scholarly journals Perspectives of patients, carers and mental health staff on early warning signs of relapse in psychosis: a qualitative investigation

BJPsych Open ◽  
2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Stephanie Allan ◽  
Simon Bradstreet ◽  
Hamish J. McLeod ◽  
John Gleeson ◽  
John Farhall ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Early Warning ◽  
Relapse Prevention ◽  
Objective Response ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
Health Staff ◽  
Mental Health Staff ◽  
Early Warning Signs

Background Relapse prevention strategies based on monitoring of early warning signs (EWS) are advocated for the management of psychosis. However, there has been a lack of research exploring how staff, carers and patients make sense of the utility of EWS, or how these are implemented in context. Aims To develop a multiperspective theory of how EWS are understood and used, which is grounded in the experiences of mental health staff, carers and patients. Method Twenty-five focus groups were held across Glasgow and Melbourne (EMPOWER Trial, ISRCTN: 99559262). Participants comprised 88 mental health staff, 21 patients and 40 carers from UK and Australia (total n = 149). Data were analysed using constructivist grounded theory. Results All participants appeared to recognise EWS and acknowledged the importance of responding to EWS to support relapse prevention. However, recognition of and acting on EWS were constructed in a context of uncertainty, which appeared linked to risk appraisals that were dependent on distinct stakeholder roles and experiences. Within current relapse management, a process of weighted decision-making (where one factor was seen as more important than others) described how stakeholders weighed up the risks and consequences of relapse alongside the risks and consequences of intervention and help-seeking. Conclusions Mental health staff, carers and patients speak about using EWS within a weighted decision-making process, which is acted out in the context of relationships that exist in current relapse management, rather than an objective response to specific signs and symptoms.

scholarly journals Knowledge about Cervical Cancer Early Warning Signs and Symptoms, Risk Factors and Vaccination among Students at a Medical School in Al-Ahsa, Kingdom of Saudi Arabia

2014 ◽  
Vol 15 (6) ◽  
pp. 2529-2532 ◽  
Author(s):  
Abdulaziz Ahmed Al-Darwish ◽  
Abdullah Fouad Al-Naim ◽  
Khalid Saleh Al-Mulhim ◽  
Nasser Khaled Al-Otaibi ◽  
Mohammed Saad Morsi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
Saudi Arabia ◽  
Medical School ◽  
Early Warning ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
Kingdom Of Saudi Arabia ◽  
Early Warning Signs

Knowing Your Early Warning Signs and Preventing a Relapse

2021 ◽  
pp. 129-138
Author(s):  
Beth Broussard ◽  
Michael T. Compton
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Professionals ◽  
Early Warning ◽  
Health Professionals ◽  
Young Person ◽  
Warning Signs ◽  
First Episode ◽  
Her Family ◽  
Early Warning Signs

This chapter explains early warning signs, which are mild symptoms that occur before another episode of illness, or a relapse. To help prevent a relapse, young people can stick with treatment, watch for early warning signs, and work with their mental health professional to intervene promptly. Young people can identify their unique warning signs by thinking back to the time just before the first episode to identify the two or three early warning signs that they should watch for. Family, friends, and mental health professionals can help identify the changes they observed as well. Open communication between the young person and his or her family, friends, and mental health professionals is important when early warning signs start to occur. By carefully monitoring early warning signs, young people, their families, and their mental health professionals can work together to help lessen the severity of any future episode of psychosis that a person may have—or prevent a relapse altogether.

What Are the Symptoms of Psychosis?

2021 ◽  
pp. 17-34
Author(s):  
Beth Broussard ◽  
Michael T. Compton
Keyword(s):  
Mental Health ◽  
Health Professional ◽  
Mental Health Professionals ◽  
Early Warning ◽  
Mental Health Professional ◽  
Health Professionals ◽  
Treatment Decisions ◽  
Warning Signs ◽  
Early Warning Signs ◽  
Over Time

Understanding the various symptoms of psychosis, and the treatments that are most effective for them, is key to engaging in treatment and recovery. Symptoms of psychosis can be very scary for those experiencing them and for their families. Help is available. Symptoms, whether in the past or present, are important to discuss with your mental health professional. An individual’s early symptoms are important to remember because they usually are the same ones that occur before another episode and are therefore early warning signs. Family and friends can provide information to mental health professionals about symptoms and behaviors, as well as report how symptoms are changing over time, including when they are improving or getting worse. Sharing information and making shared treatment decisions are key to successful treatment.

Fear of psychotic relapse: exploring dynamic interactions with common early warning signs of relapse using experience sampling methodology

2021 ◽  
Author(s):  
Stephanie Allan ◽  
Ciarán O'Driscoll ◽  
Hamish J. McLeod ◽  
John Gleeson ◽  
John Farhall ◽  
...  
Keyword(s):  
Negative Affect ◽  
Early Warning ◽  
Relapse Prevention ◽  
Time Window ◽  
Small Degree ◽  
Warning Signs ◽  
Dynamic Interactions ◽  
Cross Sectional ◽  
Hearing Voices ◽  
Early Warning Signs

Background: Fear of relapse is an independent risk factor for future relapse events indicating its importance in clinical management and early warning signs-based relapse prevention monitoring.Methods: 25 participants who were taking part in a clinical trial of relapse prevention in schizophrenia responded to daily ecological momentary assessment prompts assessing common early warning signs of relapse and self-reported positive experiences like feeling supported by others. We conducted multilevel vector auto-regression using common symptoms assessed in early warning signs monitoring relapse prevention while controlling for positive self-reported experiences like feeling supported by others to estimate three networks (to explore concurrent, temporal and mean levels across the whole time period).Results: Reporting fear of relapse was positively associated (within the same cross-sectional time window) with hearing voices, alongside anxiety, negative affect and sleep change. Fear of relapse appeared to predict anxiety and negative affect on the next consecutive day. Experiencing fear of relapse on one day meant being more likely to also experience fear of relapse again at the next consecutive time point. However, none of the common early warning signs predicted fear of relapse within the temporal window and all observed relationships were small. Discussion: Early warning signs themselves appear poor predictors of experiencing fear of relapse but because fear of relapse predicts later anxiety and negative affect (even to a small degree) it may be a valuable intervention target within the daily life of people diagnosed with schizophrenia.

scholarly journals Business rescue decision making through verifier determinants – ask the specialists

2013 ◽  
Vol 16 (4) ◽  
pp. 468-485 ◽  
Author(s):  
Marius Pretorius ◽  
Gert Holtzhauzen
Keyword(s):  
Decision Making ◽  
Early Warning ◽  
Business Strategy ◽  
Warning Signs ◽  
Extensive Experience ◽  
Early Warning Signs ◽  
Critical Issues ◽  
Managerial Implications ◽  
Value Add ◽  
Mind Set

Orientation: Business rescue has become a critical part of business strategy decision making, especially during economic downturns and recessions. Past legislation has generally supported creditor-friendly regimes, and its mind-set still applies which increases the difficulty of such turnarounds. There are many questions and critical issues faced by those involved in rescue. Despite extensive theory in the literature on failure, there is a void regarding practical verifiers of the signs and causes of venture decline, as specialists are not forthcoming about what they regard as their “competitive advantage”.Research purpose: This article introduces the concept and role of “verifier determinants” of early warning signs, as a tool to confirm the causes of decline in order to direct rescue strategies and, most importantly, reduce time between the first observation and the implementation of the rescue. Motivation for the study: Knowing how specialist practitioners confirm causes of business decline could assist in deciding on strategies for the rescue earlier than can be done using traditional due diligence which is time consuming. Reducing time is a crucial element of a successful rescue.Research design and approach: The researchers interviewed specialist practitioners with extensive experience in rescue and turnaround. An experimental design was used to ensure the specialists evaluated the same real cases to extract their experiences and base their decisions on. Main findings: The specialists confirmed the use of verifier determinants and identified such determinants as they personally used them to confirm causes of decline. These verifier determinants were classified into five categories; namely, management, finance, strategic, banking and operations and marketing of the ventures under investigation. The verifier determinants and their use often depend heavily on subconscious (non-factual) information based on previous experiences, rendering them “irrational” in modern management perspectives.Practical/Managerial implications: Decision makers and affected persons could benefit from the insights obtained through this study. Confirming early warning signs through verifier determinants would be beneficial for entrepreneurs who are creditors, rescue practitioners, government regulators, court officials and educators alike.Contribution/Value add: Knowing the verifier determinants could assist decision making and improve the effectiveness of rescue strategies.

Schizophrenia: early warning signs

2000 ◽  
Vol 6 (2) ◽  
pp. 93-101 ◽  
Author(s):  
Max Birchwood ◽  
Elizabeth Spencer ◽  
Dermot McGovern
Keyword(s):  
Early Warning ◽  
Relapse Prevention ◽  
Psychosocial Interventions ◽  
Warning Signs ◽  
Residual Symptoms ◽  
Strong Interest ◽  
Early Warning Signs ◽  
Social Disablement ◽  
Highly Correlated

Relapse in schizophrenia remains common and cannot be entirely eliminated even by the best combination of biological and psychosocial interventions (Linszen et al, 1998). Relapse prevention is crucial as each relapse may result in the growth of residual symptoms (Shepherd et al, 1989) and accelerating social disablement (Hogarty et al, 1991). Many patients feel ‘entrapped’ by their illnesses, a factor highly correlated with depression (Birchwood et al, 1993), and have expressed a strong interest in learning to recognise and prevent impending psychotic relapse.

The early warning symptom intervention for patients with bipolar affective disorder

2004 ◽  
Vol 10 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Richard Morriss
Keyword(s):  
Affective Disorder ◽  
Early Warning ◽  
Bipolar Affective Disorder ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
Care Plan ◽  
Central Feature ◽  
Early Warning Signs ◽  
Randomised Controlled ◽  
Depressive Episodes

Randomised controlled trials and surveys of patients' experiences indicate that the recognition and prompt treatment of early warning signs of relapse in selected patients with bipolar affective disorder are effective in lengthening the time to the next manic relapse and improving function. Improvements in patient coping mechanisms allied to these techniques can prevent some depressive episodes. The intervention is described in some detail and conditions under which it is most likely to be effective or to fail are reviewed. If the intervention is to be successful, patients must be carefully selected, early warning signs and symptoms must be analysed in detail, it must be a central feature of the care plan and the service must be ready to respond quickly to a patient's early warning symptoms.

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