Influence of the recovery style from psychosis on the distress in psychiatric professionals: an observational study focused on depression of psychotic patients in a day center

Evidence-based Psychiatric Care 2016;2;56-60 Abstract Objectives: This study aims to analyze the relationship between symptoms – focusing on depression – and the recovery style in a psychiatric day center. Assuming that this relationship affects the burden management, the study has the additional endpoint of evaluate the impact of the interaction between symptoms and recovery style on the distress of the mental health professionals. Materials and Methods: 45 patients enrolled have been evaluated by the Neuropsychiatric Inventory (NPI Italian version) and Integration/Sealing Over Scale (ISOS Italian version), within three months (March-June 2014). Results: In the sample a statistically significant relationship between integration, depression and nervousness was observed (p < .001 and < .003). The symptoms which cause a greater distress in the health workers are uninhibition, nervoussess and apathy. Moreover, the results indicate that depression and anxiety cause a greater degree of distress in sealer patients. Conclusions: Uninhibition, nervousness and apathy were more burdensome for mental health professionals, because they require a greater engagement in the therapeutic relationship. There are some limits: the small size of the sample and the lack of an evaluation of insight, closely related to the construct of recovery style. We are engaged in research to deepen this point, with these goals in mind.