
 
 
 Recovery in psychotic disorder patients is a multidimensional concept that can include personal, symptomatic, societal and functional recovery. Little is known about the associations between personal recovery (PR) and functional recovery (FR). FR involves a person’s ability to recover or compensate for impaired cognition, such as executive functions, and the loss of skills.
 
 
 
 In this cross-sectional study (the UP’S study), we used measures of executive functioning and personal recovery to assess a cohort of people with a psychotic disorder. PR was measured using the Recovering Quality of Life (ReQOL) and Individual Recovery Outcomes (I.ROC). FR was assessed using two forms of assessment. The Behavioral Rating Inventory of Executive Functioning Adult version (BRIEF-A) was used for self-rated executive functioning, and the Tower of London (TOL) for performance-based executive functioning. Regression models were calculated between executive functioning (BRIEF-A and TOL) and PR (ReQOL and I.ROC). Model selection was based on the Wald test.
 
 
 
 The study included data on 260 participants. While total scores of BRIEF-A had a small negative association with those of the ReQOL (β = -0.28, p > 0.001) and the I.ROC (β = -0.41, p >0.001), TOL scores were not significantly associated with the ReQOL scores (β = 0.03, p = 0.76) and the I.ROC scores (β = 0.17, p = 0.17).
 
 
 
 Self-reported EF, which measures the accomplishment of goal pursuit in real life was associated with PR. However, processing efficiency and cognitive control as measured by performance-based EF were not.


/pdf/the-association-between-executive-functioning-and-personal-1h0ulpnq.pdf

The association between executive functioning and personal recovery in people with psychotic disorders


 
 
 Personal recovery has become a key objective in the treatment of clients with a psychotic disorder. So far it has been established that the attachment dimensions, i.e., anxious and avoidant, are negatively associated with subjective well-being, self-esteem and hope. This study is the first to explore whether attachment styles are related to personal recovery in this population.
 
 
 
 To study the effects of anxious and avoidant attachment on personal recovery in a population with a psychotic disorder.
 
 
 
 This cross-sectional study is part of the UP’s multicenter cohort study on recovery from psychotic disorders, in which 265 participants are currently included. Attachment was assessed using the Psychosis Attachment Measure, including the anxious and avoidant attachment dimensions. Personal recovery was measured using the Recovering Quality of Life-10 (ReQOL-10) and the Individual Recovery Outcomes Counter (I.ROC). Regression analysis was used to investigate the effect of attachment on personal recovery.
 
 
 
 We found negative effects of the anxious attachment style on the total scores of the ReQoL-10 (b= -4.54, SE= 0.69, beta= -0.37) and the I.ROC (b= -5.21, SE= 0.89, beta= -0.32). Although there were also negative effects of the avoidant attachment style on the total scores of the ReQoL-10 (b= -3.08, SE= 0,93, beta= -0.18) and the I.ROC (b= -4.24, SE= 1.24, beta= -0.19), these were less pronounced.
 
 
 
 Results show that both forms of insecure attachment (anxious and avoidant) are related to poorer personal recovery in clients with a psychotic disorder.


https://academic.oup.com/schizbullopen/advance-article-pdf/doi/10.1093/schizbullopen/sgad010/49713776/sgad010.pdf

Adult attachment and personal recovery in clients with a psychotic disorder

Mild intellectual disability or borderline intellectual functioning (MID/BIF) are common in people with severe mental health problems (SMHP). Despite this, there is a lack of treatments adapted for this group of clients.This qualitative study describes the development of a new intervention, guided by the principles of action research, for people with SMHP and MID/BIF and mental health professionals to help them talk about all aspects of the process of recovery. The intervention was developed in four cycles and in close cooperation with mental health professionals, experts by experience, other experts in the field of SMHP or MID/BIF, and clients. During all cycles there was a strong focus on the content of the intervention, exercises, understandable language, and drawings for visual support.This resulted in the intervention “Routes to Recovery,” which covers both complaints and strengths, coping strategies, helpful (social) activities, and how to determine future steps in a recovery plan.Routes to Recovery is a first step in helping professionals and their clients with SMHP and MID/BIF to have a conversation about personal strengths and what the client needs to recover. Future research should investigate the effects of this intervention.

Developing a recovery-oriented intervention for people with severe mental illness and an intellectual disability: design-oriented action research

There are many definitions of recovery in mental health. Community Rehabilitation Teams (CRTs) aim to support the mental health recovery of people. The Individual Recovery Outcomes Counter (I.ROC) is a way to measure recovery. To determine if being supported by a CRT helps mental health recovery for people transitioning from an inpatient service to the community. Individual reliable and clinically meaningful change indices were calculated for a total of 31 people. Two I.ROC questionnaires were completed by 31 people. Of these 31 people, 14 people had three completed I.ROC questionnaires. Of the 31 people, 17 showed a positive reliable change and three people made a clinically meaningful change. Of the 14 people, one had a positive reliable change, two had a negative reliable change, and no-one had a clinically meaningful change. The I.ROC shows the CRT to successfully support recovery in people with mental health difficulties. 

/pdf/mental-health-recovery-using-the-individual-recovery-3e6xodcs.pdf

Mental Health Recovery Using the Individual Recovery Outcomes Counter (I.ROC) in a Community Rehabilitation Team: A Service Evaluation

The Social Role Participation Questionnaire (SRPQ) was developed to assess role salience, physical difficulties, and satisfaction with role performance across different domains in patients with arthritis. In this study, the shortened version of the SRPQ was used to evaluate the validity of the questionnaire in patients diagnosed with a psychotic disorder. Data from 298 patients participating in an observational cohort study of recovery processes over time were used to investigated the validity and temporal stability of several indicators of social role participation. Correlations were low between satisfaction with role performance and role salience and between role salience and physical difficulty. More satisfaction corresponded to less physical difficulties. Temporal stability analysis showed no reliable change for sum scores or averaged scores, but a categorical approach showed less role participation for 18.5% of patients whereas 30.4% improved to partial or full social recovery after twelve months. Convergent validity estimates showed moderate associations and concurrent validity was considered adequate: 65% of patients in clinical remission showed partial or full social recovery and personal recovery scores correlated .40 to .45 with role participation indices. We conclude that the s-SRPQ can be used for measuring social recovery in psychiatric patients, in the process of which different indices could be applied. 

Social recovery in psychosis: Evaluating the validity of the short form Social Role Participation Questionnaire (s-SRPQ)

Recovery is a multidimensional concept, including symptomatic, functional, social, as well as personal recovery. The present study aims at exploring psychosocial and biological determinants of personal recovery, and disentangling time-dependent relationships between personal recovery and the other domains of recovery in a sample of people with a psychotic disorder. A cohort study is conducted with a 10-year follow-up. Personal recovery is assessed using the Recovering Quality of Life Questionnaire (ReQoL) and the Individual Recovery Outcomes Counter (I.ROC). Other domains of recovery are assessed by the Positive and Negative Symptom Scale Remission (PANSS-R), the BRIEF-A and the Social Role Participation Questionnaire—Short version (SRPQ) to assess symptomatic, functional and societal recovery, respectively. In addition, multiple biological, psychological, and social determinants are assessed. This study aims to assess the course of personal recovery, and to find determinants and time-dependent relationships with symptomatic, functional and societal recovery in people with a psychotic disorder. Strengths of the study are the large number of participants, long duration of follow-up, multiple assessments over time, extending beyond the treatment trajectory, and the use of a broad range of biological, psychological, and social determinants.

/pdf/up-s-a-cohort-study-on-recovery-in-psychotic-disorder-1cyo5zybel.pdf

UP'S: A Cohort Study on Recovery in Psychotic Disorder Patients: Design Protocol

In the original article, reference (100) was incorrectly written as “de Sonneville L. Amsterdamse neuropsychologische taken: wetenschappelijke en klinische toepassingen. Tijdschr voor Neuropsychol. (2005) 10:27–41”. It should be “Corcoran R, Mercer G, Frith CD. Schizophrenia, symptomatology and social inference: investigating “theory of mind” in people with schizophrenia. Schizophr Res. (1995) 17:5–13.” The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. The original article has been updated.

/pdf/corrigendum-up-s-a-cohort-study-on-recovery-in-psychotic-1l3975ut6p.pdf

Corrigendum: UP'S: A Cohort Study on Recovery in Psychotic Disorder Patients: Design Protocol.

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UP'S: A Cohort Study on Recovery in Psychotic Disorder Patients: Design Protocol

Corrigendum: UP'S: A Cohort Study on Recovery in Psychotic Disorder Patients: Design Protocol.