Peer relationships in adolescents experiencing a first episode of psychosis

Abstract

Background: Psychosis is most likely to occur during adolescence. This transition period is characterized by individuals becoming less reliant on family members, and more reliant on peers, for development and support. Little is understood about the specific nature of peer relationships in young people experiencing psychosis. Method: Twelve participants were interviewed about their peer experiences using a semi-structured interview schedule. Grounded theory was used to develop a "lifespan" model of peer relationships in childhood, and during early and later adolescence. Results: Family adversity and a mixture of positive and negative peer relationships emerged across the lifespan. There was, however, a bias towards more negative relationships. Three stages of development were identified. Conclusions: Early intervention programmes aimed at increasing resilience may enable young people to manage negative peer relationships in childhood and adolescence. Furthermore, mental health services may develop interventions aimed at maintaining and developing peer relationships in those recovering from a first episode of psychosis. Declaration of Interest: None