The relationship between clinical and personal recovery in patients with schizophrenia spectrum disorders: a systematic review and meta-analysis
Open accessAbstract
Patients describe experiencing personal recovery despite ongoing symptoms of psychosis. The aim of the current research was to perform a meta-analysis investigating the relationship between clinical and personal recovery in patients with schizophrenia spectrum disorders. A comprehensive OvidSP database search was performed to identify relevant studies. Correlation coefficients of the relationship between clinical and personal recovery were retrieved from primary studies. Meta-analyses were performed, calculating mean weighted effect sizes for the association between clinical and personal recovery, hope, and empowerment. Additionally, associations between positive, negative, affective symptoms, general functioning, and personal recovery were investigated. The results show that heterogeneity across studies was substantial. Random effect meta-analysis of the relationship between symptom severity and personal recovery revealed a mean weighted correlation coefficient of r = -.21 (95% CI = -0.27 to -0.14, P < .001). We found the following mean weighted effect size for positive symptoms r = -.20 (95% CI = -0.27 to -0.12, P < .001), negative symptoms r = -.24 (95% CI = -0.33 to -0.15, P < .001), affective symptoms r = -.34 (95% CI = -0.44 to -0.24, P < .001) and functioning r = .21 (95% CI = -0.09 to 0.32, P < .001). The results indicate a significant small to medium association between clinical and personal recovery. Psychotic symptoms show a smaller correlation than affective symptoms with personal recovery. These findings suggest that clinical and personal recovery should both be considered in treatment and outcome monitoring of patients with schizophrenia spectrum disorders.
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Clinical and personal recovery are intrinsically related and can complement each other; optimal provision of services can be achieved by combining the strength of professional's knowledge and epidemiological research, with stakeholder's experience and feedback about their needs.
“Clinical and personal recovery are intrinsically related and can complement each other; optimal provision of services can be achieved by combining the strength of professional's knowledge and epidemiological research, with stakeholder's experience and feedback about their needs (117).”
From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [117]
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- Authors
- Van Eck, R. M., Burger, T. J., Vellinga, A., Schirmbeck, F., & de Haan, L.
- Affiliations
- Arkin Institute for Mental Health, Amsterdam, The Netherlands
- Amsterdam UMC Location University of Amsterdam (NL)
- Arkin (NL)
- Corresponding author
- Vellinga, Astrid
- Venue
- Schizophrenia Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-07-14
- Volume
- 44
- Issue
- 3
- Pages
- 631-642
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- PMC
- PMC5890469
- OpenAlex
- W2734896971
- Cited by
- 260
- References
- 95
- Citations by year
- 2026: 34 · 2025: 34 · 2024: 40 · 2023: 27 · 2022: 36 · 2021: 44 · 2020: 21 · 2019: 14 · 2018: 8
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Schizophrenia Bulletin (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- personal recovery, clinical recovery
- MeSH terms
- Adult, Female, Humans, Male, Middle Aged, Psychotic Disorders, Schizophrenia, Schizophrenic Psychology, Outcome Assessment, Health Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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