Abstract
BackgroundThe suffering people experience following a first episode of psychosis is great, and has been well-investigated. Conversely, potential positive outcomes following a first episode of psychosis have been under-investigated. One such outcome that may result from a first episode of psychosis is posttraumatic growth, or a positive aftermath following the trauma of a first psychotic episode. While posttraumatic growth has been described following other physical and mental illnesses, posttraumatic growth has received very little attention following a first episode of psychosis. To address this research gap, we will conduct a mixed methods study aimed at answering two research questions: 1) How do people experience posttraumatic growth following a first episode of psychosis? 2) What predicts, or facilitates, posttraumatic growth following a first episode of psychosis?Methods/designThe research questions will be investigated using a mixed methods convergent design. All participants will be service-users being offered treatment for a first episode of psychosis at a specialized early intervention service for young people with psychosis, as well as their case managers.. A qualitative descriptive methodology will guide data-collection through semi-structured interviews with service-users. Service-users and case managers will complete questionnaires related to posttraumatic growth and its potential predictors using quantitative methods. These predictors include the impact a first episode of psychosis on service-users’ lives, the coping strategies they use; the level of social support they enjoy; and their experiences of resilience and recovery. Qualitative data will be subject to thematic analysis, quantitative data will be subject to multiple regression analyses, and results from both methods will be combined to answer the research questions in a holistic way.DiscussionFindings from this study are expected to show that in addition to suffering, people with a first episode of psychosis may experience positive changes. This study will be one of few to have investigated posttraumatic growth following a first episode of psychosis, and will be the first to do so with a mixed methods approach.
Highlights
The suffering people experience following a first episode of psychosis is great, and has been wellinvestigated
This study will be one of few to have investigated posttraumatic growth following a first episode of psychosis, and will be the first to do so with a mixed methods approach
It could be argued that posttraumatic growth (PTG) forms part of the recovery process from experiences such as first episode of psychosis (FEP); they have been described by service-users as a component, or process of, recovery [5,6,7,8,9,10,11]; and have been theorized by some to be a transformational form of recovery [12]
Summary
The aim of the proposed study is to understand PTG following FEP, and what psychosocial factors are important for its development. We believe the qualitative results will be analytically generalizable by adding depth to the dominant, medical-model conceptualization of FEP and its aftermath, as our findings will describe both the positive and negative aftermath of FEP To our knowledge, this is one of few studies to directly examine PTG following FEP using mixed methods as part of its overall methodology, which may be important given that PTG has not been systematically examined previously in FEP. Instead of relying on case managers to identify service-users who have experienced PTG, identifying participants who have experienced PTG from their responses to the PTG Inventory for subsequent interviews may result in a greater participant pool for interviews This recruitment process seemed difficult to carry out because this work is being conducted as a Doctoral project
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