A qualitative study of perception of risk of relapse in patients with schizophrenia
10.3969/j.issn.1000-6729.2024.05.003
- VernacularTitle:精神分裂症患者复发风险感知的定性研究
- Author:
Hong YU
1
,
2
;
Yuqiu ZHOU
;
Yujing SUN
;
Guohua LI
;
Dongyu HOU
;
Mengnan QIN
;
Jiaxin REN
;
Weimiao ZHANG
Author Information
1. 哈尔滨医科大学护理学院,哈尔滨 150081
2. 大庆市第三医院,黑龙江大庆 163319
- Keywords:
schizophrenia;
recurrence;
risk perception;
qualitative research
- From:
Chinese Mental Health Journal
2024;38(5):388-393
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To elucidate the primary elements pertaining to the perception of relapse risk and to in-vestigate the characteristics and alterations of perception of the risk of recurrence in patients with schizophrenia.Methods:By using the method of phenomenological study,semi-structured in-depth interviews were conducted among schizophrenic patients with first onset,first recurrence and multiple recurrences.Twenty-three 23 outpatient and inpatient cases that met the criteria of the Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition(DSM-5)were included,and all patients had PANSS scores below 60.The interview data were collated and analyzed according to Colaizzi analysis.Results:The perception of recurrence risk in patients with schizophrenia en-compassed 4 major themes and 11 sub-themes,namely susceptibility(limited overall understanding,transition from optimism to objectivity),detection of early warning symptoms(dynamic escalation,assistance from family mem-bers in identification),understanding risk factors(lack of understanding,the relationship between psychosocial fac-tors and relapse,dynamic understanding of medication-relapse relationship),and apprehension of the consequences of recurrence(care burden and financial constraints,impaired social functioning and maladjustment,impact on pub-lic safety,personal health risks).Conclusion:The content of risk perception of recurrence in patients with schizo-phrenia is relatively substantial.The overall level of risk perception of recurrence in patients with schizophrenia is low.
