Loading...
Recovery and Recovering in Older Adults with Schizophrenia: A 5-Tier Model.
Journal Title
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
Readers/Advisors
Journal Title
Term and Year
Publication Date
2020-04-02
Book Title
Publication Volume
28
Publication Issue
8
Publication Begin
872
Publication End
875
Number of pages
Collections
Files
Research Projects
Organizational Units
Journal Issue
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.
Keywords: Recovery; community integration; elderly; older adults; outcome; remission; schizophrenia.
Citation
Cohen CI, Reinhardt MM. Recovery and Recovering in Older Adults with Schizophrenia: A 5-Tier Model. Am J Geriatr Psychiatry. 2020 Aug;28(8):872-875. doi: 10.1016/j.jagp.2020.03.008. Epub 2020 Apr 2. PMID: 32312650; PMCID: PMC8901385.