Evidence map›Paper›PMID 35048855›Full record

ArticleThe British journal of psychiatry : the journal of mental science2021

Clinical, societal and personal recovery in schizophrenia spectrum disorders across time: states and annual transitions.

Stynke Castelein, Marieke E Timmerman, PHAMOUS investigators, Mark van der Gaag, Ellen Visser

Abstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. Personal and Societal Recovery in Depression-A Qualitative Study.International journal of mental health nursing · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Stynke CasteleinLentis Psychiatric Institute, Lentis Research, The Netherlands; and Faculty of Behavioural and Social Sciences, University of Groningen, The Netherlands.ORCID 0000-0002-8419-568X
Marieke E TimmermanFaculty of Behavioural and Social Sciences, University of Groningen, The Netherlands.
PHAMOUS investigators
Mark van der GaagDepartment of Psychosis Research, Parnassia Psychiatric Institute, The Netherlands; and Faculty of Behavioural and Movement Sciences, Department of Clinical Psychology, Amsterdam Public Mental Health Research Institute, Vrije Universiteit Amsterdam, The Netherlands.
Ellen VisserRob Giel Research Center, University Center for Psychiatry, University Medical Center Groningen, University of Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecovery in schizophrenia is a complex process, involving clinical, societal and personal recovery. Until now, studies analysed these domains separately, without examining their mutual relations and changes over time.

aimsThis study aimed to examine different states of recovery and transition rates between states.

methodThe Pharmacotherapy Monitoring and Outcome Survey (2006-2017) yearly assesses patients with schizophrenia in the Northern Netherlands. Data from 2327 patients with one up to 11 yearly measurements on clinical, societal and personal recovery were jointly analysed with a mixture latent Markov model (MLMM).

resultsThe selected MLMM had four states that differed in degree and pattern of recovery outcomes. Patients in state 1 were least recovered on any domain (16% of measurements), and partly recovered in states 2 (25%; featured by negative symptoms) and 3 (21%; featured by positive symptoms). Patients in state 4 (38%) were most recovered, except for work, study and housekeeping. At the subsequent measurement, the probability of remaining in the same state was 77-89%, transitioning to a better state was 4-12% and transitioning to a worse state was 4-6%; no transitions occurred between states 1 and 4. Female gender, shorter illness duration and less schizophrenia were more prevalent in better states.

conclusionsQuite a high recovery rate was present among a substantial part of the measurements (38%, state 4), with a high probability (89%) of remaining in this state. Transition rates in the other states might increase to a more favourable state by focusing on adequate treatment of negative and positive symptoms and societal problems.

Indexed as

SchizophreniaFemaleHumansMaleMarkov ChainsNetherlandsSurveys and QuestionnairesTime FactorsEpidemiologyoutcome studiespsychotic disordersschizophreniasocial functioning

Identifiers

PMID35048855
PMCPMC8529640

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.