“Moving forward despite adversity”: The lives of Korean older adults with schizophrenia

• Published in: Archives of psychiatric nursing Vol. 35; no. 3; pp. 243 - 249
• Main Authors: Joung, Jaewon, Kim, Byunghee, Kim, Jandi, Lee, Gumhee, Kim, Sungjae
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.06.2021
• Subjects: Conversation analysis; Life course; Narrative inquiry; Nursing; Older adults' mental health; Schizophrenia; Schizophrenia; Narrative inquiry; Older adults' mental health; Conversation analysis; Life course
• ISSN: 0883-9417; 1532-8228
• DOI: 10.1016/j.apnu.2021.02.005

Older adults with schizophrenia experience aging-related challenges and chronic psychiatric difficulties. However, their uniqueness is understudied. Aim This study explored three life stories to illuminate schizophrenia's trajectory. A narrative inquiry method was used to elicit rich narratives in chronic patients' lives. Two men and one woman suffering from chronic schizophrenia for more than 20 years were engaged in conversation three times. The analysis revealed one main theme expressing their fundamental perspective on their lives: “moving forward despite adversity.” Three subthemes emerged: living with the mental disorder, giving and receiving support, and adaptation to old age. They reflected on their interpersonal relationships, failures, and successes in the context of the challenges of schizophrenia. They indicated adapting to schizophrenia, exchanging social support with loved ones, and meeting aging-related challenges with confidence. They were hopeful about brighter personal futures than their pasts. Family and community supports were very important; self-acceptance positively influenced their successful community living. For effective long-term treatment of older adults with schizophrenia, mental health policies should focus on meeting the social needs of patients and families and reorient programs away from the medical model limited to symptom reduction. •Older people with schizophrenia have poor care compared to younger people.•Self-accepting attitudes towards aging and mental illness lead to hope.•Family and social support are essential for older people with schizophrenia.•The life of older adults with schizophrenia was explored using narrative inquiry.