Early Intervention in the Real World
Experience of recovery from a first-episode psychosis
Article first published online: 8 MAR 2012
© 2012 Wiley Publishing Asia Pty Ltd
Early Intervention in Psychiatry
Volume 6, Issue 4, pages 476–480, November 2012
How to Cite
Eisenstadt, P., Monteiro, V. B., Diniz, M. J.A. and Chaves, A. C. (2012), Experience of recovery from a first-episode psychosis. Early Intervention in Psychiatry, 6: 476–480. doi: 10.1111/j.1751-7893.2012.00353.x
- Issue published online: 29 OCT 2012
- Article first published online: 8 MAR 2012
- Received 13 June 2011; accepted 26 January 2012
- early intervention;
- first-episode psychosis;
- qualitative research;
Aim: To understand the subjective factors involved in the recovery process following a first-episode psychosis.
Method: Sixteen individuals from a First Episode Program in São Paulo, Brazil were evaluated by a semistructured interview designed to elicit an in-depth narrative of participants' subjective experience of recovery after a first-episode psychosis. Eligibility was established by using the Structured Clinical Interview for DSM-IV Axis I Disorders. The interviews were recorded, the transcripts were coded and themes were grouped together to form conceptual categories.
Results: The participants described the recovery course as a slow and gradual process. Improvement was perceived as based on a decrease or absence of psychotic symptoms, changes in social relationships, renewed autonomy and independence, and restoration of self-reliance and trust in others.
Conclusions: Recovering after a first-episode psychosis can be considered a complex process correlated with treatment, social support, and individual experiences and characteristics. These are important areas to be addressed in first psychotic psychosis interventions, and gains can probably only be obtained in specialized first-episode psychosis programmes.