Financial problems of people with psychotic disorders: A qualitative FinFit study

Josephien L. Jansen*, Vera Verhage, Lydia Krabbendam, Richard Bruggeman, Janneke Koerts

*Corresponding author for this work

    Research output: Contribution to conferencePosterAcademic

    Abstract

    Aim
    To qualitatively explore people with psychotic disorders’ (PD) perspectives on their financial problems and the causes for these problems.

    Background
    Financial capacity is pivotal for independent living (e.g., grocery shopping, paying bills), and financial incapacity can have far-reaching consequences (e.g., poverty, diminished societal participation, losing financial independence). Finances are a key challenge for people with PD. They often rely on government benefits as their source of income, with approximately one-third of people being unemployed. Sometimes, caregivers or financial guardians have to intervene. Most studies addressing financial problems of people with PD use a quantitative approach. One qualitative study suggests that psychotic experiences interrupted people’s working situation and, therefore, their financial stability. However, scientific literature on this topic is scarce. A broader and richer approach to studying financial problems of people with PD is thus urgently needed.

    Method
    Fourteen people with PD were recruited using purposive sampling. Semi-structured, in-depth interviews were conducted. The Qualitative Analysis Guide of Leuven served as an iterative guide for data-analysis.

    Results
    People with PD face many financial problems, sometimes even triggering psychosis. These are subdivided into four categories: covering expenses, financial management, housing, and conflicts and legal problems. Causes for financial problems consist of seven categories: psychotic vulnerability directly (e.g., due to positive symptoms), indirectly (e.g., due to high healthcare costs), substance use, high costs, overspending, fraud, and a lack of developed financial skills. Categories are illustrated with relevant quotations.

    Conclusions
    People with PD experience various and often multiple financial problems, from having a limited budget to homelessness. This study uniquely describes the wide-ranging causes for these problems, both related and unrelated to psychotic vulnerability. Thus, financial problems of people with PD is an important, complex topic that deserves more clinical and scientific attention. Future studies could focus on perspectives of other stakeholders (e.g. caregivers).
    Original languageEnglish
    Publication statusPublished - 5-Jul-2023
    EventEuropean Congress of Psychology 2023: Psychology: Uniting communities for a sustainable world - Brighton, UK, Brighton, United Kingdom
    Duration: 3-Jul-20236-Aug-2023
    Conference number: 18th
    https://ecp2023.eu/

    Conference

    ConferenceEuropean Congress of Psychology 2023
    Abbreviated titleECP 2023
    Country/TerritoryUnited Kingdom
    CityBrighton
    Period03/07/202306/08/2023
    Internet address

    Keywords

    • Financial problems
    • Financial capacity
    • Psychotic disorders

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