PMID- 15674128
OWN - NLM
STAT- MEDLINE
DCOM- 20050210
LR  - 20190724
IS  - 0022-3018 (Print)
IS  - 0022-3018 (Linking)
VI  - 193
IP  - 1
DP  - 2005 Jan
TI  - Integrated versus sealed-over recovery in schizophrenia: BORRTI and executive 
      function.
PG  - 3-8
AB  - Ego functioning of 222 outpatients with a diagnosis of schizophrenia or 
      schizoaffective disorder was evaluated using the Bell Object Relations and 
      Reality Testing Inventory (BORRTI). Sixty-one of these had BORRTI profiles 
      identified as sealed-over recovery style, and 36 had profiles interpreted as 
      integrated recovery style. Groups were compared on demographic characteristics, 
      symptom profiles, and the Wisconsin Card Sorting Test, a performance measure of 
      executive function. Groups had comparably low levels of positive symptoms, but 
      the integrated recovery group had higher scores on the BORRTI uncertainty of 
      perception scale. The integrated recovery group had significantly fewer minority 
      patients, higher IQ, and higher levels of emotional discomfort. The sealed-over 
      recovery group had higher levels of cognitive disorganization. When differences 
      in ethnicity and IQ were controlled for, the integrated recovery group had better 
      executive functioning. Wisconsin Card Sorting Test categories completed emerged 
      as the significant predictor in a logistic regression, explaining 19% of the 
      variance. These findings support the discriminant validity of these two recovery 
      styles and reveal the importance of executive function in a recovery style that 
      allows for investment in relationships, affect tolerance, and acknowledgment of 
      symptoms.
FAU - Bell, Morris D
AU  - Bell MD
AD  - Department of Psychiatry, Yale University School of Medicine, New Haven, 
      Connecticut, USA.
FAU - Zito, Wayne
AU  - Zito W
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Nerv Ment Dis
JT  - The Journal of nervous and mental disease
JID - 0375402
SB  - IM
MH  - *Adaptation, Psychological
MH  - Adult
MH  - Attitude to Health
MH  - Awareness
MH  - Cognition Disorders/*diagnosis/physiopathology/psychology
MH  - Female
MH  - Frontal Lobe/physiopathology
MH  - Health Status
MH  - Humans
MH  - Intelligence Tests/statistics & numerical data
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Neuropsychological Tests/*statistics & numerical data
MH  - Personality Inventory/*statistics & numerical data
MH  - Psychiatric Status Rating Scales
MH  - Psychometrics
MH  - Psychotic Disorders/diagnosis/psychology
MH  - Reproducibility of Results
MH  - Schizophrenia/*diagnosis/physiopathology/rehabilitation
MH  - *Schizophrenic Psychology
EDAT- 2005/01/28 09:00
MHDA- 2005/02/11 09:00
CRDT- 2005/01/28 09:00
PHST- 2005/01/28 09:00 [pubmed]
PHST- 2005/02/11 09:00 [medline]
PHST- 2005/01/28 09:00 [entrez]
AID - 00005053-200501000-00002 [pii]
AID - 10.1097/01.nmd.0000149212.94261.1e [doi]
PST - ppublish
SO  - J Nerv Ment Dis. 2005 Jan;193(1):3-8. doi: 10.1097/01.nmd.0000149212.94261.1e.