Overlap and Mutual Distinctions Between Clinical Recovery and Personal Recovery in People With Schizophrenia in a One-Year Study.
clinical recovery
full recovery
personal recovery
psychosocial treatment
schizophrenia
Journal
Schizophrenia bulletin
ISSN: 1745-1701
Titre abrégé: Schizophr Bull
Pays: United States
ID NLM: 0236760
Informations de publication
Date de publication:
01 03 2022
01 03 2022
Historique:
pubmed:
1
11
2021
medline:
15
3
2022
entrez:
31
10
2021
Statut:
ppublish
Résumé
Recovery is a multidimensional construct that can be defined either from a clinical perspective or from a consumer-focused one, as a self-broadening process aimed at living a meaningful life beyond mental illness. We aimed to longitudinally examine the overlap and mutual distinctions between clinical and personal recovery. Of 1239 people with schizophrenia consecutively recruited from the FondaMental Advanced Centers of Expertise for SZ network, the 507 present at one-year did not differ from those lost to follow-up. Clinical recovery was defined as the combination of clinical remission and functional remission. Personal recovery was defined as being in the rebuilding or in the growth stage of the Stages of Recovery Instrument (STORI). Full recovery was defined as the combination of clinical recovery and personal recovery. First, we examined the factors at baseline associated with each aspect of recovery. Then, we conducted multivariable models on the correlates of stable clinical recovery, stable personal recovery, and stable full recovery after one year. At baseline, clinical recovery and personal recovery were characterized by distinct patterns of outcome (i.e. better objective outcomes but no difference in subjective outcomes for clinical recovery, the opposite pattern for personal recovery, and better overall outcomes for full recovery). We found that clinical recovery and personal recovery predicted each other over time (baseline personal recovery for stable clinical recovery at one year; P = .026, OR = 4.94 [1.30-23.0]; baseline clinical recovery for stable personal recovery at one year; P = .016, OR = 3.64 [1.31-11.2]). In short, given the interaction but also the degree of difference between clinical recovery and personal recovery, psychosocial treatment should target, beyond clinical recovery, subjective aspects such as personal recovery and depression to reach full recovery.
Identifiants
pubmed: 34718808
pii: 6414220
doi: 10.1093/schbul/sbab114
pmc: PMC8886587
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
382-394Investigateurs
F Berna
(F)
E Haffen
(E)
M Leboyer
(M)
P M Llorca
(PM)
F Schürhoff
(F)
V Barteau
(V)
S Bensalem
(S)
O Godin
(O)
H Laouamri
(H)
K Souryis
(K)
M Leboyer
(M)
B Pignon
(B)
F Schürhoff
(F)
J Petrucci
(J)
G Wahiche
(G)
E Bourguignon
(E)
A Szöke
(A)
B Aouizerate
(B)
A Deloge
(A)
D Misdrahi
(D)
E Vilà
(E)
O Blanc
(O)
I Chéreau
(I)
H Denizot
(H)
R M Honciuc
(RM)
D Lacelle
(D)
P M Llorca
(PM)
S Pires
(S)
C Dubertret
(C)
J Mallet
(J)
C Portalier
(C)
N Coulon
(N)
M Faraldo
(M)
F Gabayet
(F)
S Leignier
(S)
C Roman
(C)
G Chesnoy-Servanin
(G)
T D'Amato
(T)
J M Dorey
(JM)
R Rey
(R)
A Vehier
(A)
C Lançon
(C)
C Faget
(C)
E Metairie
(E)
P Peri
(P)
F Vaillant
(F)
L Boyer
(L)
G Fond
(G)
F Berna
(F)
P Vidailhet
(P)
A Zinetti-Bertschy
(A)
D Capdevielle
(D)
M André
(M)
T Michel
(T)
A Garbisson
(A)
C Belmonte
(C)
T Dubois
(T)
S Esselin
(S)
M Jarroir
(M)
C Passerieux
(C)
M Urbach
(M)
Informations de copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.
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