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Baseline personality functioning correlates with 6 month outcome in schizophrenia
Secondo Fassino1, Andrea Pierò, Elena Mongelli
1Section of Psychiatry, Department of Neurosciences, University of Turin, V. Cherasco 11, CAP 10126 Turin, Italy. secondo.fassino@unito.it
Summary
Multimodal treatment improved symptoms and social skills in schizophrenia patients. Better baseline personality functioning predicted better treatment response, aiding personalized therapy strategies.
Area of Science:
- Psychiatry
- Clinical Psychology
- Rehabilitation Medicine
Background:
- Assessing schizophrenia outcomes requires evaluating treatment response and social skill recovery.
- Multimodal treatment offers a comprehensive approach to managing schizophrenia.
Purpose of the Study:
- To evaluate the outcome of a 6-month residential multimodal treatment for schizophrenia.
- To identify psychostructural and clinical factors related to treatment outcome in schizophrenia patients.
Main Methods:
- Fifty-two schizophrenia patients participated in a multimodal treatment program.
- Symptomatology and social functioning were assessed using the Brief Psychiatric Rating Scale (BPRS) and Social and Occupational Functioning Assessment Scale (SOFAS).
- Psychostructural evaluation was conducted using the Karolinska Psychodynamic Profile (KAPP).
Main Results:
- Significant improvements were observed in BPRS, SOFAS, and KAPP scores after 6 months.
- Baseline personality (KAPP) and social-occupational functioning (SOFAS) correlated with BPRS scores at 6 months.
- Social-occupational functioning at 6 months correlated with baseline BPRS, KAPP, and illness duration.
Conclusions:
- Enhanced personality functioning in schizophrenia patients is associated with better treatment response, encompassing both symptom reduction and rehabilitation.
- Personality assessment can guide individualized therapy, even within standardized treatment programs for schizophrenia.