The complex relationship between self-reported 'personal recovery' and clinical recovery in schizophrenia

Schizophrenia Research
Alessandro RossiItalian Network for Research on Psychoses

Abstract

Self-reported 'personal recovery' and clinical recovery in schizophrenia (SRPR and CR, respectively) reflect different perspectives in schizophrenia outcome, not necessarily concordant with each other and usually representing the consumer's or the therapist's point of view. By means of a cluster analysis on SRPR-related variables, we identified three clusters. The first and third cluster included subjects with the best and the poorest clinical outcome respectively. The second cluster was characterized by better insight, higher levels of depression and stigma, lowest self-esteem and personal strength, and highest emotional coping. The first cluster showed positive features of recovery, while the third cluster showed negative features. The second cluster, with the most positive insight, showed a more complex pattern, a somewhat 'paradoxical' mixture of positive and negative personal and clinical features of recovery. The present results suggest the need for a characterization of persons with schizophrenia along SRPR and CR dimensions to design individualized and integrated treatment programs aimed to improve insight and coping strategies, reduce stigma, and shape recovery styles.

Citations

Mar 3, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Ryan K McBainM Audrey Burnam
Apr 12, 2020·Community Mental Health Journal·Kübra İpçiMehmet B Gürcan
Mar 18, 2020·Frontiers in Psychiatry·Rodolfo RossiGiorgio Di Lorenzo
Sep 29, 2020·The International Journal of Social Psychiatry·Seher KaşliKerime Bademli
Nov 27, 2021·Early Intervention in Psychiatry·Stephen F AustinJesper Dam

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