Self-reported 'personal recovery' and clinical recovery in schizophrenia (SRPR and CR. respectively) reflect different perspectives in schizophrenia outcome, not necessarily concordant with each other and usually representing the consumer's or the therapist's point of view. By means of a cluster analysis on SRPR related variables, we identified three dusters. The first and third cluster included subjects with the best and the poorest clinical outcome respectively. The second cluster was characterized by better insight, higher levels of depression and stigma, lowest self-esteem and personal strength, and highest emotional coping. The first duster showed positive features of recovery, while the third duster showed negative features. The second cluster, with the most positive insight, showed a more complex pattern, a some-what 'paradoxical' mixture of positive and negative personal and clinical features of recovery. The present results suggest the need for a characterization of persons with schizophrenia along SRPR and CR dimensions to design individualized and integrated treatment programs aimed to improve insight and coping strategies, reduce stigma and shape recovery styles. (C) 2017 Elsevier B.V. All rights reserved.
The complex relationship between self-reported 'personal recovery' and clinical recovery in schizophrenia / Rossi A.; Amore M.; Galderisi S.; Rocca P.; Bertolino A.; Aguglia E.; Amodeo G.; Bellomo A.; Bucci P.; Buzzanca A.; Carpiniello B.; Comparelli A.; Dell'Osso L.; di Giannantonio M.; Mancini M.; Marchesi C.; Monteleone P.; Montemagni C.; Oldani L.; Roncone R.; Siracusano A.; Stratta P.; Tenconi E.; Vignapiano A.; Vita A.; Zeppegno P.; Maj M.; Rossetti M.C.; Rossi R.; Santarelli V.; Giusti L.; Malavolta M.; Salza A.; Palumbo D.; Patriarca S.; Chieffi M.; Attrotto M.T.; Colagiorgio L.; Andriola I.; Atti A.R.; Barlati S.; Deste G.; Galluzzo A.; Pinna F.; Deriu L.; Sanna L.; Signorelli M.S.; Minutolo G.; Cannavo D.; Martinotti G.; Acciavatti T.; Corbo M.; Altamura M.; Carnevale R.; Malerba S.; Murri M.B.; Calcagno P.; Bugliani M.; Serati M.; de Bartolomeis A.; Gramaglia C.; Gattoni E.; Gambaro E.; Collantoni E.; Cremonese C.; Rossi E.; Ossola P.; Tonna M.; De Panfilis C.; Rutigliano G.; Gesi C.; Carmassi C.; Biondi M.; Girardi P.; Brugnoli R.; Di Fabio F.; Di Pietro S.; Girardi N.; Niolu C.; Di Lorenzo G.; Ribolsi M.; Corrivetti G.; Pinto G.; Longobardi N.; Fagiolini A.; Goracci A.; Bolognesi S.; Bellino S.; Villari V.; Bracale N.. - In: SCHIZOPHRENIA RESEARCH. - ISSN 0920-9964. - STAMPA. - 192:(2018), pp. 108-112. [10.1016/j.schres.2017.04.040]
The complex relationship between self-reported 'personal recovery' and clinical recovery in schizophrenia
Atti A. R.;
2018
Abstract
Self-reported 'personal recovery' and clinical recovery in schizophrenia (SRPR and CR. respectively) reflect different perspectives in schizophrenia outcome, not necessarily concordant with each other and usually representing the consumer's or the therapist's point of view. By means of a cluster analysis on SRPR related variables, we identified three dusters. The first and third cluster included subjects with the best and the poorest clinical outcome respectively. The second cluster was characterized by better insight, higher levels of depression and stigma, lowest self-esteem and personal strength, and highest emotional coping. The first duster showed positive features of recovery, while the third duster showed negative features. The second cluster, with the most positive insight, showed a more complex pattern, a some-what 'paradoxical' mixture of positive and negative personal and clinical features of recovery. The present results suggest the need for a characterization of persons with schizophrenia along SRPR and CR dimensions to design individualized and integrated treatment programs aimed to improve insight and coping strategies, reduce stigma and shape recovery styles. (C) 2017 Elsevier B.V. All rights reserved.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
