Stressful life events preceding the first onset of psychosis. An explorative study.

The aim of the study was to investigate the frequency and types of psychologically stressful life events preceding first episode psychoses. In a defined urban area, all first-episode psychosis patients aged 18-45, without signs of organic brain disorder or heavy abuse, were investigated and followed-up during 2-3 years. In the majority of cases, significant releasing factors could be depicted. The need to understand the specific, private meaning of the preceding events is illustrated by case vignettes. A stressful life situation may not be regarded as the "cause" of the psychosis but as a more or less important boosting factor. This is a complicated interaction between biological and psychological vulnerability factors. It seems important that the patients after the acute phase are given opportunities to talk about the events and how to manage them in the future.