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Insight and recovery in schizophrenic patients.
- Source :
-
International Journal of Psychiatry in Clinical Practice . Jun2016, Vol. 20 Issue 2, p83-90. 8p. - Publication Year :
- 2016
-
Abstract
- Objective: To investigate the correlation between insight and recovery in schizophrenic patients according to criteria for both symptomatic and functional remission.Methods: Seventy patients affected by paranoid schizophrenia were recruited and treated with olanzapine, risperidone, aripiprazole, haloperidol and ziprasidone; visits were scheduled at baseline, 12 and 36 months. We administered PANSS (Positive and Negative Syndrome Scale), GAF (Global Assessment of Functioning), SF-36 (Short Form 36 Health Survey), PGWBI (Psychological General Well-Being index) and SAI (Schedule for the Assessment of Insight).Results: After 1 year, 50% of the subjects obtained symptom remission and 25.5% had adequate social functioning for 2 years or more. Only 12% of subjects met full recovery criteria for 2 years or longer. The recovery group also showed an improvement in insight levels, especially patients treated with second-generation antipsychotics (SGA). Recovery was predicted by female sex, higher age, SGA treatment, pre-morbid social adaptation and low level of negative symptoms at baseline.Conclusions: Only a small proportion of schizophrenic patients achieved recovery, therefore greater patient’s insight could have prognostic validity in terms of treatment outcome. More sensitive instruments and a larger sample are necessary to confirm these results. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SCHIZOPHRENIA
*AGE distribution
*ANTIPSYCHOTIC agents
*CONVALESCENCE
*HEALTH surveys
*PARANOIA
*PSYCHOLOGICAL tests
*RISPERIDONE
*SEX distribution
*SOCIAL adjustment
*TIME
*OLANZAPINE
*TREATMENT effectiveness
*HALOPERIDOL
*ZIPRASIDONE
*ARIPIPRAZOLE
*DESCRIPTIVE statistics
*SECOND-generation antidepressants
*PROGNOSIS
DRUG therapy for schizophrenia
Subjects
Details
- Language :
- English
- ISSN :
- 13651501
- Volume :
- 20
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- International Journal of Psychiatry in Clinical Practice
- Publication Type :
- Academic Journal
- Accession number :
- 114607202
- Full Text :
- https://doi.org/10.3109/13651501.2016.1141960