Barriers and Facilitators to Motivation for Work and School in First Episode Psychosis: A Qualitative Exploration

被引:0
|
作者
Balogun, O. [1 ]
Detore, N. R. [2 ,3 ]
Dokholyan, K. [2 ]
Cather, C. [2 ,3 ]
Tepper, M. C. [4 ,5 ]
Lanca, M. [3 ,6 ]
Mueser, K. T. [7 ,8 ]
Russinova, Z. [7 ]
机构
[1] Bentley Univ, Nat & Appl Sci Dept, Waltham, MA USA
[2] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA
[3] Harvard Med Sch, Dept Psychiat, Boston, MA 02115 USA
[4] New York State Psychiat Inst & Hosp, New York, NY USA
[5] Columbia Univ, Vagelos Coll Phys & Surg Psychiat, New York, NY USA
[6] Cambridge Hlth Alliance, Dept Psychiat, Cambridge, MA USA
[7] Boston Univ, Ctr Psychiat Rehabil, Boston, MA USA
[8] Boston Univ, Dept Occupat Therapy & Psychol & Brain Sci, Boston, MA USA
关键词
education; employment; first episode psychosis; motivation; recovery; 1ST-EPISODE PSYCHOSIS; SUPPORTED EMPLOYMENT; INTRINSIC MOTIVATION; NEGATIVE SYMPTOMS; SCHIZOPHRENIA; PERSISTENT; OUTCOMES; STIGMA; PEOPLE; CARE;
D O I
10.1111/eip.70011
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
AimDecreased motivation has been found to be the strongest predictor of poor work or school functioning among individuals with psychosis. Since motivation decreases immediately following onset of psychosis, it may be an ideal potential target for intervention. The aim of this study was to explore the specific barriers and facilitators to motivation through experiences of those living with first episode psychosis.MethodA total of 40 individuals recently diagnosed with psychosis and receiving treatment within a coordinated specialty care program completed a semi-structured qualitative interview. Audio recordings were transcribed and independently coded by three reviewers.ResultsThemes emerged regarding barriers to work and school motivation, such as challenging mental health symptoms, discouragement resulting from negative perceptions/experiences, mental health treatment/side effects, uncertainty about the future, pressure of expectations from others, financial and legal concerns, and fear of symptom recurrence. Similarly, participants described several motivational facilitators for work and school including the opinions of others, financial needs and desires, career aspirations, beneficial mental health treatment, positive attitudes about mental illness, desire for autonomy and desire for meaning in daily life.DiscussionBetter understanding of the factors that drive motivation for work and school among those with first episode psychosis may facilitate identification of ways to optimise existing treatments and/or develop more targeted approaches.
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页数:10
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