Table 3 Themes and subthemes of participants’ subjectively perceived functional impairment (identified with PSYCHLOPS)

[1]

Interpersonal stressors

-Interpersonal problems: others

-Interpersonal concerns: family

Concerns about sister who suffers from depression (f^b, 35)

Ongoing conflicts with roommate (m^c, 18)

1

1

2

[2]

Impairment in activities of daily living

-Listlessness

-Housekeeping

-Childcare

-Dependent on others

Feeling listless to do anything (m, 59)

Reduced ability to keep the house tidy and to cook (m, 22)

Has the feeling it influences her abilities to take care for her children (f, 35)

Needs somebody who accompanies her to appointments (f, 61)

13

11

2

1

27

[3]

Language and learning related problems

-Learning German

-Learning

-Communicating in German

Influences ability to study German (f, 55)

Problems to study for tests in school (m, 23)

Cannot talk to neighbors and others (f, 21)

8

18

2

28

[4]

Mental problems

-Mood problems

-Cognitive problems

-Stress

-Sleep problems

-Withdrawal from social situations

Cannot feel happy; loss of (m, 23)

Forgetfulness (f, 31)

Feeling stressed out when doing things (f, 36)

Problems to fall asleep (m, 21)

Does not want to meet friends; wish to withdraw from others (m, 22)

4

2

4

3

5

18

[5]

Occupation

-Influence on ability to work

-Boredom

-Work-related skills

Lost job because of the problems (m, 39)

Feels constantly bored, because she is not allowed to work (f, 35)

Does not know how to manage her time better (f, 21)

4

1

2

7