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Community Mental Health Journal
Published in: Community Mental Health Journal 6/2020

01-08-2020 | Schizophrenia | Original Paper

How Early Life Adversities Influence Later Life Family Interactions for Individuals with Schizophrenia in Outpatient Treatment: A Qualitative Analysis

Authors: Supriya Misra, Kelsey A. Johnson, Lindsey M. Parnarouskis, Karestan C. Koenen, David R. Williams, Bizu Gelaye, Christina P. C. Borba

Published in: Community Mental Health Journal | Issue 6/2020

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Abstract

Many individuals diagnosed with schizophrenia state that family relationships are a primary facilitator of their recovery. However, they also report higher rates of early life adversities, typically in their family environments. We used modified Grounded Theory on 20 semi-structured, in-depth interviews with adults (half ethnic minorities, half women) diagnosed with schizophrenia or schizoaffective disorder and receiving treatment at an urban psychiatric outpatient clinic to investigate how early life adversities influence later life family interactions. Approximately half of participants did not mention early life adversities and described positive family interactions and perceived supportive involvement in their illness. The other half of participants experienced abusive and/or unstable childhood homes that many explicitly linked to limited family interactions and perceived absence of support for their illness. These findings suggest that limited familial interactions following early life adversities may reflect resilient boundary setting, and indicate the value of considering these adversities before incorporating families in care.
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Metadata
Title
How Early Life Adversities Influence Later Life Family Interactions for Individuals with Schizophrenia in Outpatient Treatment: A Qualitative Analysis
Authors
Supriya Misra
Kelsey A. Johnson
Lindsey M. Parnarouskis
Karestan C. Koenen
David R. Williams
Bizu Gelaye
Christina P. C. Borba
Publication date
01-08-2020
Publisher
Springer US
Keyword
Schizophrenia
Published in
Community Mental Health Journal / Issue 6/2020
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-020-00627-2

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