Van Eck Robin Michael, Jelsma Auke, Blondeel Jelle, Burger Thijs Jan, Vellinga Astrid, de Koning Mariken Beatrijs, Schirmbeck Frederike, Kikkert Martijn, Boyette Lindy-Lou, de Haan Lieuwe
Arkin Institute for Mental Health, Amsterdam, the Netherlands.
Faculty of Social and Behavioural Sciences, University of Amsterdam, Amsterdam, the Netherlands.
J Nerv Ment Dis. 2025 Jan 1;213(1):1-6. doi: 10.1097/NMD.0000000000001809.
This study examined the relationship between change in symptom severity and personal recovery in patients with severe mental illness (SMI). Forty-nine outpatients at Mentrum/Arkin, Amsterdam, the Netherlands, were assessed at baseline and 3 years later, using the Brief Psychiatric Rating Scale and the Mental Health Recovery Measure. Correlation coefficients and linear regression analyses were used. Further, the impact of severity of symptoms at baseline on change in personal recovery was evaluated. Results show that change in symptom severity explained 31.8% of the variance of change in personal recovery. Change in depression/anxiety explained 27.3% of the variance of change in personal recovery. Higher affective symptom severity at baseline significantly predicted positive change in personal recovery. In conclusion, besides change in symptom severity, other potential determinants of personal recovery should be addressed in treatment of patients with SMI, for example, self-esteem and social functioning. Treatment of depression/anxiety symptoms may increase personal recovery.
本研究调查了重症精神疾病（SMI）患者症状严重程度的变化与个人康复之间的关系。在荷兰阿姆斯特丹的门特鲁姆/阿金，对49名门诊患者在基线时和3年后进行了评估，使用了简明精神病评定量表和心理健康康复量表。采用了相关系数和线性回归分析。此外，还评估了基线时症状严重程度对个人康复变化的影响。结果表明，症状严重程度的变化解释了个人康复变化方差的31.8%。抑郁/焦虑的变化解释了个人康复变化方差的27.3%。基线时较高的情感症状严重程度显著预测了个人康复的积极变化。总之，除了症状严重程度的变化外，在治疗重症精神疾病患者时，还应关注个人康复的其他潜在决定因素，例如自尊和社会功能。治疗抑郁/焦虑症状可能会促进个人康复。
