Toward a Terminology for Functional Recovery in Schizophrenia: Is Functional Remission a Viable Concept?
Toward a Terminology for Functional Recovery in Schizophrenia: Is Functional Remission a Viable Concept?
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DOI：
10.1093/schbul/sbn171
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发表时间：
2009-03-01
影响因子：
6.6
通讯作者：
Bellack, Alan S.
中科院分区：
文献类型：
--
作者：
Harvey, Philip D.;Bellack, Alan S.
精神分裂症的康复越来越受到关注。越来越多的关注部分是基于最近精神分裂症临床缓解的工作标准，以及认识到许多精神分裂症患者符合这些缓解标准。在本文中，我们考虑是否也可以在“缓解”模型中评估功能障碍。在此过程中，我们评估了临床缓解的概念，评估了精神分裂症其他总体稳定特征（例如阴性症状）缓解的可能性，并提出了一些启发式术语建议。我们还提出了一个“水平和广度”模型来定义功能缓解，并研究了一些可能导致日常功能不佳的替代影响，包括努力、动机和实现功能障碍的社会障碍。
Recovery in schizophrenia is receiving increasing attention. Part of the increased focus is based on the recent working criteria for clinical remission in schizophrenia and the realization that many people with schizophrenia meet these criteria for remission. In this article, we consider whether functional disability can also be evaluated in a "remission" model. In so doing, we evaluate the concept of clinical remission, evaluate the possibility of remission of other generally stable features of schizophrenia such as negative symptoms, and make some heuristic terminological recommendations. We also propose a "level and breadth" model for the definition of functional remission and examine some of the alternate influences that could produce suboptimal everyday functioning, including effort, motivation, and societal barriers toward functional achievement.