“Moving forward despite adversity”: The lives of Korean older adults with schizophrenia

Abstract

IntroductionOlder adults with schizophrenia experience aging-related challenges and chronic psychiatric difficulties. However, their uniqueness is understudied.AimThis study explored three life stories to illuminate schizophrenia's trajectory. MethodA narrative inquiry method was used to elicit rich narratives in chronic patients' lives. Two men and one woman suffering from chronic schizophrenia for more than 20 years were engaged in conversation three times. ResultsThe analysis revealed one main theme expressing their fundamental perspective on their lives: “moving forward despite adversity.” Three subthemes emerged: living with the mental disorder, giving and receiving support, and adaptation to old age. They reflected on their interpersonal relationships, failures, and successes in the context of the challenges of schizophrenia. They indicated adapting to schizophrenia, exchanging social support with loved ones, and meeting aging-related challenges with confidence. They were hopeful about brighter personal futures than their pasts. DiscussionFamily and community supports were very important; self-acceptance positively influenced their successful community living. Implications for practiceFor effective long-term treatment of older adults with schizophrenia, mental health policies should focus on meeting the social needs of patients and families and reorient programs away from the medical model limited to symptom reduction.