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The complex relationship between self-reported ‘personal recovery’ and clinical recovery in schizophrenia

2017; Elsevier BV; Volume: 192; Linguagem: Inglês

10.1016/j.schres.2017.04.040

1573-2509

Alessandro Rossi, Mario Amore, Silvana Galderisi, Paola Rocca, Alessandro Bertolino, Eugenio Aguglia, Giovanni Amodeo, Antonello Bellomo, Paola Bucci, Antonino Buzzanca, Bernardo Carpiniello, Anna Comparelli, Liliana Dell’Osso, Massimo Di Giannantonio, Marina Mancini, Carlo Marchesi, Palmiero Monteleone, Cristiana Montemagni, Lucio Oldani, Rita Roncone, Alberto Siracusano, Paolo Stratta, Elena Tenconi, Annarita Vignapiano, Antonio Vita, Patrizia Zeppegno, Mario Maj,

Mental Health Treatment and Access

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 clusters. 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 cluster showed positive features of recovery, while the third cluster showed negative features. The second cluster, with the most positive insight, showed a more complex pattern, a somewhat '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.