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Is clinical insight a determinant factor of subjective recovery in persons living with schizophrenia or schizoaffective disorders?
Galliot, Gaël; Sanchez-Rodriguez, Raquel; Belloc, Alice; Phulpin, Hugo; Icher, Adrien; Birmes, Philippe; Faure, Karine; Gozé, Tudi.
Afiliación
  • Galliot G; Fédération Régionale de Recherche en Psychiatrie et santé mentale Occitanie, FERREPSY Occitanie, EA3051, Toulouse, France; Department of Psychiatry and Medical Psychology, Toulouse University Hospital, Toulouse, France.
  • Sanchez-Rodriguez R; Fédération Régionale de Recherche en Psychiatrie et santé mentale Occitanie, FERREPSY Occitanie, EA3051, Toulouse, France; Centre d'études et de recherches en psychopathologie et psychologie de la santé, Toulouse Universisty - Jean Jaurès, CERPPS EA7411, Toulouse, France; Faculté libre des Lettres e
  • Belloc A; Department of Psychiatry, Psychotherapies, Art Therapy, Toulouse University Hospital, Toulouse, France.
  • Phulpin H; Department of Psychiatry, Psychotherapies, Art Therapy, Toulouse University Hospital, Toulouse, France; Philippe Pinel Psychotherapic Center, Lavaur Hospital Center, Lavaur, France.
  • Icher A; Department of Psychiatry, Psychotherapies, Art Therapy, Toulouse University Hospital, Toulouse, France.
  • Birmes P; Department of Psychiatry, Psychotherapies, Art Therapy, Toulouse University Hospital, Toulouse, France; ToNIC, Toulouse NeuroImaging Center, INSERM U-1214, Toulouse University - Paul Sabatier, Toulouse, France.
  • Faure K; Department of Psychiatry, Psychotherapies, Art Therapy, Toulouse University Hospital, Toulouse, France; Fédération Régionale de Recherche en Psychiatrie et santé mentale Occitanie, FERREPSY Occitanie, EA3051, Toulouse, France.
  • Gozé T; Department of Psychiatry, Psychotherapies, Art Therapy, Toulouse University Hospital, Toulouse, France; Fédération Régionale de Recherche en Psychiatrie et santé mentale Occitanie, FERREPSY Occitanie, EA3051, Toulouse, France; Équipe de recherche sur les rationalités philosophiques et les savoirs, T
Psychiatry Res ; 316: 114726, 2022 10.
Article en En | MEDLINE | ID: mdl-35914446
Good clinical insight is predictive of clinical recovery in schizophrenia (i.e. symptomatic remission and functional improvement). However, the recent subjective recovery paradigm (i.e. the self-identity reconstruction process with and beyond psychosis) questioned the relevance of seeking patients' awareness of their medically-defined illness. This study aimed to assess the relationship between clinical insight and subjective recovery in individuals with psychotic disorders. Sixty-seven outpatients diagnosed with schizophrenia or schizoaffective disorder were assessed for clinical insight using the Scale to assess Unawareness of Mental Disorder (SUMD) and for self-rated subjective recovery using the Recovery Assessment Scale (RAS). Among all dimensions of insight, only the unawareness of current symptoms was significantly associated with RAS total score, with illness duration as the only moderating factor. On the final regression model, unawareness of current symptoms was confirmed as the strongest of six factors explaining all together 44% of the subjective recovery variance, whereas clinical insight taken as an independent multidimensional construct did not significantly participate in explaining subjective recovery. Our study highlights the weak and only partial implication of clinical insight in subjective recovery, and invites clinicians to consider the patients' meaning making process of morbid experiences in order to build a self-directed and medically-supported recovery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Esquizofrenia Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Psychiatry Res Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Irlanda
Texto completo
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Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Esquizofrenia Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Psychiatry Res Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Irlanda