2026-07-21T08:44:12Zhttps://repisalud.isciii.es/rest/oai/request
oai:repisalud.isciii.es:20.500.12105/225352024-11-28T21:09:53Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud author Lahera, Guillermo author Galvez, Jose L author Sanchez, Pedro author Martinez-Roig, Miguel author Perez-Fuster, JV author Garcia-Portilla, Paz author Herrera, Berta author Roca, Miquel 2024-09-06T09:53:44Z 2024-09-06T09:53:44Z 2018-06-05 Lahera G, Galvez JL, Sanchez P, Martinez-Roig M, Perez-Fuster JV, Garcia-Portilla P, et al. Functional recovery in patients with schizophrenia: recommendations from a panel of experts. BMC Psychiatry. 2018 Jun 05;18:176. 10.1186/s12888-018-1755-2 1471-244X BMC Psychiatry http://hdl.handle.net/20.500.13003/9256 29871616 L622427831 2-s2.0-85048103178 https://hdl.handle.net/20.500.12105/22535 434313300005 Background: The management of schizophrenia is evolving towards a more comprehensive model based on functional recovery. The concept of functional recovery goes beyond clinical remission and encompasses multiple aspects of the patient's life, making it difficult to settle on a definition and to develop reliable assessment criteria. In this consensus process based on a panel of experts in schizophrenia, we aimed to provide useful insights on functional recovery and its involvement in clinical practice and clinical research. Methods: After a literature review of functional recovery in schizophrenia, a scientific committee of 8 members prepared a 75-item questionnaire, including 6 sections: (I) the concept of functional recovery (9 items), (II) assessment of functional recovery (23 items), (III) factors influencing functional recovery (16 items), (IV) psychosocial interventions and functional recovery (8 items), (V) pharmacological treatment and functional recovery (14 items), and (VI) the perspective of patients and their relatives on functional recovery (5 items). The questionnaire was sent to a panel of 53 experts, who rated each item on a 9-point Liken scale. Consensus was achieved in a 2-round Delphi dynamics, using the median (interquartile range) scores to consider consensus in either agreement (scores 7-9) or disagreement (scores 1-3). Items not achieving consensus in the first round were sent back to the experts for a second consideration. Results: After the two recursive rounds, consensus was achieved in 64 items (85.3%): 61 items (81.3%) in agreement and 3 (4.0%) in disagreement all of them from section II (assessment of functional recovery). Items not reaching consensus were related to the concepts of functional recovery (1 item, 13%), functional assessment (5 items, 6.7%), factors influencing functional recovery (3 items, 4.0%), and psychosocial interventions (2 items, 5.6%). Conclusions: Despite the lack of a well-defined concept of functional recovery, we identified a trend towards a common archetype of the definition and factors associated with functional recovery, as well as its applicability in clinical practice and clinical research. eng Schizophrenia Functional recovery Psychosocial therapy Antipsychotic agents Functional recovery in patients with schizophrenia: recommendations from a panel of experts research article