A Preliminary Exploration of the Relationship between Subjective and Objective Aspects of Recovery in a First Episode Psychosis Sample

Poster A44, Monday, October 8, 11:30 am - 1:00 pm, Essex Ballroom

Bethany Leonhardt1,2, Kelsey Huling1,3, Paul Lysaker1, Kristen Ratliff2, Michael Francis1,2, Alan Breier1,2; 1Indiana University School of Medicine, 2Eskenazi Health Midtown Community Mental Health, 3University of Indianapolis

The emergence of the recovery movement has led to a paradigm shift in what the concept of “recovery” means for individuals with severe mental illness. In particular this has led to a definition of recovery, referred to as subjective recovery, which includes more than objective outcomes (i.e. symptom remission) including living a fulfilling life despite the continued presence of symptoms or other manifestations of mental illness. This shift has particular implications for individuals with first episode psychosis (FEP) as interventions are developed to target a comprehensive definition of recovery. There has been increasing emphasis on intervening early in the course of psychosis, yet little is known about subjective recovery in FEP, including how aspects of subjective recovery may be related to objective markers of functioning. This phenomenon has been examined in prolonged samples, suggesting that as recovery occurs, different elements of objective markers are related to subjective recovery. This remains unexamined in FEP. The current study examines subjective and objective markers of recovery in an FEP sample at five time points (BL: N=60; 6 mos: N= 46; 12 mos: N= 53; 18 mos: N= 39; 24 mos: N=30) during involvement in coordinated specialty care services to assess 1) outcomes of subjective and objective recovery over time and 2) the relationship between these different aspects of recovery. Results show different aspects of objective functioning are related to self-reported subjective recovery at different time points, suggesting a complex relationship between objective and subjective factors of recovery in an FEP sample.

Topic Area: First Episode Psychosis

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