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P03-82 - Recovery styles after the first episode of psychosis

Published online by Cambridge University Press:  17 April 2020

O. Vallina-Fernández ,
P. Fernández-Iglesias ,
S. Alonso-Bada ,
C. Pedrejón-Molino ,
P. García-Pelayo  and
S. Lemos-Giráldez
O. Vallina-Fernández
Affiliation:
Psychiatry, Sierrallana Hospital, Torrelavega, Oviedo, Spain
P. Fernández-Iglesias
Affiliation:
Psychology, University of Oviedo, Oviedo, Spain
S. Alonso-Bada
Affiliation:
Psychiatry, Sierrallana Hospital, Torrelavega, Oviedo, Spain
C. Pedrejón-Molino
Affiliation:
Psychiatry, Sierrallana Hospital, Torrelavega, Oviedo, Spain
P. García-Pelayo
Affiliation:
Psychiatry, Sierrallana Hospital, Torrelavega, Oviedo, Spain
S. Lemos-Giráldez
Affiliation:
Psychology, University of Oviedo, Oviedo, Spain

Abstract

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Recovery from a psychotic episode is a dynamic process after the devastating effects of being diagnosed with a serious mental illness, or the trauma of being hospitalized, rather than a cure or the absence of symptoms. Psychological recovery implies finding and maintaining hope, the reestablishment of a positive identity, finding meaning in life, and taking responsibility for one's life.

Objective

The stages of the subjective psychological process of recovery after the first psychotic episode were explored; since psychological functioning, as well as symptoms and social functioning in the critical period probably are the most important long-term outcome predictor variables.

Methods

The RSQ (Drayton, et al., 1998) and the STORI (Andresen, et al., 2006) were used to assess 30 patients (72.4% males) recovering from the first episode of a non-affective psychosis, 3 to 9 months after their clinical discharge. The mean age was 24.34 (SD=4.5, range=17-34).

Results

The RSQ stages of recovery were: Tendency toward sealing-over (7.7%), Mixed, sealing-over predominates (42.3%), Mixed, integration predominates (38.5%), and Tendency toward integration (11.5%). The STORI stages of recovery were: Moratorium (11.5%), Awareness (31.0%), Preparation (27.0%), Rebuilding (11.5%), and Growth (19.0%). Significant correlations were found between better recovery stages and patient's adherence to treatment (X2 = 9.579, p = 0.008). Correlations between recovery stages and symptoms, neuropsychological functioning, and other variables were also explored.

Conclusions

Recovery styles of Integration and Growth significantly correlate with treatment adherence, a better symptomatic (less negative and general symptoms) and functional recovery, but not with DUP, stigma, or neuropsychological variables.

Type
Psychotic disorders / Schizophrenia
Information
European Psychiatry , Volume 25 , Issue S1: 18th European Congress of Psychiatry. February 27, March 2, 2010 - Munich, Germany , 2010 , 25-E1192
Copyright
Copyright © European Psychiatric Association 2010
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