Clinical Global Impression−Schizophrenia Scale

Haro, JM; Kamath, Shanta; Ochoa, S.; Novick, Diego; Rele, Kiran; Fargas, Arnau; Rodríguez, Martha Juliana; Rele, Ruta; Orta, J.; Kharbeng, A.; Araya, S; Gervin, M.; Alonso, Jordi; Mavreas, Venetsanos; Lavrentzou, E; Liontos, N.; Gregor, Karl J.; Jones, P.; Kristensen, Karsten Haderup; Lépine, Jean‐Pierre; Gasquet, Isabelle; Murray, Declan; Pancheri, P.; Slooff, C. J.; Teixeira, João Marques; Croudace, Tim; Knapp, Martín

doi:10.1037/t49685-000

Cited by 6 publications

(5 citation statements)

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“…The Clinical Global Impression-Schizophrenia Scale (CGI-SCH; Haro et al (2003) was administered to evaluate positive, negative, cognitive and depressive symptoms and overall severity in schizophrenia. The CGI-SCH has two categories: severity of illness and degree of change.…”

Section: Methodsmentioning

confidence: 99%

Inflexibility processes as predictors of social functioning in chronic psychosis

et al. 2020

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Within the context of a transdiagnostic perspective, the Psychological Inflexibility (PI) construct refers to rigid attempts to control undesirable private events at the expense of value-guided actions. Given the framework of PI as a construct associated with poor recovery and social functioning in people with psychosis, the main objective was to explore the role of two processes related to inflexibility (experiential avoidance, -EA-, and self-concealment) in predicting social functioning. The study sample of 103 patients with chronic psychosis was administered the Acceptance and Action Questionnaire-II, the Self Concealment Scale, and the Social Functioning Scale as the main measures. The differential weight of insight and clinical impression, also associated with social functioning, was analyzed by regression analysis. The results showed that private experiences led to rigid patterns of PI in people with psychosis and that the process that best predicted social functioning in these patients was EA, which explained 21.6% of the variance. EA, chronicity and global clinical impression together explained 35.2% of the variance. These results contribute to progress in understanding the role of PI in psychosis, as well as associated factors. The use of strategies facilitating acceptance, and not elimination of psychotic experiences, may be a possible strategy for addressing the impaired daily functioning of these patients.

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Section: Methodsmentioning

confidence: 99%

Inflexibility processes as predictors of social functioning in chronic psychosis

et al. 2020

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“…In addition, socio-demographic variables [age, gender, first or multiple episode(s) of psychosis, diagnosis (affective versus non-affective psychosis)] were collected at the time of admission to the IC concept. Clinical outcome variables, such as level of functioning [Global Assessment of Functioning Scale (GAF); American Psychiatric Association, 2000], symptom burden [Brief Psychiatric Rating Scale (BPRS); Overall and Gorham, 1962], and severity of illness [Clinical Global Impressions Scale-Schizophrenia (CGI-S); Haro et al, 2003] were also recorded through the simultaneous regular evaluation.…”

Section: Assessments and Measuresmentioning

confidence: 99%

Service users’ perceptions of relevant and helpful components of an integrated care concept (ACCESS) for psychosis

Rohenkohl,

Sowada,

Lambert

et al. 2023

Front. Psychol.

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IntroductionPsychotic disorders have a significant impact on patients’ lives and their families, and long-term treatment with individually tailored multimodal combinations of therapies is often required. Integrated care (IC) concepts such as the “Hamburg Model (ACCESS)” with a focus on psychotic disorders, includes different (therapeutic) components with pharmaco- and psychotherapy, family involvement, home treatment and the option of using a 24/7 crisis hotline. All components are offered by a therapeutically-oriented assertive community treatment (TACT) team in a need-adapted manner. So far, however, little is known about which specific components are regarded as especially relevant and helpful by the users of IC.MethodsPatients currently participating in IC completed a questionnaire as part of the continuous quality assurance study (ACCESS II) in which they were asked to rate the different components of treatment according to their relevance and helpfulness, considering the individual’s unique experiences with IC and needs in mental health care. Furthermore, they were asked to make suggestions regarding additional helpful components of treatment.ResultsFifty patients participated in this survey (23% of the patients currently participating in the IC concept). For participants, the most helpful and important factors were having the same therapist in the long-term and the 24/7 crisis telephone. Additional components suggested by patients included more addiction-specific therapies and increased focus on vocational rehabilitation and integration.ConclusionFrom the perspective of the users of IC, long-term care from a trusted therapist with whom there is a therapeutic relationship and the possibility to reach someone they already know from the TACT team 24/7 serves as the best basis for effective care, fostering trust, understanding, and open communication. In contrast, home treatment remains a relevant aspect of evidence-based care for people with severe mental illness, but perhaps surprisingly, is not viewed as the most important issue.

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“…The PANSS looks very similar; clinicians rate patients from 0 (absent) to 6 (extreme) on a variety of positive symptoms (e.g., delusions, hallucinatory behavior, grandiosity), negative symptoms (e.g., blunted affect, poor rapport, lack of spontaneity and flow of conversation), as well as general psychopathological symptoms (e.g., somatic concern, motor retardation, poor attention, poor impulse control) (Kay et al, 1987). The CGI scale for schizophrenia (CGI-SCH), used in the context of interventional trials, asks clinicians to assess how severe the illness is (from "not at all" to "among the most extremely ill patients") and how improved the patient is (from "very much improved" to "very much worse"), each according to five categories (positive symptoms, negative symptoms, depressive symptoms, cognitive symptoms, and overall severity) (Haro et al, 2003).…”

Section: What Is Worth Measuring? Meaning Mysticism and Symptomsmentioning

confidence: 99%

Psychosis and psychedelics: Historical entanglements and contemporary contrasts

Friesen

2022

Transcult Psychiatry

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Experiences of psychedelics and psychosis were deeply entangled in scientific practices in the mid-20th century, from uses of psychedelic drugs that could model psychosis, to detailed phenomenological comparisons of endogenous and drug-induced madness. After the moral panic of the 1960s shut down psychedelic research, however, these two phenomena became disentangled. In the decades following, the science of psychosis transformed, shedding the language of psychoanalysis, and adopting the new scientific veneer of psychiatry. Today, as psychedelic science re-emerges, the research programs surrounding psychosis and psychedelics now stand in stark contrast. Here, I look closely at how these research programs respond to questions related to what is worth measuring, what is worth investigating, and how we ought to respond to these experiences. This comparison reveals radically different assumptions and values that guide each research paradigm and shape clinical practice. While psychedelic research often includes scales that seek to capture experiences of mysticism, meaningfulness, and ego dissolution, research related to psychosis focuses on the measurement of pathological symptoms and functioning. Research into psychosis primarily seeks universal and reductionist causal explanations and interventions, while psychedelic research embraces the importance of set and setting in shaping unique experiences. Responses to psychedelic crisis involve warmth, compassion, and support, while responses to psychotic experiences often involve restraint, seclusion, and weapons. I argue that these differences contain important lessons for psychiatry. However, as psychedelic research struggles to meet regulatory requirements and fit within the paradigm of evidence-based medicine, these differences may quickly dissolve.

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Clinical Global Impression−Schizophrenia Scale

Cited by 6 publications

References 0 publications

Inflexibility processes as predictors of social functioning in chronic psychosis

Inflexibility processes as predictors of social functioning in chronic psychosis

Service users’ perceptions of relevant and helpful components of an integrated care concept (ACCESS) for psychosis

Psychosis and psychedelics: Historical entanglements and contemporary contrasts

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