1 Mentrum, part of Arkin Institute for Mental Health, Amsterdam, The Netherlands.
2 Department of Psychiatry, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Int J Soc Psychiatry. 2018 Sep;64(6):521-527. doi: 10.1177/0020764018784610. Epub 2018 Jul 11.
Clinical recovery is often defined as remission of symptoms. Personal recovery is described as growing beyond the catastrophic effects of mental illness, sometimes despite ongoing symptoms.
To examine the relationship between the severity of clinical symptom domains and personal recovery in patients with severe mental illness (SMI).
Symptom severity and personal recovery of 105 outpatients with SMI at Mentrum, part of Arkin Institute for Mental Health in Amsterdam, the Netherlands, were assessed using the Brief Psychiatric Rating Scale-Expanded Version (BPRS-E) and the Mental Health Recovery Measure (MHRM). Correlation and regression analyses were used to investigate the associations.
The multiple regression analysis showed that only affective symptoms significantly predicted personal recovery, whereas neither positive nor negative symptom severity added to the explained variance in the model.
The association between affective symptoms and personal recovery in patients with SMI implies that treatment of affective symptoms may advance personal recovery, and/or support of personal recovery may improve mood, whereas focussing on treatment of psychotic symptoms might not be the key to personal recovery. More research is needed to elucidate causal interrelations.
临床康复通常被定义为症状的缓解。个人康复被描述为在精神疾病的灾难性影响下成长，有时尽管症状仍在持续。
研究严重精神疾病（SMI）患者的临床症状严重程度与个人康复之间的关系。
使用扩展版Brief Psychiatric Rating Scale（BPRS-E）和Mental Health Recovery Measure（MHRM）评估了荷兰阿姆斯特丹 Arkin 心理健康研究所 Mentrum 的 105 名 SMI 门诊患者的症状严重程度和个人康复情况。采用相关分析和回归分析来探讨相关性。
多元回归分析表明，只有情感症状显著预测了个人康复，而阳性和阴性症状的严重程度均未增加模型中的可解释方差。
SMI 患者情感症状与个人康复之间的关联表明，治疗情感症状可能会促进个人康复，并且/或者个人康复的支持可能会改善情绪，而专注于治疗精神病性症状可能不是个人康复的关键。需要进一步研究以阐明因果关系。
