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Tytuł pozycji:

Loneliness in early psychosis: a qualitative study exploring the views of mental health practitioners in early intervention services

Tytuł:
Loneliness in early psychosis: a qualitative study exploring the views of mental health practitioners in early intervention services
Autorzy:
Theodora Stefanidou
Jingyi Wang
Nicola Morant
Brynmor Lloyd-Evans
Sonia Johnson
Temat:
Loneliness
Early psychosis
Mental health practitioners
Qualitative research
Psychiatry
RC435-571
Źródło:
BMC Psychiatry, Vol 21, Iss 1, Pp 1-10 (2021)
Wydawca:
BMC, 2021.
Rok publikacji:
2021
Kolekcja:
LCC:Psychiatry
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
1471-244X
Relacje:
https://doaj.org/toc/1471-244X
DOI:
10.1186/s12888-021-03138-w
Dostęp URL:
https://doaj.org/article/7a744651448f4c9c85321076daaa28a5  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.7a744651448f4c9c85321076daaa28a5
Czasopismo naukowe
Abstract Background Loneliness is an important public health problem with established adverse effects on physical and mental health. Although people with psychosis often experience high levels of loneliness, relatively little is known about the relationship between loneliness and early psychosis. Potential interventions to address loneliness might be easier to implement early in the illness when social networks and social skills may be more intact than at a later stage. We investigated the views of mental health practitioners about the context and causes of loneliness in people with early psychosis, and about potential interventions. Methods Semi-structured face-to-face interviews were conducted with mental health practitioners (n = 20). Participants were purposively recruited from four early intervention services for first-episode psychosis in the UK. Interviews were transcribed verbatim and thematic analysis was conducted. Results Participants believed that the majority of service users with early psychosis experience feelings of loneliness. They often saw socially isolated and disconnected clients and believed them to be lonely, but rarely discussed loneliness explicitly in clinical interactions. A combination of symptoms, stigma and negative sense of self were believed to underpin loneliness. Participants could not identify any specific current interventions delivered by their services for tackling loneliness, but thought some routinely provided interventions, including social groups and psychological treatments, could be helpful. They favoured making a wider range of loneliness interventions available and believed that community agencies beyond mental health services should be involved to make these effective and feasible to deliver. They suggested social participation interventions without an explicit mental health focus as potentially promising and valued a co-produced approach to intervention development. Conclusions This study suggests that loneliness is not routinely discussed in early intervention services, and a targeted strategy for tackling it is lacking. Co-produced, individualised community approaches, and interventions that target symptoms, stigma and negative self-schemas might be beneficial in alleviating loneliness for people with early psychosis. Empirical research is needed to develop and test such interventions.

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