OBJECTIVES: Subjective, self-rated improvement in @entity1 with @entity161 spectrum disorders can carry significance as a first- @entity1 account of treatment outcome, and can be of importance for the individual @entity1 's acceptance of further treatment, including psychological treatments. This study assessed the concordance between post-treatment subjective improvement and the observed symptom change after a @entity716 . DESIGN: Longitudinal study based on daily symptom ratings. METHOD: The study sample consisted of 43 younger, primarily first- or second-episode @entity1 . Observed symptom change was calculated as both pre-post differences and symptom trajectories. Subjective improvement was assessed at the end of treatment by using the 'Emotional and Behavioural Changes in Psychotherapy Questionnaire' (VEV), a retrospective measure of subjective change. RESULTS: The findings indicated no significant concordance between pre-post differences in symptoms and self-rated improvement, nor were final levels of symptoms related to subjective improvement. Higher initial and mean symptom levels for positive symptoms were related to a lower degree of subjective improvement. A shorter duration of an initial trend-like improvement in @entity716 was shown to be associated with greater subjective improvement. CONCLUSIONS: Subjective assessment of improvement may differ markedly from symptom change. In @entity716 , more severe initial positive symptoms as well as a delayed improvement of positive symptoms may be related to a reduced subjective experience of improvement for the duration of the entire episode. The treatment of @entity716 should take a possible discordance between subjective and objective change into account.

Lack of concordance between subjective improvement and symptom change in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'person'] @entity161 :: ('MESH:D012559', 'Disease') :: ['schizophrenia'] @entity716 :: ('MESH:D011605', 'Disease') :: ['psychotic episode', 'psychosis', 'psychotic episodes']
@entity716 :: (MESH:D011605,Disease) :: ['psychotic episodes']
