INFORMATION

Psicothema was founded in Asturias (northern Spain) in 1989, and is published jointly by the Psychology Faculty of the University of Oviedo and the Psychological Association of the Principality of Asturias (Colegio Oficial de Psicólogos del Principado de Asturias).
We currently publish four issues per year, which accounts for some 100 articles annually. We admit work from both the basic and applied research fields, and from all areas of Psychology, all manuscripts being anonymously reviewed prior to publication.

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  • Director: José Muñiz
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A Comparison of Personal Recovery in Adults with Early Psychosis and Prolonged Schizophrenia

Helena García-Mieres1, Paul Lysaker2, and Bethany L. Leonhardt3

1 Centro Investigación Biomédica en Red Salud Mental, CIBERSAM (Barcelona),
2 Richard L. Roudebush VA Medical Center, Indianapolis (United States), and
3 Sandra Eskenazi Mental Health Center, Prevention and Recovery Center, Indianapolis (United States)

Background: We aimed to investigate whether personal recovery levels differ between those in early vs prolonged phases of psychosis and if there are different associations with objective outcomes of recovery (i.e., symptom severity and level of functioning). Method: Participants included 131 patients with early psychosis and 83 patients with prolonged psychosis. The Recovery Assessment Scale was used to assess personal recovery in both samples. The MIRECC-GAF and the CGI-S were used as measures of objective recovery in the early psychosis group. The PANSS and QoL scales were used as measures of objective recovery in the prolonged psychosis group. Results: People with early psychosis reported better personal recovery scores in all domains, except willingness to ask for help, compared to individuals with prolonged psychosis. Markers of objective recovery were not correlated with personal recovery in the early psychosis sample but were significantly correlated in the prolonged sample. Depressive symptoms were negatively correlated with personal recovery in the prolonged psychosis group. Conclusions: The relationship between personal and objective recovery may change over time and be dependent on the phase of an individual’s illness. In addition, as individuals experience dysfunction over time, they may be more likely to become demoralized and experience lesser degrees of personal recovery.

Comparación de la Recuperación Personal de Adultos con Psicosis Temprana y Prolongada. Antecedentes: nuestro objetivo fue investigar si los niveles de recuperación personal difieren entre pacientes que se encuentran en la fase temprana y prolongada de la psicosis y si existen diferentes asociaciones con medidas de recuperación objetiva. Método: 131 pacientes con psicosis temprana y 83 pacientes con psicosis prolongada. La escala RAS fue utilizada para evaluar la recuperación personal en ambas muestras. El MIRECC-GAF y el CGI-S fueron las medidas de recuperación objetiva en el grupo de psicosis temprana. Las escalas PANSS y QoL fueron las medidas de recuperación objetiva en el grupo de psicosis prolongada. Resultados: las personas con psicosis temprana informaron mejores puntuaciones de recuperación personal en todos los dominios, excepto en la disposición a pedir ayuda, comparados el grupo de psicosis prolongada. Los marcadores de recuperación objetiva no se correlacionaron con la recuperación personal en la muestra de psicosis temprana. Los síntomas depresivos se correlacionaron negativamente con la recuperación personal en el grupo de psicosis prolongada. Conclusiones: la relación entre recuperación personal y objetiva puede cambiar con el tiempo y depender de la fase del trastorno psicótico. A medida que las personas experimentan disfunción con el tiempo es más probable que se desmoralicen y experimenten un menor grado de recuperación personal.

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