Poloni Nicola, Diurni Marcello, Buzzi Aldo, Cazzamalli Sara, Aletti Francesca, Baranzini Federico, Vender Simone
Riv Psichiatr. 2013 Sep-Oct;48(5):386-92. doi: 10.1708/1356.15065.
Both integration and sealing over have been identified as global, clinically distinct recovery styles from the psychotic illness. The aim of this study was to investigate the correlation between recovery style, symptoms and global functioning in psychotic patients.
106 psychiatric patients in different phases of recovery were studied (no patient at the first episode in our sample). The Integration/Sealing Over Scale, the Recovery Style Questionnaire, the Positive and Negative Syndrome Scale and the Life Skills Profile were completed for all patients; moreover, socio-demographic and clinical data were collected.
A relationship was found between the integrative recovery style and age >45 years (p<0.05), integration and affective disorders (p<0.05), delusions and sealing over (p<0.05).
Although the limited study sample, our findings suggest some predictors of integration which should be taken into consideration to "drive" patients toward an integrative recovery style after an acute psychotic episode.
整合和封闭均被视为精神疾病在临床上截然不同的整体康复方式。本研究旨在调查精神疾病患者康复方式、症状与整体功能之间的相关性。
对106名处于不同康复阶段的精神科患者进行了研究（样本中无首发患者）。所有患者均完成了整合/封闭量表、康复方式问卷、阳性和阴性症状量表以及生活技能概况评估；此外，还收集了社会人口学和临床数据。
发现整合性康复方式与年龄>45岁（p<0.05）、整合与情感障碍（p<0.05）、妄想与封闭（p<0.05）之间存在关联。
尽管研究样本有限，但我们的研究结果提示了一些整合的预测因素，在急性精神病发作后，应考虑这些因素以“引导”患者走向整合性康复方式。
