title: Loss and grief in patients with schizophrenia: on living in another world.
abstract: OBJECTIVE
  Schizophrenia enormously impacts the lives of the patients who have this psychiatric disorder. This study addresses the lived experience of grief in schizophrenia.
  
  
  METHODS
  A qualitative study based on the grounded theory was designed. Ten patients were interviewed in depth on their feelings of loss and ways of coping.
  
  
  RESULTS
  All respondents experienced significant feelings of loss. Internal and external losses were distinguished. Respondents dealt with their losses by accepting their diagnosis and treatment, identifying with other patients, learning about schizophrenia, and searching for meaning.
  
  
  CONCLUSIONS
  Respondents were able to identify their significant losses and verbalize the accompanied feelings. They went through an intensive grieving process that to a certain extent led to coming to terms. During the interviews, the presence of grief was evident, whereas clinical depression was excluded.
  
  
  CONCLUSIONS
  Interventions may be improved by the following factors: (a) optimal assessment and treatment of symptoms; (b) adequate information about symptoms, treatment and its effects, and prognosis; (c) opportunities to identify with other patients; (d) strengthening of social support; and (e) a relationship of trust with care providers based on an accepting attitude.
authors.affiliation: Support and Psychosis Programme of the Mental Health Care Unit GGNet in Zevenaar, The Netherlands. m.mauritz@ggnet.nl
authors.forename: Maria
authors.initials: M
authors.lastname: Mauritz
authors.forename: Berno
authors.initials: B
authors.lastname: van Meijel
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D003071:Cognition; D017281:Cost of Illness; D003717:Denial, Psychological; D004651:Employment / Q000523:psychology; D005260:Female; D006117:Grief; D006801:Humans; D007398:Interpersonal Relations; D007899:Leisure Activities / Q000523:psychology; D008297:Male; D008960:Models, Psychological; D015404:Nursing Methodology Research; D011568:Psychiatric Nursing; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology; D012559:Schizophrenia / Q000451:nursing / Q000517:prevention & control*; D012565:Schizophrenic Psychology; D012649:Self Concept; D012934:Social Isolation / Q000523:psychology; D011795:Surveys and Questionnaires; D035501:Uncertainty