Yu Yu, Zhou Wei, Shen Minxue, Wang Yao, Xiao Shuiyuan, Tebes Jacob Kraemer
Division of Prevention and Community Research, Yale School of Medicine, New Haven, CT, USA.
School of Public Administration, Hunan University, Changsha, Hunan, China.
J Ment Health. 2022 Apr;31(2):263-272. doi: 10.1080/09638237.2021.2022635. Epub 2022 Jan 11.
Recovery from schizophrenia is a multidimensional construct that includes two categories: clinical recovery (symptomatic and functional remission) and personal recovery.
To investigate the overlap between clinical and personal recovery and identify correlates of each.
A cross-sectional study was conducted with 356 people living with schizophrenia and randomly selected from 12 communities in China. Clinical recovery was assessed using both the Brief Psychiatric Rating Scale (BPRS) and the Global Assessment of Functioning (GAF). Personal recovery was assessed using the 8-item Recovery Assessment Scale (RAS). Disability and quality of life were assessed using the WHODAS 2.0 and WHOQOL-BREF-2, respectively.
Our results showed a recovery proportion of 36.52% for clinical recovery (66.57% for symptomatic remission and 40.73% for functional remission), and 17.42% for personal recovery. Only 8.99% of individuals achieved overall recovery (i.e. they met criteria for both clinical and personal recovery), and there was only a modest correlation ( = 0.26) between these two types of recovery. Overall recovery was only correlated with the quality of life (OR = 1.46, 95% CI: 1.05, 2.03), but there were various correlates for clinical recovery and personal recovery separately.
Recovery from schizophrenia involves both clinical and personal recovery, but when examined in the same sample, personal recovery, and thus overall recovery, is less common, particularly among people with schizophrenia in China.
精神分裂症的康复是一个多维度的概念，包括两类：临床康复（症状缓解和功能恢复）和个人康复。
研究临床康复与个人康复之间的重叠情况，并确定每种康复的相关因素。
对356名精神分裂症患者进行了一项横断面研究，这些患者是从中国12个社区中随机选取的。使用简明精神病评定量表（BPRS）和功能总体评定量表（GAF）评估临床康复情况。使用8项康复评定量表（RAS）评估个人康复情况。分别使用世界卫生组织残疾评定量表2.0（WHODAS 2.0）和世界卫生组织生活质量简表（WHOQOL-BREF-2）评估残疾情况和生活质量。
我们的结果显示，临床康复的康复比例为36.52%（症状缓解率为66.57%，功能恢复率为40.73%），个人康复的康复比例为17.42%。只有8.99%的个体实现了全面康复（即他们同时符合临床康复和个人康复的标准），这两种康复类型之间只有适度的相关性（r = 0.26）。全面康复仅与生活质量相关（OR = 1.46，95%CI：1.05，2.03），但临床康复和个人康复分别有各种相关因素。
精神分裂症的康复涉及临床康复和个人康复，但在同一样本中进行检查时，个人康复以及因此的全面康复较少见，在中国精神分裂症患者中尤其如此。
