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<p>The aim of the present study is to investigate the subjective, lived experiences of service users and their families regarding the onset of psychosis and the pathways in seeking appropriate treatment as well as the barriers they may have encountered during this process. Six in-depth individual interviews were conducted (4 service users and 2 mothers). The study took place between May—October 2023 within a Day Centre for Psychosocial Rehabilitation, located in Athens- Greece. Recruitment was purposeful following the snowball sampling technique. Thematic analysis was utilized for the analysis of data produced from narratives. Duration of Untreated Psychosis (DUP) for participants in the present study ranged between 3–9&#xa0;years. Six themes emerged. All participants experienced trauma in the family prior to the onset of prodromal symptoms. The second theme refers to the first indications that seem to mobilize the family regarding the early onset of psychosis (emergence of positive symptoms, sleep disorders, academic failure and social withdrawal). The third one refers to individual’s and family’s sensitization and orientation towards psychic life. The role of the therapeutic alliance and stigma also emerges as a critical parameter implicated in early intervention. A prominent theme is the lack of information made available to the wider public regarding the availability and accessibility of services. The present qualitative study identified a number of factors contributing to treatment delay for first episode psychosis, including both intrapsychic and organizational level parameters that are responsible for long DUP in our Greek sample.</p>

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Duration of Untreated Psychosis: A Thematic Analysis of service-users’ subjective experiences of diagnosis and seeking treatment

  • 期刊论文

  • 发表日期：

    2025年6月5日

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  • Marina Skourteli,
  • Maria Tritari,
  • Venetsanos Mavreas,
  • George Konstantakopoulos,
  • Stelios Stylianidis

摘要

The aim of the present study is to investigate the subjective, lived experiences of service users and their families regarding the onset of psychosis and the pathways in seeking appropriate treatment as well as the barriers they may have encountered during this process. Six in-depth individual interviews were conducted (4 service users and 2 mothers). The study took place between May—October 2023 within a Day Centre for Psychosocial Rehabilitation, located in Athens- Greece. Recruitment was purposeful following the snowball sampling technique. Thematic analysis was utilized for the analysis of data produced from narratives. Duration of Untreated Psychosis (DUP) for participants in the present study ranged between 3–9 years. Six themes emerged. All participants experienced trauma in the family prior to the onset of prodromal symptoms. The second theme refers to the first indications that seem to mobilize the family regarding the early onset of psychosis (emergence of positive symptoms, sleep disorders, academic failure and social withdrawal). The third one refers to individual’s and family’s sensitization and orientation towards psychic life. The role of the therapeutic alliance and stigma also emerges as a critical parameter implicated in early intervention. A prominent theme is the lack of information made available to the wider public regarding the availability and accessibility of services. The present qualitative study identified a number of factors contributing to treatment delay for first episode psychosis, including both intrapsychic and organizational level parameters that are responsible for long DUP in our Greek sample.