A scientific agenda for the concept of recovery as it applies to schizophrenia

Silverstein, Steven M.; Bellack, Alan S.

doi:10.1016/j.cpr.2008.03.004

Cited by 291 publications

(235 citation statements)

References 126 publications

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“…This is an interesting finding, given the strong consumer literature against focusing on symptom measurement. It demonstrates that reduction of symptoms remains an important focus for treatment, provided it takes place within a recovery-oriented context, as highlighted by Silverstein and Bellack (2008). The positive relationship consistently found between the client-rated K-10 and recovery raises the issue of whether the consumer ratings are reliable.…”

Section: Discussionmentioning

confidence: 94%

“…For example, Resnick and colleagues also found that severity of symptoms was not related to hope, the core of the recovery process. It is therefore important to ensure that the achievement of traditional treatment goals is in fact facilitating psychological recovery (Silverstein and Bellack, 2008). To that end, outcome measurement, evaluation studies and research should include assessment of the subjective experience of recovery, as it has been described by consumers.…”

Section: Introductionmentioning

confidence: 99%

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Do clinical outcome measures assess consumer-defined recovery?

Andresen

Caputi

Oades

2010

Psychiatry Research

186

163

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There is an international call for mental health services to become recovery-oriented, and also to use evidence based practices. Addressing this call requires recovery-oriented measurement of outcomes and service evaluation.Mental health consumers view recovery as leading as meaningful life, and have criticised traditional clinical measures for being too disability-oriented. This study compares three measures of consumer-defined recovery fromenduring mental illness: the Recovery Assessment Scale, the Mental Health Recovery Measure and the Self-Identified Stage of Recovery, with four conventional clinical measures. Correlational analyses supported the convergent validity of the recovery measures, although certain subscaleswere unrelated to each other. More importantly, little relationship was found between consumer-defined recovery and the clinical measures. Analyses of variance revealed that scores on the recovery measures increased across self-identified stage of recovery, but scores onmost clinicalmeasures did not improve consistently across stage of recovery. The findings demonstrate the qualitative difference between the two types of measures, supporting the claim by consumers that clinical measures do not assess important aspects of recovery. There is a need for further research and refinement of recovery measurement, including assessment of stages of recovery, with the aimof including such measures as an adjunct in routine clinical assessment, service evaluation and research. © 2010 Elsevier Ireland Ltd. All rights reserved.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Do clinical outcome measures assess consumer-defined recovery?

Andresen

Caputi

Oades

2010

Psychiatry Research

186

163

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“…Moreover, this study showed that higher spiritual well-being might indirectly affect QOL at baseline through an impact on service satisfaction. For this reason, recovery-oriented interventions (Silverstein and Bellack, 2008) delivered in RFs should include the assessment of cultural factors, such as religion and spirituality, that have been found easy to incorporate in usual clinical settings …”

Section: Longitudinal Findingsmentioning

confidence: 99%

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

Lanfredi

Candini

Buizza

et al. 2014

Psychiatry Research

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a b s t r a c tQuality of life (QOL) has been considered an important outcome measure in psychiatric research and determinants of QOL have been widely investigated. We aimed at detecting predictors of QOL at baseline and at testing the longitudinal interrelations of the baseline predictors with QOL scores at a 1-year follow-up in a sample of patients living in Residential Facilities (RFs). Logistic regression models were adopted to evaluate the association between WHOQoL-Bref scores and potential determinants of QOL. In addition, all variables significantly associated with QOL domains in the final logistic regression model were included by using the Structural Equation Modeling (SEM). We included 139 patients with a diagnosis of schizophrenia spectrum. In the final logistic regression model level of activity, social support, age, service satisfaction, spiritual well-being and symptoms' severity were identified as predictors of QOL scores at baseline. Longitudinal analyses carried out by SEM showed that 40% of QOL follow-up variability was explained by QOL at baseline, and significant indirect effects toward QOL at follow-up were found for satisfaction with services and for social support. Rehabilitation plans for people with schizophrenia living in RFs should also consider mediators of change in subjective QOL such as satisfaction with mental health services.

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“…Although we have witnessed a change in the intervention paradigm (with different techniques being used with different objectives) and some different outcomes have emerged in efficacy studies (such as symptom believability, quality of life), nevertheless the majority of studies are still focused on objective aspects of recovery such as symptom reduction (e.g., Perich, Manicavasagar, Mitchell, Ball, & Hadzi-Pavlovic, 2013;White et al, 2011), diminishing symptom impact (e.g., Bach & Hayes, 2002;Williams et al, 2008), and functioning (e.g., social, work -which can be conceptualized as a reflection of psychosocial deficits or goals, also an objective aspect of recovery according to Silverstein & Bellack, 2008;e.g., Chien & Lee, 2013;Davis et al, 2015).…”

Section: Clinical and Outcome-related Issuesmentioning

confidence: 99%

Contextual Cognitive-Behavioral Therapies Across the Psychosis Continuum

Martins

Castilho

Carvalho

et al. 2017

European Psychologist

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Considering several etiologic, therapeutic, and comorbidity-related factors, a psychosis continuum model has been proposed for the understanding and treatment of psychotic disorders. Within the new emerging treatment approaches, Contextual Cognitive-Behavioral Therapies (CCBT) seem to hold promise for the psychosis continuum. However, considering their novelty for this specific population, the quality of efficacy evidence remains unclear. Objective: To examine, critically analyze, and summarize the results from studies based on therapeutic models within the CCBT approach (Mindfulness and Acceptance-based interventions, Compassion-Focused Therapy, Dialectical Behavior Therapy, and Metacognitive Therapy) for patients with a diagnosis within the psychosis continuum (schizophrenia, schizoaffective disorder, bipolar disorder). Methods: Three leading electronic databases (MEDLINE/PUBMED; PsycINFO; Cochrane Library), a grey literature database (OpenGrey), and registered clinical trials (ClinicalTrials.Gov) were searched using combinations of key terms regarding the CCBT models and the diagnosis considered.Reference lists of the relevant studies and reviews were searched. Only Randomized Controlled Trials (RCTs) were included. The "Cochrane Risk of Bias Assessment Tool" was used for quality assessment.Results: A total of 17 articles were included. This review was based on a majority of unclear or low risk of bias studies. Benefits regarding clinical variables such as psychotic symptoms, anxiety and depression,

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A scientific agenda for the concept of recovery as it applies to schizophrenia

Cited by 291 publications

References 126 publications

Do clinical outcome measures assess consumer-defined recovery?

Do clinical outcome measures assess consumer-defined recovery?

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

Contextual Cognitive-Behavioral Therapies Across the Psychosis Continuum

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