirão Preto, São Paulo, Brazil.
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Published:September 27, 2022DOI:https://doi.org/10.1016/j.apnu.2022.09.012

      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

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