Open access

Étude sur l’expérience des relations amoureuses des jeunes hommes ayant vécu un premier épisode psychotique

Publication: Canadian Journal of Community Mental Health
10 Septembre 2019

Résumé

Cette étude qualitative s’intéresse aux facteurs pouvant expliquer les difficultés rencontrées par les jeunes hommes (18–35 ans) ayant vécu un premier épisode psychotique à établir et maintenir des relations amoureuses. Douze participants ont pris part à une entrevue semi-structurée d’environ 60 minutes. Quatre thèmes principaux sont ressortis de l’analyse des données, soit la Gestion de la proximité, la Conception de l’intimité, l’Identité et le Processus de rétablissement. Les difficultés rencontrées seraient liées à des expériences relationnelles antérieures et à des difficultés métacognitives et de régulation émotionnelle suite à un épisode psychotique, mais des études supplémentaires sont requises.

Abstract

This qualitative study aims at understanding the factors underlying the difficulties young men (18–35 years old) who had a first episode of psychosis have in initiating and maintaning intimate relationships. Twelve participans took part in semi-structured 60-minute interviews. Four main themes were identified following the data analysis: Coping with proximity, Conception of intimacy, Identity, and Recovery process. Results suggest that difficulties faced by this population could be related to previous relational experiences and to metacogntive and emotional regulation deficits that apeared after the first episode, but more research is needed.

Formats available

You can view the full content in the following formats:

References

Andresen R., Oades L., and Caputi P. 2003 The experience of recovery from schizophrenia: Towards an empirically validated stage model Australian and New Zealand Journal of Psychiatry 37 586 -594
Angell B. 2003 Contexts of social relationship development among assertive community treatment clients Mental Health Services Research 5 13 -25
Angell B. and Test M. A. 2002 The relationship of clinical factors and environmental opportunities to social functioning in young adults with schizophrenia Schizophrenia Bulletin 28 259 -271
Bateman A. W. and Fonagy P. 2004 Mentalization-based treatment of BPD Journal of Personality Disorders 18 36 -51
Birchwood M., Iqbal Z., Chadwick P., and Trower P. 2000 Cognitive approach to depression and suicidal thinking in psychosis. 1. Ontogeny of post-psychotic depression British Journal of Psychiatry 177 516 -521
Birchwood M., Mason R., MacMillan F., and Healey J. 1993 Depression, demoralisation and control over psychotic illnesses: A comparison of depressed and non-depressed patients with a chronic psychosis Psychological Medicine 23 387 -395
Birchwood M., Trower P., Bruneta K., Gilbert P., Iqbal Z., and Jackson C. 2006 Social anxiety and the shame of psychosis: A study in first episode psychosis Behaviour Research and Therapy 45 1025 -1037
Cohen S. and Wills T. A. 1985 Stress, social support, and the buffering hypothesis Psychology Bulletin 98 310 -357
Cole P. M., Michel M. K., and Teti L. O. D. 1994 The development of emotion regulation and dysregulation: A clinical perspective Monographs of the Society for Research in Child Development 59 73 -102
Collins, W. A. et Sroufe, L. A. (1999). Capacity for intimate relationships: A developmental construction. Dans W. Furman, B. Brown et C. Feiring (dir.), The development of romantic relationships in adolescence (p. 125–147). Cambridge, Angleterre : Cambridge University Press.
Couture S., Lecomte T., and Leclerc C. 2007 Personality characteristics and attachment in first episode psychosis: Impact on social functioning Journal of Nervous and Mental Disease 195 631 -639
Creswell, J. W. (2013). Qualitative inquiry & research design: Choosing among five approaches (2e éd.). Thousand Oaks, CA : Sage.
Dimaggio, G. et Lysaker, P. H. (dir.). (2010). Metacognition and severe adult mental disorders: From research to treatment. Hove, Angleterre : Routledge.
Drapeau M. 2004 Les critères de scientificité en recherche qualitative Pratiques psychologiques 10 79 -86
Erikson, E. H. (1968). Identity, youth and crisis. New York, NY : W. W. Norton.
Farone D. W. 2006 Schizophrenia, community integration, and recovery: Implications for social work practice Social Work in Mental Health 4 21 -36
Favrod J. and Barrelet L. 1993 Efficacité de l’entraînement des habiletés sociales avec les personnes atteintes de schizophrénie Thérapie comportementale et cognitive 3 84 -94
Freeman D. and Garety P. A. 2003 Connecting neurosis and psychosis: The direct influence of emotion on delusions and hallucinations Behaviour Research and Therapy 41 923 -947
Furman, W., Ho, M. J. et Low, S. M. (2007). The rocky road of adolescent romantic experience: Dating and adjustment. Dans R. C. M. E. Engels, M. Kerr et H. Stattin (dir.), Friends, lovers and groups: Key relationships in adolescence (p. 61–80). Chichester, Angleterre : Wiley.
Gallagher, F. (2014). La recherche descriptive interprétative. Dans M. Corbière et N. Larivière (dir.), Méthodes qualitatives, quantitatives et mixtes (p. 5–27). Québec : Presses de l’Université du Québec.
Gross J. J. 1998 The emerging field of emotion regulation: An integrative review Review of General Psychology 2 271 -299
Gureje O. and Bamidele R. 1999 Thirteen-year social outcome among Nigerian outpatients with schizophrenia Social Psychiatry and Psychiatric Epidemiology 34 147 -151
Halford W. K. and Hayes R. L. 1995 Social skills in schizophrenia: Assessing the relationship between social skills, psychopathology and community functioning Social Psychiatry and Psychiatric Epidemiology 30 14 -19
Harrop, C. et Trower, P. (2003). Why does schizophrenia develop at late adolescence? New York, NY : Wiley.
Herold R., Tényi T., Lénárd K., and Trixler M. 2002 Theory of mind deficit in people with schizophrenia during remission Psychological Medicine 32 1125 -1129
Jablensky, A., McGrath, J., Herrman, H., Castle, D., Gureje, O., Morgan, V. et Korten, A. (1999). People living with psychotic illness: An Australian study 1997–98: An overview. Australian National Survey of Mental Health and Wellbeing, bulletin 1. Canberra : Commonwealth of Australia.
Jablensky A., Sartorius N., Ernberg G., Anker M., Korten A., Cooper J. E., and Bertelsen A. 1992 Schizophrenia: Manifestations, incidence and course in different cultures: A World Health Organization ten-country study Psychological Medicine Monograph Supplement 20 1 -97
Karsenti, T. et Savoie-Zajc, L. (2004). La recherche en éducation : étapes et approches. Sherbrooke, QC : Éditions du CRP.
Kopelowicz A., Liberman R. P., and Zarate R. 2006 Recent advances in social skills training for schizophrenia Schizophrenia Bulletin 32 S12 -S23
Korkeila J. J. A., Heikklia J., Aalto S., Sourander A., and Karlsson H. 2001 Needs, social relations and quality of life among schizophrenic outpatients Psychiatria Fennica 32 29 -43
Kosmidis M. K., Giannakou M., Garyfallos G., Kiosseoglou G., and Bozikas V. P. 2011 The impact of impaired “theory of mind” on social interactions in schizophrenia Journal of the International Neuropsychological Society 17 511 -521
Lane A., Byrne M., Mulvany F., Kinsella A., Waddington J. L., Walsh D., and O’Callaghan E. 1995 Reproductive behaviour in schizophrenia relative to other mental disorders: Evidence for increased fertility in men despite decreased marital rate Acta Psychiatrica Scandinavica 91 222 -228
Laurenceau J. P., Barrett L. F., and Rovine M. J. 2005 The interpersonal process model of intimacy in marriage: A daily-diary and multilevel modeling approach Journal of Family Psychology 19 314 -323
Leslie A. M. 1987 Pretence and representation: The origins of “theory of mind.” Psychological Review 94 412 -426
Lysaker P. H. and Buck K. D. 2008 Is recovery from schizophrenia possible? An overview of concepts, evidence, and clinical implications Primary Psychiatry 15 6 60 -65
MacBeth A., Gumley A., Schwannauer M., and Fisher R. 2011 Attachment states of mind, mentalization, and their correlates in a first-episode psychosis sample Psychology and Psychotherapy: Theory, Research and Practice 84 42 -57
MacDonald J. M., Piquero A. R., Valois R. F., and Zullig K. J. 2005 The relationship between life satisfaction, risk-taking behaviors, and youth violence Journal of Interpersonal Violence 20 1495 -1518
Miles, M. B. et Huberman, A. M. (2003). Analyse des données qualitatives. Louvain-la-Neuve, Belgique : De Boeck Supérieur.
Miles, M. B., Huberman, A. M. et Saldaña, J. (2013). Qualitative data analysis: A methods sourcebook (3e éd). Thousand Oaks, CA : Sage.
Morrow S. L. 2005 Quality and trustworthiness in qualitative research in counseling psychology Journal of Counseling Psychology 52 250 -260
Morton T. L. 1978 Intimacy and reciprocity of exchange: A comparison of spouses and strangers Journal of Personality and Social Psychology 36 72 -81
Mucchielli, A. (2009). Dictionnaire des méthodes qualitatives en sciences humaines. Paris, France : Armand Colin.
Mueller B., Nordt C., Lauber C., Rueesch P., Meyer P. C., and Roessler W. 2006 Social support modifies perceived stigmatization in the first years of mental illness: A longitudinal approach Social Science & Medicine 62 39 -49
Neale, J. M., Blanchard, J. J., Kerr, S., Kring, A. M. et Smith, D. A. (1998). Flat affect in schizophrenia. Dans W. F. J. Flack et J. D. Laird (dir.), Emotions in psychopathology: Theory and research (p. 353–364). Oxford, Angleterre : Oxford University Press.
Neria Y., Bromet E. J., Sievers S., Lavelle J., and Fochtmann L. J. 2002 Trauma exposure and posttraumatic stress disorder in psychosis: Findings from a first-admission cohort Journal of Consulting and Clinical Psychology 70 246 -251
Paillé, P. et Mucchielli, A. (2005). L’analyse qualitative en sciences humaines et sociales. Paris, France : Armand Colin.
Pillay R., Lecomte T., and Abdel-Baki A. 2018 Factors limiting romantic relationship formation for individuals with early psychosis Early Intervention in Psychiatry 12 4 645 -651
Prager, K. J. (1997). The psychology of intimacy. New York, NY : Guilford Press.
Prager, K. J. et Roberts, L. J. (2004). Deep intimate connection: Self and intimacy in couple relationships. Dans D. J. Mashek et A. Aron (dir.), Handbook of closeness and intimacy (p. 43–60). Mahwah, NJ : Lawrence Erlbaum Associates.
Redmond C., Larkin M., and Harrop C. 2010 The personal meaning of romantic relationships for young people with psychosis Clinical Child Psychology and Psychiatry 15 2 151 -170
Reis, H. T. et Patrick, B. C. (1996). Attachment and intimacy: Component processes. Dans E. T. Higgins et A. W. Kruglanski (dir.), Social psychology: Handbook of basic principles (p. 523–563). New York, NY : Guilford Press.
Reis H. T. and Shaver P. 1988 Intimacy as an interpersonal process Handbook of Personal Relationships 24 367 -389
Riecher-Rössler A. and Häfner H. 2000 Gender aspects in schizophrenia: Bridging the border between social and biological psychiatry Acta Psychiatrica Scandinavica 102 58 -62
Salokangas R. K. R., Honkonen T., Stengård E., and Koivisto A. M. 2001 To be or not to be married—that is the question of quality of life in men with schizophrenia Social Psychiatry and Psychiatric Epidemiology 36 381 -390
Sarısoy G., Kaçar Ö. F., Pazvantoğlu O., Korkmaz I. Z., Öztürk A., Akkaya D., and Sahin A. R. 2013 Internalized stigma and intimate relations in bipolar and schizophrenic patients: A comparative study Comprehensive Psychiatry 54 665 -672
Schore, A. N. (2003). Affect dysregulation and disorders of the self. New York, NY : W. W. Norton.
Segalovich J., Doron A., Behrbalk P., Kurs R., and Romem P. 2013 Internalization of stigma and self-esteem as it affects the capacity for intimacy among patients with schizophrenia Archives of Psychiatric Nursing 27 231 -234
Seltzer M. M., Greenberg J. S., Krauss M. W., and Hong J. 1997 Predictors and outcomes of the end of co-resident caregiving in aging families of adults with mental retardation or mental illness Family Relations: An Interdisciplinary Journal of Applied Family Studies 46 1 13 -22
Silverstein S. M. and Bellack A. S. 2008 A scientific agenda for the concept of recovery as it applies to schizophrenia Clinical Psychology Review 28 1108 -1124
Sitko K., Bentall R. P., Shevlin M., O’Sullivan N., and Sellwood W. 2014 Associations between specific psychotic symptoms and specific childhood adversities are mediated by attachment styles: An analysis of the National Comorbidity Survey Psychiatry Research 217 202 -209
Sprong M., Schothorst P., Vos E., Hox J., and Van Engeland H. 2007 Theory of mind in schizophrenia meta-analysis British Journal of Psychiatry 191 5 -13
Stewart C. J., Lysaker P. H., and Davis L. W. 2013 Relationships of social-sexual function with stigma and narrative quality among persons with schizophrenia spectrum disorders over one year American Journal of Psychiatric Rehabilitation 16 198 -212
Thara R. and Srinivasan T. N. 1997 Outcome of marriage in schizophrenia Social Psychiatry and Psychiatric Epidemiology 32 416 -420
Thewissen V., Bentall R. P., Lecomte T., van Os J., and Myin-Germeys I. 2008 Fluctuations in self-esteem and paranoia in the context of daily life Journal of Abnormal Psychology 117 143 -153
Thorne, S. (2008). Interpretive description. Walnut Creek, CA : Left Coast Press.
Thorup A., Waltoft B. L., Pedersen C. B., Mortensen P. B., and Nordentoft M. 2007 Young males have a higher risk of developing schizophrenia: A Danish register study Psychological Medicine 37 479 -484
Vanheule, S., Inslegers, R., Meganck, R., Ooms, E. et Desmet, M. (2010). Interpersonal problems in alexithymia: A review. Dans G. Dimaggio et P. H. Lysaker (dir.), Metacognition and severe adult mental disorders: From research to treatment. (p. 161–176). Hove, Angleterre : Routledge.
Varese F., Smeets F., Drukker M., Lieverse R., Lataster T., Viechtbauer W., and Bentall R. P. 2012 Childhood adversities increase the risk of psychosis: A meta-analysis of patient-control, prospective- and cross-sectional cohort studies Schizophrenia Bulletin 38 661 -671
Walker E., Bettes B. A., Kain E., and Harvey P. 1985 Relationship of gender and marital status with symptomatology in psychotic patients Journal of Abnormal Psychology 94 42 -50
Yung A. R. and McGorry P. D. 1996 The initial prodrome in psychosis: Descriptive and qualitative aspects Australasian Psychiatry 30 587 -599
Zubin J. and Spring B. 1977 Vulnerability: A new view of schizophrenia Journal of Abnormal Psychology 86 103 -126

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 38Number 2October 2019
Pages: 1 - 17

History

Version of record online: 10 Septembre 2019

Mots-clés

  1. premier épisode psychotique
  2. relations amoureuses
  3. rétablissement
  4. métacognition
  5. régulation émotionnelle

Key Words

  1. first-episode psychosis
  2. intimate relationships
  3. recovery
  4. metacogntion
  5. emotional regulation

Authors

Affiliations

Anouk Latour-Desjardins [email protected]
Université de Montréal
Tania Lecomte
Université de Montréal
Amal Abdel-Baki
Université de Montréal
Vickie Auclair
Université de Montréal
Carole-Ann Collins
Université de Montréal

Metrics & Citations

Metrics

Other Metrics

Citations

Cite As

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

There are no citations for this item

View Options

View options

PDF

View PDF

Login options

Check if you access through your login credentials or your institution to get full access on this article.

Subscribe

Click on the button below to subscribe to Canadian Journal of Community Mental Health

Purchase options

Purchase this article to get full access to it.

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

Media

Media

Other

Tables

Share Options

Share

Share the article link

Share on social media