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A Comparison of Personal Recovery in Adults with Early Psychosis and Prolonged Schizophrenia.
Psicothema ( IF 3.2 ) Pub Date : 2022-02-01 , DOI: 10.7334/psicothema2021.142
Helena García-Mieres 1 , Paul Lysaker , Bethany L Leonhardt
Affiliation  

BACKGROUND We aimed to investigate whether personal recovery levels differ between those in early vs prolonged phases of psychosis and if there are different associations with objective outcomes of recovery (i.e., symptom severity and level of functioning). METHOD Participants included 131 patients with early psychosis and 83 patients with prolonged psychosis. The Recovery Assessment Scale was used to assess personal recovery in both samples. The MIRECC-GAF and the CGI-S were used as measures of objective recovery in the early psychosis group. The PANSS and QoL scales were used as measures of objective recovery in the prolonged psychosis group. RESULTS People with early psychosis reported better personal recovery scores in all domains, except willingness to ask for help, compared to individuals with prolonged psychosis. Markers of objective recovery were not correlated with personal recovery in the early psychosis sample but were significantly correlated in the prolonged sample. Depressive symptoms were negatively correlated with personal recovery in the prolonged psychosis group. CONCLUSIONS The relationship between personal and objective recovery may change over time and be dependent on the phase of an individual's illness. In addition, as individuals experience dysfunction over time, they may be more likely to become demoralized and experience lesser degrees of personal recovery.

中文翻译:

成人早期精神病和长期精神分裂症的个人康复比较。

背景 我们旨在调查精神病早期和长期阶段的个体恢复水平是否不同,以及是否与恢复的客观结果(即症状严重程度和功能水平)存在不同的关联。方法 参与者包括 131 名早期精神病患者和 83 名长期精神病患者。恢复评估量表用于评估两个样本的个人恢复情况。MIRECC-GAF 和 CGI​​-S 被用作早期精神病组客观康复的衡量标准。PANSS 和 QoL 量表被用作长期精神病组客观恢复的衡量标准。结果 与长期患有精神病的人相比,患有早期精神病的人在所有领域的个人康复得分都更高,但寻求帮助的意愿除外。客观康复的标志物与早期精神病样本中的个人康复无关,但在长期样本中显着相关。在长期精神病组中,抑郁症状与个人康复呈负相关。结论 个人康复与客观康复之间的关系可能会随着时间而改变,并取决于个人疾病的阶段。此外,随着时间的推移,随着个人经历功能障碍,他们可能更有可能变得士气低落,并且经历的个人康复程度较低。结论 个人康复与客观康复之间的关系可能会随着时间而改变,并取决于个人疾病的阶段。此外,随着时间的推移,随着个人经历功能障碍,他们可能更有可能变得士气低落,并且经历的个人康复程度较低。结论 个人康复与客观康复之间的关系可能会随着时间而改变,并取决于个人疾病的阶段。此外,随着时间的推移,随着个人经历功能障碍,他们可能更有可能变得士气低落,并且经历的个人康复程度较低。
更新日期:2022-01-21
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