Functional recovery in patients with schizophrenia: recommendations from a panel of experts

emission and encompasses multiple aspects of the patient's life, making it difficult to settle on a definition and to develop reliable assessment criteria. In this consensus process based on a panel of experts in schizophrenia, we aimed to provide useful insights on functional recovery and its...

Descripción completa

Detalles Bibliográficos
Autores: Lahera, Guillermo, Gálvez, José L., Sánchez Gómez, Pedro María, Martínez Roig, Miguel, Pérez Fuster, J. V., García Portilla, María Paz, Herrera, Berta, Roca, Miquel
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universidad del País Vasco
Repositorio:Addi. Archivo Digital para la Docencia y la Investigación
OAI Identifier:oai:addi.ehu.eus:10810/32343
Acceso en línea:http://hdl.handle.net/10810/32343
Access Level:acceso abierto
Palabra clave:schizophrenia
functional recovery
psychosocial therapy
antipsychotic agents
follow-up
schizoaffective disorder
1st-episode psychosis
maintenance treatment
negative symptoms
family treatment
dose reduction
people
id ES_2dae6c8fddd545177bdcf528adb5f827
oai_identifier_str oai:addi.ehu.eus:10810/32343
network_acronym_str ES
network_name_str España
repository_id_str
spelling Functional recovery in patients with schizophrenia: recommendations from a panel of expertsLahera, GuillermoGálvez, José L.Sánchez Gómez, Pedro MaríaMartínez Roig, MiguelPérez Fuster, J. V.García Portilla, María PazHerrera, BertaRoca, Miquelschizophreniafunctional recoverypsychosocial therapyantipsychotic agentsfollow-upschizoaffective disorder1st-episode psychosismaintenance treatmentnegative symptomsfamily treatmentdose reductionpeopleemission and encompasses multiple aspects of the patient's life, making it difficult to settle on a definition and to develop reliable assessment criteria. In this consensus process based on a panel of experts in schizophrenia, we aimed to provide useful insights on functional recovery and its involvement in clinical practice and clinical research. Methods: After a literature review of functional recovery in schizophrenia, a scientific committee of 8 members prepared a 75-item questionnaire, including 6 sections: (I) the concept of functional recovery (9 items), (II) assessment of functional recovery (23 items), (III) factors influencing functional recovery (16 items), (IV) psychosocial interventions and functional recovery (8 items), (V) pharmacological treatment and functional recovery (14 items), and (VI) the perspective of patients and their relatives on functional recovery (5 items). The questionnaire was sent to a panel of 53 experts, who rated each item on a 9-point Liken scale. Consensus was achieved in a 2-round Delphi dynamics, using the median (interquartile range) scores to consider consensus in either agreement (scores 7-9) or disagreement (scores 1-3). Items not achieving consensus in the first round were sent back to the experts for a second consideration. Results: After the two recursive rounds, consensus was achieved in 64 items (85.3%): 61 items (81.3%) in agreement and 3 (4.0%) in disagreement all of them from section II (assessment of functional recovery). Items not reaching consensus were related to the concepts of functional recovery (1 item, 13%), functional assessment (5 items, 6.7%), factors influencing functional recovery (3 items, 4.0%), and psychosocial interventions (2 items, 5.6%). Conclusions: Despite the lack of a well-defined concept of functional recovery, we identified a trend towards a common archetype of the definition and factors associated with functional recovery, as well as its applicability in clinical practice and clinical research.This project was funded by Janssen. The funding body participated in study design and data interpretation.Biomed Central201920192018info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10810/32343reponame:Addi. Archivo Digital para la Docencia y la Investigacióninstname:Universidad del País VascoIngléshttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-018-1755-2info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/3.0/es/This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Atribución 3.0 Españaoai:addi.ehu.eus:10810/323432026-06-18T09:23:17Z
dc.title.none.fl_str_mv Functional recovery in patients with schizophrenia: recommendations from a panel of experts
title Functional recovery in patients with schizophrenia: recommendations from a panel of experts
spellingShingle Functional recovery in patients with schizophrenia: recommendations from a panel of experts
Lahera, Guillermo
schizophrenia
functional recovery
psychosocial therapy
antipsychotic agents
follow-up
schizoaffective disorder
1st-episode psychosis
maintenance treatment
negative symptoms
family treatment
dose reduction
people
title_short Functional recovery in patients with schizophrenia: recommendations from a panel of experts
title_full Functional recovery in patients with schizophrenia: recommendations from a panel of experts
title_fullStr Functional recovery in patients with schizophrenia: recommendations from a panel of experts
title_full_unstemmed Functional recovery in patients with schizophrenia: recommendations from a panel of experts
title_sort Functional recovery in patients with schizophrenia: recommendations from a panel of experts
dc.creator.none.fl_str_mv Lahera, Guillermo
Gálvez, José L.
Sánchez Gómez, Pedro María
Martínez Roig, Miguel
Pérez Fuster, J. V.
García Portilla, María Paz
Herrera, Berta
Roca, Miquel
author Lahera, Guillermo
author_facet Lahera, Guillermo
Gálvez, José L.
Sánchez Gómez, Pedro María
Martínez Roig, Miguel
Pérez Fuster, J. V.
García Portilla, María Paz
Herrera, Berta
Roca, Miquel
author_role author
author2 Gálvez, José L.
Sánchez Gómez, Pedro María
Martínez Roig, Miguel
Pérez Fuster, J. V.
García Portilla, María Paz
Herrera, Berta
Roca, Miquel
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv schizophrenia
functional recovery
psychosocial therapy
antipsychotic agents
follow-up
schizoaffective disorder
1st-episode psychosis
maintenance treatment
negative symptoms
family treatment
dose reduction
people
topic schizophrenia
functional recovery
psychosocial therapy
antipsychotic agents
follow-up
schizoaffective disorder
1st-episode psychosis
maintenance treatment
negative symptoms
family treatment
dose reduction
people
description emission and encompasses multiple aspects of the patient's life, making it difficult to settle on a definition and to develop reliable assessment criteria. In this consensus process based on a panel of experts in schizophrenia, we aimed to provide useful insights on functional recovery and its involvement in clinical practice and clinical research. Methods: After a literature review of functional recovery in schizophrenia, a scientific committee of 8 members prepared a 75-item questionnaire, including 6 sections: (I) the concept of functional recovery (9 items), (II) assessment of functional recovery (23 items), (III) factors influencing functional recovery (16 items), (IV) psychosocial interventions and functional recovery (8 items), (V) pharmacological treatment and functional recovery (14 items), and (VI) the perspective of patients and their relatives on functional recovery (5 items). The questionnaire was sent to a panel of 53 experts, who rated each item on a 9-point Liken scale. Consensus was achieved in a 2-round Delphi dynamics, using the median (interquartile range) scores to consider consensus in either agreement (scores 7-9) or disagreement (scores 1-3). Items not achieving consensus in the first round were sent back to the experts for a second consideration. Results: After the two recursive rounds, consensus was achieved in 64 items (85.3%): 61 items (81.3%) in agreement and 3 (4.0%) in disagreement all of them from section II (assessment of functional recovery). Items not reaching consensus were related to the concepts of functional recovery (1 item, 13%), functional assessment (5 items, 6.7%), factors influencing functional recovery (3 items, 4.0%), and psychosocial interventions (2 items, 5.6%). Conclusions: Despite the lack of a well-defined concept of functional recovery, we identified a trend towards a common archetype of the definition and factors associated with functional recovery, as well as its applicability in clinical practice and clinical research.
publishDate 2018
dc.date.none.fl_str_mv 2018
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10810/32343
url http://hdl.handle.net/10810/32343
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-018-1755-2
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es/
Atribución 3.0 España
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/3.0/es/
Atribución 3.0 España
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Biomed Central
publisher.none.fl_str_mv Biomed Central
dc.source.none.fl_str_mv reponame:Addi. Archivo Digital para la Docencia y la Investigación
instname:Universidad del País Vasco
instname_str Universidad del País Vasco
reponame_str Addi. Archivo Digital para la Docencia y la Investigación
collection Addi. Archivo Digital para la Docencia y la Investigación
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869405341711597568
score 15.301603