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Exploring the Impact of Psychosis on Functioning in Persons with Serious Mental Illness

A Descriptive Phenomenological Study

Bibliographic Data

ID22414382
AuthorsSamuel Vasan S Samuel Vasan S (Christian Medical College, Vellore, Tamil Nadu, India.), Samuel Vasan S (christian medical college, vellore), Sushil Antony S Sushil Antony S (Christian Medical College, Vellore, Tamil Nadu, India.), Sushil Antony S (christian medical college, vellore), Reema Samuel (0000-0001-5132-6244, Christian Medical College, Vellore, Tamil Nadu, India.)
Year2026
Pages02537176261416243-02537176261416243
Publication date2026-02-01
Open AccessYes
TypeARTICLE
VenueIndian Journal of Psychological Medicine (JOURNAL)
Journal identifiersISSN: 0253-7176 • E-ISSN: 0975-1564
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/02537176261416243
PMID41641444
OpenAlexW7127047045
LanguageEN
References cited28

Background: Patients with serious mental illness experiencing psychosis go through many challenges in their daily life activities. Despite the relevance of this issue, qualitative studies on this area from the Global South are scarce. This qualitative study aims to explore the impact of psychosis on functioning in patients with serious mental illness. Methods: Nine patients clinically diagnosed with serious mental illness, aged 18-60, identified through maximum variability sampling, were approached for written informed consent. Subsequently, they were invited for an in-person interview regarding the impact of psychosis on their daily activities and everyday functioning. Interviews were also conducted with seven primary caregivers and four healthcare professionals working in the field of mental health. The interviews were audio-recorded, transcribed, and thematically coded in Microsoft Word and Microsoft Excel. The data analysis was done using the Systematic Text Condensation (STC) strategy. Interviews were conducted until thematic saturation was achieved. Results: The key themes are presented as: Influence of psychosis on functioning, personal narratives of living with psychosis, and personal anecdotes from mental health professionals on psychosis and functioning. The results highlight the multidimensional nature of psychotic experiences, which reach beyond clinical manifestations and lead to significant emotional distress, reduced self-worth, and a diminished sense of personal identity. Conclusions: This study brings out the need for holistic, patient-centered approaches that recognize the complex lived experiences of individuals experiencing psychosis, emphasizing the importance of comprehensive support systems that address functional, social, and psychological dimensions of mental illness.

Interpretative phenomenological analysis · Lived experience · Mental health · Phenomenological method · Psychosis · Mental Health and Patient Involvement · Mental Health and Psychiatry · Schizophrenia research and treatment

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