Journal article
Remission in schizophrenia: proposed criteria and rationale for consensus
The American journal of psychiatry, Vol.162(3), pp.441-449
03/2005
DOI: 10.1176/appi.ajp.162.3.441
PMID: 15741458
Abstract
New advances in the understanding of schizophrenia etiology, course, and treatment have increased interest on the part of patients, families, advocates, and professionals in the development of consensus-defined standards for clinical status and improvement, including illness remission and recovery. As demonstrated in the area of mood disorders, such standards provide greater clarity around treatment goals, as well as an improved framework for the design and comparison of investigational trials and the subsequent evaluation of the effectiveness of interventions. Unlike the approach to mood disorders, however, the novel application of the concept of standard outcome criteria to schizophrenia must reflect the wide heterogeneity of its long-term course and outcome, as well as the variable effects of different treatments on schizophrenia symptoms. As an initial step in developing operational criteria, an expert working group reviewed available definitions and assessment instruments to provide a conceptual framework for symptomatic, functional, and cognitive domains in schizophrenia as they relate to remission of illness. The first consensus-based operational criteria for symptomatic remission in schizophrenia are based on distinct thresholds for reaching and maintaining improvement, as opposed to change criteria, allowing for alignment with traditional concepts of remission in both psychiatric and nonpsychiatric illness. This innovative approach for standardizing the definition for outcome in schizophrenia will require further examination of its validity and utility, as well as future refinement, particularly in relation to psychosocial and cognitive function and dysfunction. These criteria should facilitate research and support a positive, longer-term approach to studying outcome in patients with schizophrenia.
Details
- Title: Subtitle
- Remission in schizophrenia: proposed criteria and rationale for consensus
- Creators
- Nancy C Andreasen - Department of Psychiatry, University of Iowa, Iowa City, Iowa, USAWilliam T Carpenter JrJohn M KaneRobert A LasserStephen R MarderDaniel R Weinberger
- Resource Type
- Journal article
- Publication Details
- The American journal of psychiatry, Vol.162(3), pp.441-449
- Publisher
- United States
- DOI
- 10.1176/appi.ajp.162.3.441
- PMID
- 15741458
- ISSN
- 0002-953X
- eISSN
- 1535-7228
- Language
- English
- Date published
- 03/2005
- Academic Unit
- Psychiatry; Iowa Neuroscience Institute
- Record Identifier
- 9984003969102771
Metrics
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