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Psychiatry J. 2014;2014:249852. doi: 10.1155/2014/249852. Epub 2014 Feb 12.

Service engagement: psychopathology, recovery style and treatments.

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  • 1Department of Clinical and Experimental Medicine, Psychiatry, Faculty of Medicine and Surgery, University of Insubria, Via Rossi No. 9, 21100 Varese, Italy.


The aim of the present study is to evaluate how recovery style, a set of strategies used by patients to interact with services and therapists, and the severity of psychotic symptoms affect the quality/continuity of taking charge of each patient. 156 psychotic patients at different stages of illness were enrolled. Sociodemographic and clinical data were collected and integration/sealing-Over Scale, Recovery Style Questionnaire and Positive and Negative Syndrome Scale were administered. Patients were distinguished into four groups according to the type of treatment received: clinical package, hospital package, day-care package, and residential package. A positive correlation between the cost of psychiatric performance and psychopathological severity (measured with PANSS scores) was identified. No association emerged between ISOS/RSQ total scores and costs. The sanitary expenditure appears to be linked to positive psychotic symptoms while lower performances are given for the treatment of patients with predominant negative symptoms. Recovery style itself has not a direct influence on the quantity/quality of psychiatric services.

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