Factors Predicting Response to the Recovery-Oriented Cognitive Behavioural Workshop for Persons Diagnosed with Schizophrenia

Abstract

A recovery-oriented, cognitive behavioural workshop for service users diagnosed with schizophrenia was developed, implemented and evaluated in a pilot study. Further analysis is required regarding factors which contribute to better treatment response, as this will provide useful information for workshop adaptation. Secondary multilevel model analyses were performed to determine whether workshop and booster session attendance, as well as sociodemographic variables such as gender, age, education, and duration of illness, predicted workshop responsiveness. Results showed that completers had lower responsiveness to the workshop in terms of confidence and hope, whereas those who attended an online booster session demonstrated better responsiveness as to psychosocial functioning. Longer duration of illness and older age generally predicted lower intervention responsiveness. In conclusion, adaptations utilising more booster sessions and accommodating older participants with longer duration of illness are required, as is further workshop evaluation in a randomised controlled study.

Relationship between personal recovery, autobiographical memory, and clinical recovery in people with mental illness in the acute phase

“…The results showed that a higher specificity of autobiographical memory was an independent predictor of greater personal recovery in individuals with mental illness. However, age [ [22] , [23] , [24] ], psychiatric symptoms [ [25] , [26] , [27] , [28] ], and neurocognitive function [ 29 , 30 ], which were suggested to be associated in previous studies, were not associated with personal recovery in the present study. Most previous studies on personal recovery involved community-dwelling outpatients in specific disease groups and not inpatients or those with various mental illnesses.…”

“…Personal recovery rate was found to be higher in younger age groups [ 22 , 23 ]. Conversely, older individuals have been reported to be less responsive to interventions for personal recovery [ 24 ]. Moreover, low personal recovery is associated with greater severity of psychiatric symptoms, both in general as well as in each domain, including positive, negative [ 25 ], affective [ 26 ], and depressive [ 27 , 28 ] symptoms.…”

Effectiveness of Recovery-Oriented cognitive therapy on Emotion Recognition and Quality of Life in Patients with Schizophrenia

“…Cognitive therapy based on recovery empirically neutralizes negative beliefs and attitudes while activating each individual's inherent positive attitudes to promote sustainable adaptive living in the community (24). Key components of recovery-oriented cognitive therapy include: regaining hope, empowerment, social connection, having meaning and purpose in life, identity change, regaining responsibility and control, symptom management, and combating stigma (25,26). In line with the effectiveness of this therapeutic approach, findings by Grant et al…”