Background: Patients with a psychotic disorder generally seem to have difficulties recovering, especially on functional and societal ground. Due to cognitive impairments and experienced stigma, the...Show moreBackground: Patients with a psychotic disorder generally seem to have difficulties recovering, especially on functional and societal ground. Due to cognitive impairments and experienced stigma, the psychosis population feel excluded from society as a result of discrimination. This study aimed to get a better insight of functional and societal recovery and their association amongst patients with a psychotic disorder. In addition, it was investigated whether degree of importance regarding social roles had a moderating effect on the association. Functional recovery lacked consensus on terminology and assessments, but this study used executive functioning as a point of reference. Societal recovery was described as counteracting the public stigma on mental illness and improving the position and rights of (ex-)clients within society. Methods: This study included 237 participants (18-65 years) with psychosis as their main diagnosis through Flexible Assertive Community Treatment teams or Early Intervention Psychosis teams in healthcare institutions throughout the Netherlands. Participants signed informed consent prior participating in the study. The study design was cross-sectional, where data at baseline was used for the analyses. The data was gathered through (self-reported) questionnaires that measured executive functioning (functional recovery), and satisfaction scores on fulfilling various social roles (societal recovery). Two multiple linear regression analyses were performed to assess whether the level of executive functioning was associated with satisfaction scores. A binary logistic regression was performed to assess executive functioning in employment. Results: No effects were found between self-reported executive functioning and satisfaction scores. The degree of importance regarding social roles was found to have a direct relationship with satisfaction scores. Surprisingly, self-reported executive functioning did not seem to be associated with employment. Conclusion: Functional and societal recovery were not related and degree of importance regarding social roles was directly related to societal recovery. Self-reported executive functioning did not differ amongst those who were employed and unemployed. A better consensus on terminology and measurements needs to be realized for functional and societal recovery to acquire a better assessment of the psychosis population. Further research should include a more diverse range of patients in the psychosis population for better generalizabilityShow less
