The Relationship Between Clinical and Personal Recovery in Patients With Schizophrenia Spectrum Disorders: A Systematic Review and Meta-analysis
Autor: | Robin Michael Van Eck, Frederike Schirmbeck, Thijs J Burger, Astrid Vellinga, Lieuwe de Haan |
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Přispěvatelé: | ANS - Complex Trait Genetics, ANS - Mood, Anxiety, Psychosis, Stress & Sleep, Graduate School, Adult Psychiatry, APH - Mental Health |
Rok vydání: | 2017 |
Předmět: |
Adult
Male medicine.medical_specialty Psychosis Outcome monitoring Correlation 03 medical and health sciences 0302 clinical medicine Internal medicine Outcome Assessment Health Care medicine Humans In patient business.industry Middle Aged Random effects model medicine.disease 030227 psychiatry Psychiatry and Mental health Psychotic Disorders Schizophrenia Meta-analysis Female Schizophrenic Psychology business 030217 neurology & neurosurgery Regular Articles Clinical psychology Schizophrenia spectrum |
Zdroj: | Schizophrenia bulletin, 44(3), 631-642. Oxford University Press |
ISSN: | 1745-1701 0586-7614 |
Popis: | Patients describe experiencing personal recovery despite ongoing symptoms of psychosis. The aim of the current research was to perform a meta-analysis investigating the relationship between clinical and personal recovery in patients with schizophrenia spectrum disorders. A comprehensive OvidSP database search was performed to identify relevant studies. Correlation coefficients of the relationship between clinical and personal recovery were retrieved from primary studies. Meta-analyses were performed, calculating mean weighted effect sizes for the association between clinical and personal recovery, hope, and empowerment. Additionally, associations between positive, negative, affective symptoms, general functioning, and personal recovery were investigated. The results show that heterogeneity across studies was substantial. Random effect meta-analysis of the relationship between symptom severity and personal recovery revealed a mean weighted correlation coefficient of r = −.21 (95% CI = −0.27 to −0.14, P < .001). We found the following mean weighted effect size for positive symptoms r = −.20 (95% CI = −0.27 to −0.12, P < .001), negative symptoms r = −.24 (95% CI = −0.33 to −0.15, P < .001), affective symptoms r = −.34 (95% CI = −0.44 to −0.24, P < .001) and functioning r = .21 (95% CI = −0.09 to 0.32, P < .001). The results indicate a significant small to medium association between clinical and personal recovery. Psychotic symptoms show a smaller correlation than affective symptoms with personal recovery. These findings suggest that clinical and personal recovery should both be considered in treatment and outcome monitoring of patients with schizophrenia spectrum disorders. |
Databáze: | OpenAIRE |
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