Longitudinal predictors of subjective recovery in psychosis
Open accessAbstract
Background: Research has highlighted the importance of recovery as defined by the service user, and suggests a link to negative emotion, although little is known about the role of negative emotion in predicting subjective recovery. Aims: To investigate longitudinal predictors of variability in recovery scores with a focus on the role of negative emotion. Method: Participants (n=110) with experience of psychosis completed measures of psychiatric symptoms, social functioning, subjective recovery, depression, hopelessness and self-esteem at baseline and 6 months later. Path analysis was used to examine predictive factors for recovery and negative emotion. Results: Subjective recovery scores were predicted by negative emotion, positive self-esteem and hopelessness, and to a lesser extent by symptoms and functioning. Current recovery score was not predicted by past recovery score after accounting for past symptoms, current hopelessness and current positive self-esteem. Conclusions: Psychosocial factors and negative emotion appear to be the strongest longitudinal predictors of variation in subjective recovery, rather than psychiatric symptoms.
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Sole reduction of symptoms does not necessarily result in higher personal recovery.
“Furthermore, studies have shown that sole reduction of symptoms (i.e. clinical recovery) does not necessarily result in higher personal recovery [6, 7].”
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- Authors
- Law, H., Shryane, N., Bentall, R. P., & Morrison, A. P.
- Affiliations
- University of Liverpool (GB)
- Corresponding author
- Law, Heather
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2016-07
- Volume
- 209
- Issue
- 1
- Pages
- 48-53
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2176616969
- Cited by
- 55
- References
- 42
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 7 · 2021: 5 · 2020: 5 · 2019: 7 · 2018: 4 · 2017: 8 · 2016: 3
- FWCI
- 13.64
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Funders
- National Institute for Health and Care Research (RP-PG-0606-1086)
- 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
- subjective recovery, psychosis, negative emotions, hopelessness, self-esteem, social functioning, depression, longitudinal predictors, psychosocial factors
- MeSH terms
- Patient Reported Outcome Measures, Adolescent, Adult, Emotions, Female, Humans, Longitudinal Studies, Male, Middle Aged, Psychotic Disorders, Self Concept, Young Adult, Hope
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