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Recovery and Recovering in Older Adults with Schizophrenia: A 5-Tier Model. | LitMetric

AI Article Synopsis

  • - The study explores clinical recovery in older adults (55+) with schizophrenia, addressing a lack of recent data on this issue.
  • - A subsample of 102 individuals was reassessed after about 52 months, revealing a 5-tier system where 12% achieved consistent recovery and 18% never met recovery criteria.
  • - Most participants fell into various recovery states, suggesting that treatment strategies can be tailored to different levels of recovery according to this new taxonomy.

Article Abstract

Rationale: There are little recent data on clinical recovery in older adults with schizophrenia. This exploratory study uses an empirically measurable construct to address this issue.

Methods: From an original sample of 248 community-dwelling persons aged 55 and over with early-onset schizophrenia spectrum disorder, a subsample of 102 persons was reassessed at a mean of 52 months. Clinical recovery required meeting criteria for its two components: clinical remission and community integration.

Results: Prospective analysis generated a 5-tier taxonomy of recovery in which 12% remained persistently in clinical recovery at both baseline and follow-up (Tier 1) and 18% never met criteria of clinical recovery (Tier 5). The remaining 70% exhibited a variety of components of clinical recovery at baseline and follow-up (Tiers 2, 3, and 4).

Conclusion: The findings generated a dynamic picture of recovery, with most persons being in varying states of "recovering." The 5-tier taxonomy of recovery adumbrated potential treatment strategies for each tier.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8901385PMC
http://dx.doi.org/10.1016/j.jagp.2020.03.008DOI Listing

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