心理健康护理中患有精神病易受伤害的年轻成年人存在的担忧:荷兰的定性研究
Marlous L D de Vries1,2, Pauline Janse3,4, Christa W Anbeek5
1Department of Humanist Chaplaincy Studies for a Plural Society, University of Humanistic Studies, Utrecht, The Netherlands. m.devries@rivierduinen.nl.
BMC psychiatry
|February 5, 2025
概括
患有精神病脆弱性的年轻人经历了存在的担忧,如失去自由,毫无意义,孤立,身份转变和死亡焦虑. 在心理健康护理中解决这些主题有助于他们的康复.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 心理健康护理研究 心理健康护理研究
- 存在心理学的心理学
背景情况:
- 患有精神病脆弱性的年轻人面临着具有持久影响的破坏性早期生活经历.
- 这些经历往往会在年轻成年期引发深刻的存在问题,这是认同和目的的关键发展阶段.
- 意识到自己的身份并寻找意义,是迈入年轻成人阶段的关键,尤其是对于那些面临心理健康挑战的人来说.
研究的目的:
- 调查年轻成年期的深刻经历,包括精神病,在多大程度上导致存在的担忧.
- 在住院和门诊心理健康治疗环境中探索Yalom的存在主题和其他相关的存在主题.
- 了解患有精神病易受伤害的年轻成年人关于他们的存在问题和心理健康护理的经历.
主要方法:
- 这是一项定性研究,涉及11名年龄在17至31岁的精神病脆弱性患者的半结构面试.
- 采用了主题分析,利用基于理论的演性初级代码和从参与者采访中诱导性衍生的子代码.
- 采访的重点是存在性的生活问题和心理健康护理中的经验.
主要成果:
- 参与者肯定了与自由 (未来),无意义 (目的),孤立 (联系),身份 (自我) 和死亡 (生命) 相关的存在性担忧.
- 这五个存在的主题被发现是相互关联的.
- 从这些发现中,出现了在心理健康治疗中解决存在的主题的潜在需求.
结论:
- 这项研究提供了对精神健康护理中患有精神病易受伤害的年轻成年人经历的创造意义的过程和存在的主题的见解.
- 参与者普遍对有关存在性生活问题的讨论做出了积极反应,这表明他们与以康复为导向的心理健康护理保持一致.
- 将生存支持纳入心理健康服务可以成为年轻人康复的重要组成部分.
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