Psychological/Personal recovery and its correlates in patients with first episode psychosis

被引:1
作者
Laxmi, Raj [1 ]
Sahoo, Swapnajeet [1 ,2 ]
Grover, Sandeep [1 ]
Nehra, Ritu [1 ]
机构
[1] Post Grad Inst Med Educ & Res, Dept Psychiat, Chandigarh, India
[2] Post Grad Inst Med Educ & Res PGIMER, Dept Psychiat, Chandigarh 160012, India
关键词
First episode psychosis; psychological recovery; correlates; 1ST-EPISODE PSYCHOSIS; UNTREATED PSYCHOSIS; SOCIAL SUPPORT; INTERNALIZED STIGMA; MENTAL-ILLNESS; RATING-SCALE; SCHIZOPHRENIA; PREDICTORS; REMISSION; COGNITION;
D O I
10.1177/00207640231164526
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Recovery in psychosis is a multidimensional construct. The numbers of studies specially focusing on the recovery aspects in patients with first episode psychosis (FEP) are limited, with no study from India. Further, no study has looked specifically into the variables that affect recovery process in patients with FEP and little is known about factors which influence recovery in patients with FEP. Aim: To evaluate psychological recovery and its correlates in patients with FEP, currently in clinical remission. Methodology: One hundred three patients of FEP in clinical remission were assessed on Recovery Assessment Scale (RAS), Positive and Negative Syndrome Scale for Schizophrenia, Calgary Depression Rating Scale for Schizophrenia, Negative Symptom Assessment 16, Rosenberg Self-esteem Scale, Social and Occupational Functioning Assessment Scale, the Alcohol, Smoking and Substance Involvement Screening Test, Beck Cognitive Insight Scale, Internalized Stigma of Mental Illness Scale, the Everyday discrimination Scale, Subjective Scale to Investigate Cognition in Schizophrenia and social cognitive deficits in theory of mind was evaluated on the Social Cognition Rating Tools in Indian Setting-Theory of Mind. The needs of the participants were assessed on the Camberwell Assessment of Needs - Research version and Supplemental Assessment of Needs. Coping, social support, medication adherence were also assessed by standardized scales. Results: The mean weighted score was highest for goal and success orientation subscale followed by seeking and relying on social support, personal confidence and hope, overcome the illness and awareness and control over the illness as assessed by 41 items of the RAS. The main factors identified to affect psychological recovery in patients with FEP were duration of untreated psychosis, greater psychopathology, lower self-esteem, total unmet need, feeling of discrimination and stigmatization. Conclusion: The present study suggests that treatment of FEP should be started at the earliest and issues such as residual psychopathology, lower self-esteem, total unmet need, feeling of discrimination and stigma during the remission phase should be addressed by psychosocial interventions to promote psychological recovery in patients with first episode psychosis.
引用
收藏
页码:1354 / 1368
页数:15
相关论文
共 57 条
[1]   A DEPRESSION RATING-SCALE FOR SCHIZOPHRENICS [J].
ADDINGTON, D ;
ADDINGTON, J ;
SCHISSEL, B .
SCHIZOPHRENIA RESEARCH, 1990, 3 (04) :247-251
[2]   Predictors of recovery from psychosis Analyses of clinical and social factors associated with recovery among patients with first-episode psychosis after 5 years [J].
Albert, Nikolai ;
Bertelsen, Mette ;
Thorup, Anne ;
Petersen, Lone ;
Jeppesen, Pia ;
Le Quack, Phoung ;
Krarup, Gertrud ;
Jorgensen, Per ;
Nordentoft, Merete .
SCHIZOPHRENIA RESEARCH, 2011, 125 (2-3) :257-266
[3]  
Ali R, 2002, ADDICTION, V97, P1183
[4]  
American Psychiatric Association, 2022, DIAGN STAT MAN MENT
[5]   Remission in schizophrenia: Proposed criteria and rationale for consensus [J].
Andreasen, NC ;
Carpenter, WT ;
Kane, JM ;
Lasser, RA ;
Marder, SR ;
Weinberger, DR .
AMERICAN JOURNAL OF PSYCHIATRY, 2005, 162 (03) :441-449
[6]  
ANDREASEN NC, 1989, BRITISH JOURNAL OF PSYCHIATRY, VOL 155, SUPP NO. 7, P49
[7]  
Andresen R, 2000, AUST NZ J PSYCHIAT, V34, P856, DOI 10.1080/j.1440-1614.2000.00814.x
[8]   The experience of recovery from schizophrenia: towards an empirically validated stage model [J].
Andresen, R ;
Oades, L ;
Caputi, P .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2003, 37 (05) :586-594
[9]  
[Anonymous], 2016, INDIAN J SOCIAL PSYC, DOI DOI 10.4103/0971-9962.181088
[10]  
Anthony W.A., 1993, PSYCHOSOC REHABIL J, V16, P11, DOI DOI 10.1037/H0095655