Relationships over time of subjective and objective elements of recovery in persons with schizophreni.
Recovery from schizophrenia involves both subjective elements such as self-appraised wellness and objective elements such as symptom remission. Less is known about how they interact. To explore this issue, this study examined the relationship over the course of 1 year of four assessments of symptoms with four assessments of self-reports of subjective aspects of recovery. Participants were 101 outpatients with schizophrenia. Symptoms were assessed with the Positive and Negative Syndrome Scale (PANSS) while subjective recovery was assessed with the Recovery Assessment Scale (RAS). Separate Pearson's or Spearman's rank's correlation coefficients, calculated at all four measurement points, revealed the total symptom score was linked with lower levels of overall self-recovery at all four measurement points. The PANSS emotional discomfort subscale was linked with self-reported recovery at all four measurement points. RAS subscales linked to PANSS total symptoms at every time point were Personal confidence and hope, Goal and success orientation, and No domination by symptoms. Results are consistent with conceptualizations of recovery as a complex process and suggest that while there may be identifiably different domains, changes in subjective and objective domains may influence one another.
Unit for Psychiatric Research, Aalborg University Hospital - Psychiatry, Denmark.
Rikke
R
Jørgensen
Research Unit Women׳s and Children׳s Health, the Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Vibeke
V
Zoffmann
Department M, Aarhus University Hospital, Risskov, Denmark.
Povl
P
Munk-Jørgensen
Roudebush Veteran Affairs Medical Center, Indianapolis, IN, USA.
Kelly D
KD
Buck
Unit for Psychiatric Research, Aalborg University Hospital - Psychiatry, Denmark.
Signe O W
SO
Jensen
Department of Health Science, Lund University, Lund, Sweden.
Lars
L
Hansson
Roudebush Veteran Affairs Medical Center, Indianapolis, IN, USA; Indiana University School of Medicine, Indianapolis, IN, USA. Electronic address: plysaker@iupui.edu.
Paul H
PH
Lysaker
D000328:Adult; D000368:Aged; D005260:Female; D065026:Hope; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012074:Remission Induction; D012559:Schizophrenia / Q000175:diagnosis / Q000628:therapy*; D012565:Schizophrenic Psychology; D012649:Self Concept; D057566:Self Report; D063189:Symptom Assessment; D016896:Treatment Outcome; D055815:Young Adult
Depression; Outcome; Psychosis; Recovery; Schizophrenia; Symptoms