ebooks logo journals logo reference works logo abstract databases logo
bullet  SIGN IN Register | Why Register? | Got a Voucher? alerts   marked lists   shopping cart 
Advert: Informa Healthcare - http://www.informahealthcare.com

informaworld

HOME   |   SEARCH   |   BROWSE
    Issues List       Latest Issue       Forthcoming Articles       Volume 14 Issue 4       Subscribe       Article       References       Related articles      
<< firstfirst   < prevprev   Table of contentstoc   next >next   last >>last
Publisher Logo Publication Cover
Search within this journal

Multiple dimensions of recovery in early psychosis 

Authors: D. Whitehorn;  J. Brown;  J. Richard;  Q. Rui; L. Kopala
DOI: 10.1080/0954026021000016914
Publication Frequency: 6 issues per year
Published in: journal International Review of Psychiatry, Volume 14, Issue 4 November 2002 , pages 273 - 283
Subject: Psychiatry;
Number of References: 49
Formats available: PDF (English)
Article Requests: Order Reprints : Request Permissions
View Article: View Article (PDF) View Article (PDF)


Abstract

Recovery is a complex individual process that unfolds over time and involves multiple dimensions. We propose operational criteria for defining recovery in five symptom dimensions and two functional dimensions including an overall functional dimension that we characterize as 'return to the life line'. The multi-dimensional model was used to organize the results gathered from 103 clients, not previously treated with antipsychotic medications, who enrolled in the Nova Scotia Early Psychosis Program and completed one year of treatment for schizophrenia or a related psychotic disorder.The subjects were assessed with the Positive and Negative Syndrome Scale (PANSS), the Global Assessment of Function scale (GAF) and the Social and Occupational Functional Assessment scale (SOFA) prior to starting antipsychotic medication and again at six and 12 months of treatment. After one year of treatment, 67% of subjects met our criterion for symptomatic recovery (no relevant PANSS item greater than 'mild') for both positive and negative symptoms. Forty-two percent met the recovery criteria for all five symptom dimensions. Most of the symptom improvement occurred during the first six months of treatment. At one year, 50% of subjects met our criterion (SOFA greater than 60) for overall functional recovery ('return to the life line'). Operational criteria can be applied to ratings from commonly used standardized scales to determine the percentages of clients achieving recovery in multiple symptom and functional dimensions. For clients completing the first year of treatment in an early psychosis program, approximately half achieve recovery in all dimensions.
view references (49)
Bookmark with:
  • CiteULike
  • Del.icio.us
  • BibSonomy
  • Connotea
  • More bookmarks
Privacy Policy | Terms & Conditions | Accessibility | RSS
FAQs in: English . Français . Español . 中文(简体和繁體)
© 2009 Informa plc