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Actas Esp Psiquiatr. 2016 May;44(3):97-106. Epub 2016 May 1.

Is it possible to achieve functional recovery in schizophrenia? A qualitative and quantitative analysis of psychiatrist´s opinion.

Author information

1
Department of Medicine and Medical Specialties. School of Medicine. University of Alcala. IRyCIS. CIBERSAM. Madrid.
2
Mental Health Center Fuente San Luis. Doctor Peset University Hospital. Valencia.
3
Community Mental Health Unit of the Virgen del Rocio University Hospital, Seville.
4
Actur South Center Mental Health. Hospital Royo Villanova. Zaragoza.
5
Refractory Psychosis Unit. Psychiatric Hospital of Alava. Vitoria.
6
Institut Universitari d’Investigacio in Ciencies de la Salut (IUNIS) Rediapp. Juan March Hospital. University of the Balearic Islands. Palma de Mallorca.

Abstract

INTRODUCTION:

Psychiatrist´s opinion on functional recovery (FR) of patients with schizophrenia may modulate the therapeutic expectations and how to manage the disease.

OBJECTIVE:

This study aims to know the opinion of psychiatrists on FR, and to analyze the relationship between functioning and symptoms.

METHODS:

A qualitative and quantitative, descriptive and exploratory study. Two data collection techniques were used: a) a written survey consisting of 12 questions, directly, anonymously and confidentially answered by 132 psychiatrists; b) 5 focus group discussions involving 42 psychiatrists.

RESULTS:

69.8% of psychiatrists considered realistic to get FR in schizophrenia and another 30.1% chose an intermediate response. The clinical priority for the 94% is to optimize the functional outcome of their patients, but only 14.4% commonly use rating scales. 91.7 % believed that there are differences between typical and atypical antipsychotics in terms of FR, and 83.3% believed essential to implement psychosocial interventions to achieve this goal. According to psychiatrists, FR is a complex concept and a primary therapeutic goal. Negative and cognitive symptoms are the strongest predictors of poor functioning. The low functioning of a patient, even in symptomatic stability, usually requires a re-evaluation of treatment.

CONCLUSION:

For psychiatrists, FR is a useful concept and a clinical priority, although there are doubts about how to achieve it.

PMID:
27254402
[Indexed for MEDLINE]
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