Recovery style predicts remission at one-year follow-up in outpatients with schizophrenia spectrum disorders.
Open accessAbstract
Although people with schizophrenia use various coping strategies, it is largely unknown how their coping style contributes to remission of the illness. The concept of recovery style-either by sealing over or integrating-reflects an important distinction. We wanted to examine whether recovery style predicts remission at a 1-year follow-up. We examined the recovery style, insight, therapeutic alliance, and symptoms in 103 patients with psychotic disorders. To assess the remission status, the symptoms were measured at 6 and 12 months. Logistic regression analyses were used. Results showed that scoring an extra category toward integration (six categories exist) increased the odds of remission 1.84-fold (95% confidence interval, 1.11 to 3.03). Insight and therapeutic alliance were not predictive. Although remission was also predicted by positive symptom levels at baseline, this did not influence the effect of recovery style. In conclusion, independently of symptom levels, insight, or therapeutic alliance, an integrating recovery style increases the odds of remission at a 1-year follow-up.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Meaning-making styles in psychosis are not static but can change over time.
“meaning-making styles in psychosis are not static but can change over time (58–61).”
From Making meaning of trauma in psychosis (2023) · cites this paper as [60]
A recovery style directed at turning toward and integrating experiences predicts better long-term functioning.
“a recovery style directed at turning toward and integrating experiences predicts better functioning on the long term”
From Making meaning of trauma in psychosis (2023) · cites this paper as [60]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Positive and Negative Syndrome Scale (PANSS) for schizophrenia.
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987) · Schizophrenia Bulletin · doi:10.1093/schbul/13.2.261 · Cited by 21,378 · see citing works
A simulation study of the number of events per variable in logistic regression analysis
Peduzzi, P., Concato, J., Kemper, E., Holford, T. R., & Feinstein, A. R. (1996) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(96)00236-3 · Cited by 9,655 · see citing works
Development and validation of the working alliance inventory
Horvath, A. O., & Greenberg, L. S. (1989) · Journal of Counseling Psychology · doi:10.1037//0022-0167.36.2.223 · Cited by 3,520 · see citing works
Remission in Schizophrenia: Proposed Criteria and Rationale for Consensus
Andreasen, N. C., Carpenter, W. T., Kane, J. M., Lasser, R. A., Marder, S. R., & Weinberger, D. R. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.3.441 · Cited by 2,350 · see citing works
A self‐report Insight Scale for psychosis: reliability, validity and sensitivity to change
Birchwood, M. J., Smith, J., Drury, V., Healy, J., Macmillan, F., & Slade, M. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb01487.x · Cited by 676 · see citing works
(1994) · Medical Entomology and Zoology · Cited by 674 · see citing works
Standardized remission criteria in schizophrenia
van Os, J., Burns, T., Cavallaro, R., Leucht, S., Peuskens, J., Helldin, L., Bernardo, M., Arango, C., Fleischhacker, W., Lachaux, B., et al. (2006) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2005.00659.x · Cited by 285 · see citing works
Iqbal, Z., Birchwood, M., Chadwick, P., & Trower, P. (2000) · British Journal of Psychiatry · doi:10.1192/bjp.177.6.522 · Cited by 226 · see citing works
A new scale (SES) to measure engagement with community mental health services
Tait, L., Birchwood, M. J., & Trower, P. (2002) · Journal of Mental Health · doi:10.1080/09638230020023570-2 · Cited by 226 · see citing works
Predicting engagement with services for psychosis: insight, symptoms and recovery style
Tait, L., Birchwood, M. J., & Trower, P. (2003) · The British Journal of Psychiatry · doi:10.1192/bjp.182.2.123 · Cited by 207 · see citing works
McGlashan, T. H. (1975) · Archives of General Psychiatry · doi:10.1001/archpsyc.1975.01760280067006 · Cited by 189 · see citing works
Tait, L., Birchwood, M. J., & Petertrower (2004) · The British Journal of Psychiatry · doi:10.1192/bjp.185.5.410 · Cited by 185 · see citing works
Therapeutic working relationships with people with schizophrenia: literature review
Hewitt, J., & Coffey, M. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2005.03623.x · Cited by 143 · see citing works
Recovery style from mental illness and long-term outcome.
McGLASHAN, T. H. (1987) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198711000-00006 · Cited by 132 · cited 2× · see citing works
“, 2003), and better long-term functional outcome (McGlashan, 1987).”
BackgroundResultEarly attachment experience and recovery from psychosis
Drayton, M., Birchwood, M. J., & Trower, P. (1998) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1998.tb01385.x · Cited by 121 · see citing works
Petersen, L., Thorup, A. A. E., Øqhlenschlæger, J., Christensen, T. Ø., Jeppesen, P., Krarup, G., Jørrgensen, P., Mortensen, E. L., & Nordentoft, M. (2008) · The Canadian Journal of Psychiatry · doi:10.1177/070674370805301005 · Cited by 110 · see citing works
Predictors of long-term outcome in schizophrenia
Emsley, R. A., Chiliza, B., & Schoeman, R. (2008) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3282f33f76 · Cited by 108 · see citing works
Remission in First-Episode Psychosis
Emsley, R. A., Oosthuizen, P. P., Kidd, M., Koen, L., Niehaus, D. J. H., & Turner, H. J. (2006) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v67n1106 · Cited by 98 · see citing works
Remission and cognitive ability in a cohort of patients with schizophrenia
Helldin, L., Kane, J. M., Karilampi, U., Norlander, T., & Archer, T. (2006) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2006.07.005 · Cited by 84 · see citing works
Recovery style and outcome in first-episode psychosis.
Thompson, K. N., McGorry, P. D., & Harrigan, S. M. (2003) · Schizophrenia Research · doi:10.1016/s0920-9964(02)00428-0 · Cited by 82 · see citing works
Bernard, M. M., Jackson, C., & Jones, C. A. (2006) · British Journal of Clinical Psychology · doi:10.1348/014466505x68933 · Cited by 64 · see citing works
Integrative and Sealing-Over Recoveries from Schizophrenia: Distinguishing Case Studies
McGlashan, T. H., Docherty, J. P., & Siris, S. G. (1976) · Psychiatry · doi:10.1080/00332747.1976.11023903 · Cited by 53 · see citing works
Concerns over reform of the Mental Health Act
Iqbal, F. (2000) · The British Journal of Psychiatry · doi:10.1192/bjp.177.6.563-a · Cited by 52 · see citing works
Tait, A., McNay, L., Gumley, A. I., & O’Grady, M. (2002) · Journal of Mental Health · doi:10.1080/096382301200041551 · Cited by 46 · see citing works
Jäger, M., Schmauß, M., Laux, G., Pfeiffer, H., Naber, D., Schmidt, L., Gäebel, W., Klosterkötter, J., Heuser, I., Maier, W., et al. (2009) · European Psychiatry · doi:10.1016/j.eurpsy.2009.02.005 · Cited by 46 · see citing works
Symptomatic Remission in a Multiracial Urban Population of Older Adults with Schizophrenia
Bankole, A., Cohen, C. I., Vahia, I. V., Diwan, S., Palekar, N., Reyes, P., Sapra, M., & RAMIREZ, P. M. (2008) · American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e31818af801 · Cited by 32 · see citing works
Staring, A. B. P., Mulder, C. L., van der Gaag, M., Selten, J., LOONEN, A. J. M., & Hengeveld, M. W. (2006) · Current Psychiatry Reviews · doi:10.2174/157340006778699738 · Cited by 26 · see citing works
Self-citationCorrelates of Coping Styles in Psychotic Illness
Modestin, J., Soult, J., & Malti, T. (2004) · Psychopathology · doi:10.1159/000079421 · Cited by 20 · see citing works
Integrated Versus Sealed-Over Recovery in Schizophrenia
Bell, M. D., & Zito, W. (2005) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000149212.94261.1e · Cited by 17 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Tarrier N (2001) The use of coping strategies and self-regulation in the treatment of psychosis. In A Morrison (Ed), Casebook of cognitive therapy for psychosis (pp 79Y107). London: Routledge.
Cited by
Sorted by citations
Arnold, C., Villagonzalo, K.-A., Meyer, D., Farhall, J., Foley, F., Kyrios, M., & Thomas, N. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100266 · Cited by 63 · see citing works
“Individuals with a more integrated recovery style may have more positive clinical and functional outcomes (McGlashan, 1987; Staring et al., 2011).”
BackgroundInvestigating the lived experience of recovery in people who hear voices
de Jager, A., Rhodes, P., Beavan, V., Holmes, D., McCabe, K., Thomas, N., McCarthy-Jones, S., Lampshire, D., & Hayward, M. (2016) · Qualitative Health Research · doi:10.1177/1049732315581602 · Cited by 65 · see citing works
Browne, J., Nagendra, A., Kurtz, M., Berry, K., & Penn, D. L. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.05.002 · Cited by 60 · see citing works
Zizolfi, D., Poloni, N., Caselli, I., Ielmini, M., Lucca, G., Diurni, M., Cavallini, G., & Callegari, C. (2019) · Psychology Research and Behavior Management · doi:10.2147/prbm.s205424 · Cited by 37 · see citing works
Making meaning of trauma in psychosis
van Sambeek, N., Franssen, G., van Geelen, S., & Scheepers, F. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1272683 · Cited by 10 · see citing works
- Authors
- Staring, A. B. P., van der Gaag, M., & Mulder, C. L.
- Affiliations
- Altrecht GGZ (NL)
- Erasmus MC (NL)
- Corresponding author
- Staring, Anton B.P.
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2011-05
- Volume
- 199
- Issue
- 5
- Pages
- 295-300
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W1978115494
- Cited by
- 16
- References
- 29
- Citations by year
- 2026: 2 · 2023: 2 · 2021: 4 · 2019: 4 · 2016: 2 · 2015: 1
- FWCI
- 0.22
- Type
- journal article
- Language
- en
- Open access
- green
- research.vu.nl
- Licence
- other-oa
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- VU Research Portal (submittedVersion, other-oa)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- ZonMw
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- schizophrenia spectrum disorders, psychosis, remission, coping strategies, integration, insight, therapeutic relationship, positive symptoms, outpatients
- MeSH terms
- Adaptation, Psychological, Adult, Female, Follow-Up Studies, Humans, Male, Psychiatric Status Rating Scales, Surveys and Questionnaires, Remission Induction, Schizophrenia, Schizophrenic Psychology, Logistic Models, Marital Status
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
