Positive symptoms and their associations with life and trauma events among young adults in a first-episode psychosis clinic: qualitative analysis
Background Trauma plays a critical role in psychosis, but the nature of the relationship between specific symptoms and trauma history remains unclear. Aims The aim of the study was to explore the experience of positive symptoms and their association with trauma and life events from the perspecti...
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| Language: | English |
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Cambridge University Press
2025-09-01
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| Series: | BJPsych Open |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472425108028/type/journal_article |
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| author | Alix-Anne Ternamian Mathilde Marchal Julie Haesebaert Frédéric Haesebaert |
| author_facet | Alix-Anne Ternamian Mathilde Marchal Julie Haesebaert Frédéric Haesebaert |
| author_sort | Alix-Anne Ternamian |
| collection | DOAJ |
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Background
Trauma plays a critical role in psychosis, but the nature of the relationship between specific symptoms and trauma history remains unclear.
Aims
The aim of the study was to explore the experience of positive symptoms and their association with trauma and life events from the perspective of patients with first-episode psychosis (FEP).
Method
Seventeen participants who were enrolled in an FEP programme participated in a qualitative interview examining their life and trauma events, the onset of their symptoms, their experience of positive symptoms and their perceived associations between symptoms and life and trauma events. The interview was based on a semi-structured interview of six main questions and follow-up questions. Participants also completed the Trauma and Life Experiences Checklist (TALE), and were asked about the relevance of the whole interview. Thematic content analysis, exploratory cluster analysis and matrix queries coding were performed.
Results
Fifteen participants described the experience of psychotic symptoms as distressing or traumatic. Eleven participants attributed the onset of positive psychotic symptoms to trauma and life events. Ten participants described explicit thematic associations between their symptoms and trauma and life events. Twelve participants evaluated the interview as relevant and helpful.
Conclusions
Our findings give insight into the lived experience of positive symptoms and potential psychological interventions valuing causal theories of participants and the association with life and trauma events.
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| format | Article |
| id | doaj-art-a88dc11ec4824b7e8f7573ec309d67e1 |
| institution | Kabale University |
| issn | 2056-4724 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj-art-a88dc11ec4824b7e8f7573ec309d67e12025-08-20T04:01:18ZengCambridge University PressBJPsych Open2056-47242025-09-011110.1192/bjo.2025.10802Positive symptoms and their associations with life and trauma events among young adults in a first-episode psychosis clinic: qualitative analysisAlix-Anne Ternamian0Mathilde Marchal1Julie Haesebaert2Frédéric Haesebaert3https://orcid.org/0000-0002-6813-9012Centre Hospitalier le Vinatier, Bron, FranceHospices Civils de Lyon, Pôle Santé Publique, Service Recherche et Epidémiologie Cliniques, Lyon, FranceHospices Civils de Lyon, Pôle Santé Publique, Service Recherche et Epidémiologie Cliniques, Lyon, France Université Claude Bernard Lyon 1, INSERM U1290, Research on Healthcare Performance RESHAPE, Lyon, FranceCentre Hospitalier le Vinatier, Bron, France Université Claude Bernard Lyon 1, CNRS, INSERM, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, PSYR2Bron, France Background Trauma plays a critical role in psychosis, but the nature of the relationship between specific symptoms and trauma history remains unclear. Aims The aim of the study was to explore the experience of positive symptoms and their association with trauma and life events from the perspective of patients with first-episode psychosis (FEP). Method Seventeen participants who were enrolled in an FEP programme participated in a qualitative interview examining their life and trauma events, the onset of their symptoms, their experience of positive symptoms and their perceived associations between symptoms and life and trauma events. The interview was based on a semi-structured interview of six main questions and follow-up questions. Participants also completed the Trauma and Life Experiences Checklist (TALE), and were asked about the relevance of the whole interview. Thematic content analysis, exploratory cluster analysis and matrix queries coding were performed. Results Fifteen participants described the experience of psychotic symptoms as distressing or traumatic. Eleven participants attributed the onset of positive psychotic symptoms to trauma and life events. Ten participants described explicit thematic associations between their symptoms and trauma and life events. Twelve participants evaluated the interview as relevant and helpful. Conclusions Our findings give insight into the lived experience of positive symptoms and potential psychological interventions valuing causal theories of participants and the association with life and trauma events. https://www.cambridge.org/core/product/identifier/S2056472425108028/type/journal_articleFirst episode psychosispositive psychotic symptomstraumaqualitativeexperience |
| spellingShingle | Alix-Anne Ternamian Mathilde Marchal Julie Haesebaert Frédéric Haesebaert Positive symptoms and their associations with life and trauma events among young adults in a first-episode psychosis clinic: qualitative analysis BJPsych Open First episode psychosis positive psychotic symptoms trauma qualitative experience |
| title | Positive symptoms and their associations with life and trauma events among young adults in a first-episode psychosis clinic: qualitative analysis |
| title_full | Positive symptoms and their associations with life and trauma events among young adults in a first-episode psychosis clinic: qualitative analysis |
| title_fullStr | Positive symptoms and their associations with life and trauma events among young adults in a first-episode psychosis clinic: qualitative analysis |
| title_full_unstemmed | Positive symptoms and their associations with life and trauma events among young adults in a first-episode psychosis clinic: qualitative analysis |
| title_short | Positive symptoms and their associations with life and trauma events among young adults in a first-episode psychosis clinic: qualitative analysis |
| title_sort | positive symptoms and their associations with life and trauma events among young adults in a first episode psychosis clinic qualitative analysis |
| topic | First episode psychosis positive psychotic symptoms trauma qualitative experience |
| url | https://www.cambridge.org/core/product/identifier/S2056472425108028/type/journal_article |
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