Identifying factors strongest associated with clinical, societal and personal recovery in people with psychosis with a long duration of illness

Stynke Castelein*, PHAMOUS investigators, Ellen Visser, Maarten F Brilman, Klaas J Wardenaar, Jojanneke Bruins

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

11 Downloads (Pure)

Abstract

INTRODUCTION: Most studies on recovery of psychotic disorders focus on first-episode populations using premorbid and baseline data to predict recovery. However, many patients experience a long duration of illness and many factors are dynamic and change during life.

AIMS: To investigate factors strongest associated with clinical, societal and personal recovery, and recovery change scores in people with a long duration of illness using current data measured at the same assessment.

METHODS: Least absolute shrinkage and selection operator regression analyses with cross-validation were used to identify the correlates of (changes in) clinical (N = 1054), societal (N = 1145) and personal recovery (N = 1187) in people with psychotic disorders. Subsequently, the identified associated factors were included in separate linear regression models, examining the associative strength of the identified variables and overall fit of the models.

RESULTS: Better clinical recovery was associated with better societal and personal recovery, experiencing fewer problems with daily functioning and social relations. Participants had a better societal recovery when they were employed, had fewer problems in daily life, less negative symptoms, had a life partner and better clinical recovery. Personal recovery was associated with greater satisfaction with life in general, no depressive mood and increased clinical recovery. Change scores were small with minimal fluctuation and no significant associations with change scores were detected.

CONCLUSIONS: Recovery domains strongly influence each other in people with a long illness duration of psychosis and should therefore have an equally important focus during treatment.

Original languageEnglish
Article number152540
Number of pages7
JournalComprehensive Psychiatry
Volume136
Early online date28-Oct-2024
DOIs
Publication statusE-pub ahead of print - 28-Oct-2024

Keywords

  • recovery
  • psychosis

Fingerprint

Dive into the research topics of 'Identifying factors strongest associated with clinical, societal and personal recovery in people with psychosis with a long duration of illness'. Together they form a unique fingerprint.

Cite this