Recovery from schizophrenia: Results from a 1-year follow-up observational study of patients in symptomatic remission

Bobes, Julio; Ciudad, Antonio; Álvarez, Enric; San, Luís; Polavieja, Pepa; Gilaberte, Inmaculada

doi:10.1016/j.schres.2009.07.003

Cited by 76 publications

(54 citation statements)

References 41 publications

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“…Conflicted terms about recovery on a continuum are present, especially within the medical and psychiatric community, where full or complete recovery indicates a return to a pre-illness level of function with no symptoms of illness present; social recovery connotes an individual who lives with economic independence and little interference in his or her social life (Jacobson, 2004;Ramon et al, 2007). Quantitative studies of recovery within the psychiatric/medical discipline measure frequency of symptoms, medication adherence, and scoring on a variety of functional assessment scales (Bobes et al, 2009;Harrison et al, 2001;Liberman & Kopelowicz, 2002, 2005Mausbach, Moore, Bowie, Cardenas, & Patterson, 2009;Novick, Haro, Suarez, Vieta, & Naber, 2009). Andresen, Caputi, and Oades (2010) concluded that the scales of objective measures for recovery from serious mental illness employed most frequently by psychiatrists do not reflect consumers' perspectives of recovery.…”

Section: Relevance Of Recovery For Serious Mental Illnessmentioning

confidence: 99%

“…There is a dichotomy of views between understanding recovery from the intrinsic view of the person recovering or the extrinsic view of the practitioner treating a patient. This hampers the continued development of the concept of recovery as a process that can only be realized from the emic view of the recoverer (Bobes et al, 2009;Borkin et al, 2000;Jacobson, 2004;Liberman & Kopelowicz, 2005;Mausbach et al, 2009;Novick et al, 2009).…”

Section: Underlying Anxiety Of the Conceptmentioning

confidence: 99%

“…Despite this, the psychiatric and medical literature continues to focus on objective measurement to determine the achievement of recovery (Mausbach et al, 2009;Novick et al, 2009). These quantitative studies consider adequate social functioning on scales such as the Global Assessment of Functioning scale as the determinant of recovery and associate symptomatic remission with the presence of recovery (Bobes et al, 2009). In contrast, the preponderance of studies conducted and published by nurses (Lysaker & Buck, 2008;Noh et al, 2008;Noiseux & Ricard, 2008;Noiseux et al, 2010;Noiseux et al, 2009;Saunders & Byrne, 2002;Tweedell et al, 2004), licensed mental health counselors (Brown & Kandirikirira, 2007;Davidson et al, 2008;G.…”

Section: Answer the Questions Of The Conceptmentioning

confidence: 99%

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Recovery from Serious Mental Illness: A Concept Analysis

Brennaman

Lobo

2011

Issues in Mental Health Nursing

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This paper examines the concept of recovery in the context of serious mental illness. The analysis uses literature from multiple health care disciplines and different uses of "recovery" in every- day language, technical applications, and popular culture. This iterative process concludes with a definition of recovery from serious mental illness: a nonlinear process of self-organization and adaptation that offsets the personal disintegration of mental illness and enables the individual to reconceive his or her sense of self and well-being on all biopsychosocial levels. The relevance of the concept is reevaluated with this definition for potential usage in the mental health care setting.

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Section: Relevance Of Recovery For Serious Mental Illnessmentioning

confidence: 99%

Section: Underlying Anxiety Of the Conceptmentioning

confidence: 99%

Section: Answer the Questions Of The Conceptmentioning

confidence: 99%

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Recovery from Serious Mental Illness: A Concept Analysis

Brennaman

Lobo

2011

Issues in Mental Health Nursing

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“…However, further confirmation of the central role of self-agency can be found in the growing literature on personal (as opposed to clinical) recovery [27,28]. This literature can be broadly divided into the stage perspective, in which recovery is described as a process that unfolds through progressive stages, and the component perspective, in which a set of essential recovery components are thought to contribute to a more global process that is nonlinear [29]. Stage theories of recovery typically begin with the dawning awareness of a more active self, and move through taking stock of oneself and putting oneself into action, to eventually appealing to the self as a safe haven as an alternative to, or in the midst of, disorder [30].…”

Section: Introductionmentioning

confidence: 99%

Modeling Self-Agency among People with Schizophrenia: Empirical Evidence for Consumer-Based Recovery

Chiu

Davidson

et al. 2013

Psychopathology

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Background: Self-agency - the awareness of one's own capacity to make decisions and to engage in deliberate action - is often interfered with or lost during the course of severe mental illness. Most existing literature on self-agency is either of experimental or qualitative nature, and empirical evidence is scanty. Sampling and Methods: This paper draws on a subset of empirical data from a larger recovery study that involved 204 people with schizophrenia in the community. Structural equation models are built to contrast the models with and without the contribution of self-agency. Results: The self-agency factor loads significantly on variables from five major areas of recovery (hope, empowerment, resilience, self-responsibility and self-mastery). Structural equation models show that the incorporation of this self-agency construct has vastly improved the modeling of the adverse effect of stigma on the quality of life of these subjects. The model with self-agency fitted the criteria better, and explained more total variance (increased from 56 to 80%) for the quality of life of these subjects. Conclusions: Cross-sectional empirical findings appear to support the claim that self-agency is an important construct that cuts through many dimensions of recovery. Initial discussions are made on the nature and function of self-agency, and its relations with recovery concepts and components.

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“…The concept of recovery from schizophrenia has evolved over time in several important ways in parallel with a fundamental shift in the field to an interest in a patient’s daily functioning (Andreasen et al, 2005; Harrow and Jobe, 2008; Liberman and Kopelowicz, 2005; Liberman et al, 2002; Nasrallah et al, 2005). Although the concept of recovery has mostly been applied to chronic patients, an increasing number of studies have examined first episode patients (Bobes, 2009; Crumlish et al, 2009; Menezes et al, 2009; Robinson et al, 2004; White et al, 2009; Wunderink et al, 2009). Distinctions between good functional outcome and recovery in first episode schizophrenia studies were not clearly defined, making direct comparisons across studies difficult.…”

Section: Introductionmentioning

confidence: 99%

Remission and recovery during the first outpatient year of the early course of schizophrenia

Ventura¹,

Subotnik²,

Guzik

et al. 2011

Schizophrenia Research

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Background Although in the early course of schizophrenia relapse prevention is of paramount importance, there is an increasing emphasis on establishing and maintaining sustained periods of symptom remission. Recovery in the early course of illness is also possible, although the rates of recovery are lower than for symptom remission. Symptom remission and recovery rates vary considerably across recent-onset schizophrenia studies because of lack of consistency in treatment interventions and in applying operational outcome criteria. Method Patients who were within two years of their first psychotic episode (N=77) who were treated with continuous antipsychotic medication in conjunction with psychosocial interventions (without targeted work rehabilitation) were assessed during the first outpatient year after hospital discharge. Published operational criteria were used to classify symptom remission and recovery. Results The rate of full symptom remission maintained for 6 months was 36%, while the rate of recovery for 6 months was 10%. When the same criteria were applied for a continuous period of one year, 22% of patients were found to achieve symptom remission but only 1% of patients met recovery criteria. Using multivariate prediction, the WAIS Comprehension score was a significant predictor of 6 months of good functional outcome. Conclusions Although some schizophrenia patients can achieve both symptom remission and recovery in the early course of illness, the overall rate of symptom remission during the first post-hospitalization year is much higher than the rate of recovery. This suggests that interventions targeting work and social functioning are likely necessary to raise the chances of recovery. Cognitive factors can be predictive of good functional outcome even in the early course of schizophrenia.

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Recovery from schizophrenia: Results from a 1-year follow-up observational study of patients in symptomatic remission

Cited by 76 publications

References 41 publications

Recovery from Serious Mental Illness: A Concept Analysis

Recovery from Serious Mental Illness: A Concept Analysis

Modeling Self-Agency among People with Schizophrenia: Empirical Evidence for Consumer-Based Recovery

Remission and recovery during the first outpatient year of the early course of schizophrenia

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