It is harder for me: A thematic analysis of lived experience of self-care, and its relationship with self-injurious behaviors in psychiatric patients
Self-injury is associated with significant psychological distress and functional impairments, including difficulties with self-care. However, little is known about how individuals engaging in self-injury perceive and manage self-care in their daily lives. This study aimed to explore the lived exper...
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PAGEPress Publications
2025-01-01
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| Series: | Qualitative Research in Medicine & Healthcare |
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| Online Access: | https://www.pagepressjournals.org/qrmh/article/view/12544 |
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| author | Jonas Bjärehed Hanna Grenner Sara Pavlovic Magnus Nilsson |
| author_facet | Jonas Bjärehed Hanna Grenner Sara Pavlovic Magnus Nilsson |
| author_sort | Jonas Bjärehed |
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Self-injury is associated with significant psychological distress and functional impairments, including difficulties with self-care. However, little is known about how individuals engaging in self-injury perceive and manage self-care in their daily lives. This study aimed to explore the lived experiences of self-care among individuals receiving psychiatric treatment for self-injury and to identify factors that support or hinder self-care capacity. Twelve participants were recruited from a psychiatric outpatient clinic and semi-structured interviews were conducted focusing on participants’ perceptions of self-care, its relationship with self-injury, and factors influencing self-care. Reflexive thematic analysis was conducted to identify patterns and themes. The analysis revealed four themes: i) Why should I choose self-care?, highlighting motivational challenges rooted in low selfworth and the need for meaning; ii) Self-care is a difficult choice for me, reflecting how emotional variability, uncertainty about selfcare, and dichotomous thinking hinder decision-making; iii) Selfcare is beyond my control, emphasizing struggles with planning, routines, and the interplay of emotional states and self-care behaviors; and iv) Support can both help and hinder self-care, illustrating the critical yet complex role of external support. Findings highlight the multifaceted challenges individuals face in managing self-care and its intersection with self-injury. Clinical implications include the need for tailored, person-centered interventions that address barriers to self-care. Recognizing the dual role of self-injury—as both a barrier to and a risky form of self-care—may enhance treatment approaches for this population.
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| format | Article |
| id | doaj-art-e9fce5c5b05c469c96aa291081824090 |
| institution | Kabale University |
| issn | 2532-2044 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | PAGEPress Publications |
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| series | Qualitative Research in Medicine & Healthcare |
| spelling | doaj-art-e9fce5c5b05c469c96aa2910818240902025-01-23T10:55:58ZengPAGEPress PublicationsQualitative Research in Medicine & Healthcare2532-20442025-01-018s110.4081/qrmh.2024.12544It is harder for me: A thematic analysis of lived experience of self-care, and its relationship with self-injurious behaviors in psychiatric patientsJonas Bjärehed0Hanna Grenner1Sara Pavlovic2Magnus Nilsson3Department of Psychology, Lund UniversityDepartment of Psychology, Lund UniversityDepartment of Psychology, Lund UniversityDepartment of Clinical Sciences, Psychiatry, Lund University Self-injury is associated with significant psychological distress and functional impairments, including difficulties with self-care. However, little is known about how individuals engaging in self-injury perceive and manage self-care in their daily lives. This study aimed to explore the lived experiences of self-care among individuals receiving psychiatric treatment for self-injury and to identify factors that support or hinder self-care capacity. Twelve participants were recruited from a psychiatric outpatient clinic and semi-structured interviews were conducted focusing on participants’ perceptions of self-care, its relationship with self-injury, and factors influencing self-care. Reflexive thematic analysis was conducted to identify patterns and themes. The analysis revealed four themes: i) Why should I choose self-care?, highlighting motivational challenges rooted in low selfworth and the need for meaning; ii) Self-care is a difficult choice for me, reflecting how emotional variability, uncertainty about selfcare, and dichotomous thinking hinder decision-making; iii) Selfcare is beyond my control, emphasizing struggles with planning, routines, and the interplay of emotional states and self-care behaviors; and iv) Support can both help and hinder self-care, illustrating the critical yet complex role of external support. Findings highlight the multifaceted challenges individuals face in managing self-care and its intersection with self-injury. Clinical implications include the need for tailored, person-centered interventions that address barriers to self-care. Recognizing the dual role of self-injury—as both a barrier to and a risky form of self-care—may enhance treatment approaches for this population. https://www.pagepressjournals.org/qrmh/article/view/12544Self-injuryNSSIself-harmself-careself-care theorythematic analysis |
| spellingShingle | Jonas Bjärehed Hanna Grenner Sara Pavlovic Magnus Nilsson It is harder for me: A thematic analysis of lived experience of self-care, and its relationship with self-injurious behaviors in psychiatric patients Qualitative Research in Medicine & Healthcare Self-injury NSSI self-harm self-care self-care theory thematic analysis |
| title | It is harder for me: A thematic analysis of lived experience of self-care, and its relationship with self-injurious behaviors in psychiatric patients |
| title_full | It is harder for me: A thematic analysis of lived experience of self-care, and its relationship with self-injurious behaviors in psychiatric patients |
| title_fullStr | It is harder for me: A thematic analysis of lived experience of self-care, and its relationship with self-injurious behaviors in psychiatric patients |
| title_full_unstemmed | It is harder for me: A thematic analysis of lived experience of self-care, and its relationship with self-injurious behaviors in psychiatric patients |
| title_short | It is harder for me: A thematic analysis of lived experience of self-care, and its relationship with self-injurious behaviors in psychiatric patients |
| title_sort | it is harder for me a thematic analysis of lived experience of self care and its relationship with self injurious behaviors in psychiatric patients |
| topic | Self-injury NSSI self-harm self-care self-care theory thematic analysis |
| url | https://www.pagepressjournals.org/qrmh/article/view/12544 |
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