The stages of recovery in relation to the other subjective and objective aspects of psychosis. Issue 3 (28th February 2015)

• Record Type: Journal Article
• Authors: Wciórka, Jacek; Świtaj, Piotr; Anczewska, Marta
• Is Part Of: Psychiatry research. Volume 225:Issue 3(2015)
• Page Start: 613
• Page End: 618
• Publication Date: 2015-02-28
• Subjects: Recovery -- Psychosis -- Mental illness -- Outcome -- Personal growth; Psychiatry -- Periodicals; Psychiatry -- periodicals; Psychiatrie -- Périodiques; 616.89
• DOI: 10.1016/j.psychres.2014.11.036
• Languages: English
• ISSNs: 0165-1781

Abstract

Abstract: The Stages of Recovery Instrument (STORI; Andresen et al., 2006 ) was used among 110 patients with psychosis. Recovery stages relationship with attribution, the way of experiencing illness and its phase and symptoms were analyzed. The samples were drawn from treatment facility including in-patient unit. The subgroups of recovering patients were identified: moratorium (27%), awareness (32%), preparation (30%) and rebuilding (11%). The achievement of higher stages of the recovery was correlated with: less severe symptoms of psychosis (with the exception of anxiety and depression, which have no impact on the stages of recovery), medical attribution (I am ill), integrative attitude toward the experience of psychosis, and the absence of involuntary hospitalizations. The logistic regression analysis model indicated the independent significance of the medical attribution, the integrating attitude toward psychotic experience and the remission of symptoms. Other clinical variables and social characteristics did not differentiate between the stages of recovery in any significant way. No juxtaposition as such was found between the processes of recovery and being ill, but rather a complementary relation. Recovery has been found to be enhanced by the remission of psychotic symptoms, medical attribution and integrative attitude toward the experience of psychotic crisis. Highlights: We evaluate recovery stages in relation to different aspects of psychosis. Remission phase correlates with higher stages of recovery. Personal and clinical recoveries are complementary and supportive of one another.