Original ArticlesRecovery Style Predicts Remission at One-Year Follow-Up in Outpatients With Schizophrenia Spectrum DisordersStaring, Anton B.P. PhD*; van der Gaag, Mark PhD†‡; Mulder, Cornelis L. PhD, MD§∥Author Information *Altrecht Psychiatric Institute, Utrecht; †Parnassia Psychiatric Institute, The Hague; ‡VU University and EMGO Institute, Amsterdam; §Erasmus University Medical Center, Rotterdam; and ∥Bavo-Europoort, Rotterdam, The Netherlands. This study was funded by the Dutch Ministry of Health, Welfare, and Sports (ZonMw, research grant number 100-002-017). ZonMw played no further role in the study design or in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the paper for publication. Send reprint requests to Anton B.P. Staring, PhD, Twijnstraat aan de Werf 13 b, 3511 ZE Utrecht, The Netherlands. E-mail: [email protected]. The Journal of Nervous and Mental Disease: May 2011 - Volume 199 - Issue 5 - p 295-300 doi: 10.1097/NMD.0b013e3182174e97 Buy Metrics Abstract Although people with schizophrenia use various coping strategies, it is largely unknown how their coping style contributes to remission of the illness. The concept of recovery style-either by sealing over or integrating-reflects an important distinction. We wanted to examine whether recovery style predicts remission at a 1-year follow-up. We examined the recovery style, insight, therapeutic alliance, and symptoms in 103 patients with psychotic disorders. To assess the remission status, the symptoms were measured at 6 and 12 months. Logistic regression analyses were used. Results showed that scoring an extra category toward integration (six categories exist) increased the odds of remission 1.84-fold (95% confidence interval, 1.11 to 3.03). Insight and therapeutic alliance were not predictive. Although remission was also predicted by positive symptom levels at baseline, this did not influence the effect of recovery style. In conclusion, independently of symptom levels, insight, or therapeutic alliance, an integrating recovery style increases the odds of remission at a 1-year follow-up. © 2011 Lippincott Williams & Wilkins, Inc.