Recovery from schizophrenia: is it possible?

@article{Vita2018RecoveryFS,
  title={Recovery from schizophrenia: is it possible?},
  author={Antonio Vita and Stefano Barlati},
  journal={Current Opinion in Psychiatry},
  year={2018},
  volume={31},
  pages={246–255}
}
Purpose of review Schizophrenia has a heterogeneous range of end states, from severe cases requiring repeated hospitalization to cases in which a single illness episode is followed by complete remission. The purpose of the present review is to examine recent literature on recovery in schizophrenia, focusing on the predictive factors and on the possibility to achieve it. Recent findings Roughly half of schizophrenia patients recovered or significantly improved over the long term, suggesting that… Expand
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    References

    SHOWING 1-10 OF 104 REFERENCES
    Is Recovery from Schizophrenia Possible? An Overview of Concepts, Evidence, and Clinical Implications
    TLDR
    Empirical research indicates that while many with schizophrenia experience significant bouts of disability more people experience long periods of relatively good functioning, including symptom remission, healthy levels of self-esteem, and meaningful community participation. Expand
    Operational criteria and factors related to recovery from schizophrenia
    Schizophrenia is often conceptualized by clinicians and researchers alike as a chronic illness with persisting, relapsing or deteriorating symptoms, and no hope for sustained remission and recovery… Expand
    The concepts of remission and recovery in schizophrenia
    TLDR
    The RSWG remission criteria are easy to apply and define an achievable and desirable treatment goal, but measures of social and occupational functional outcome, quality of life and cognitive status need to be further developed and standardized before remission and recovery criteria can be more broadly defined. Expand
    Toward a terminology for functional recovery in schizophrenia: is functional remission a viable concept?
    TLDR
    The concept of clinical remission, the possibility of remission of other generally stable features of schizophrenia such as negative symptoms, and some heuristic terminological recommendations are evaluated. Expand
    Remission in schizophrenia: proposed criteria and rationale for consensus.
    TLDR
    The first consensus-based operational criteria for symptomatic remission in schizophrenia are based on distinct thresholds for reaching and maintaining improvement, as opposed to change criteria, allowing for alignment with traditional concepts of remission in both psychiatric and nonpsychiatric illness. Expand
    Rehabilitation Interventions to Promote Recovery from Schizophrenia: A Systematic Review
    TLDR
    All psychosocial rehabilitation interventions should be considered as evidence-based practices for schizophrenia and need to become a major part of the standard treatment of the disease. Expand
    Why are the outcomes in patients with schizophrenia so poor?
    • R. Zipursky
    • Psychology, Medicine
    • The Journal of clinical psychiatry
    • 2014
    TLDR
    Results from longitudinal studies of brain structure, cognitive functioning, and clinical outcomes do not support the view that schizophrenia is a progressive brain disease and that poor access to treatment, engagement in ongoing care, poor treatment response, and poor adherence are to blame. Expand
    Redefining outcome measures in schizophrenia: integrating social and clinical parameters
    TLDR
    It is argued that the outcome measures should be multidimensional and consist of at least two parameters: clinical remission and social outcome and the concept of recovery be carefully defined and the gold standard of outcome should incorporate social and clinical parameters. Expand
    Recovery and Wellness Amidst Schizophrenia: Definitions, Evidence, and the Implications for Clinical Practice
    TLDR
    It is concluded that although many with schizophrenia experience significant challenges linked with illness over time, more people than not experience meaningful periods of relative wellness. Expand
    Progress in Defining Optimal Treatment Outcome in Schizophrenia
    TLDR
    A medical-based model, centred on pharmacotherapy and symptom resolution, has given way to a re-conceptualization of schizophrenia and treatment goals, and a recovery model is now embraced that is seen as a process, multidimensional and individualized, rather than dichotomous and symptom driven. Expand
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