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. 2020 Feb 25;17(2):163–174. doi: 10.30773/pi.2019.0240

Table 1.

Definition of treatment response, remission, relapse, and recovery

Treatment response
1. Considering positive and negative symptoms simultaneously
2. ≥30% or ≥50% decrease in the total PANSS score
3. All seven positive items on the PANSS could be used for decision
4. Score of 1 or 2 on the CGI-I
5. After 4 weeks for decision making
Remission
1. Score of ≤2 on positive and negative PANSS items simultaneously
2. All seven positive items on the PANSS could be used for decision
3. In case of using the SANS, score of ≤2 on all items
4. CGI-S score ≤3
5. Maintaining 12 months of symptom stabilization period
Relapse (any of one with exacerbation of symptoms ≥6 months after remission)
1. Psychiatric hospitalization
2. ≥25% increase in the total PANSS score
3. Deliberate self-injury, clinically serious suicide or homicide ideation, or suicide attempt
4. Violent behavior resulting in significant injury to another person or property
5. Score ≥6 for a PANSS item (P7 hostility or G8 uncooperativeness) within 2 consecutive days
6. CGI-I score ≥6 (much worse) or 7 (very much worse)
7. Score ≥4 for CGI-S with an increase ≥2 points
8. Exacerbation of symptoms ≥6 months after remission
Recovery
Partial
1. All criteria fulfilled for ≥1 year
2. a) Maintaining age-appropriate interpersonal relationships
 b) Employment for entire remission period or homemakers performing housework to some extent
3. Score of ≤3 on PANSS or SANS items
4. ≤300 mg of chlorpromazine (or 3 mg of risperidone) equivalent dose
5. CGI-S score ≤3 (mildly ill)
6. GAF or SOFAS ≥61
Full
1. All criteria fulfilled for ≥1 year
2. Maintaining age-appropriate socio-occupational functioning
3. Absent on PANSS or SANS items
4. No medication
5. CGI-S score ≤1 (normal, not at all ill)
6. GAF or SOFAS ≥71

CGI-S: Clinical Global Impression-Severity, CGI-I: Clinical Global Impression of Improvement, PANSS: Positive and Negative Syndrome Scale, SANS: Scale for the Assessment of Negative Symptoms, GAF: Global Assessment of Functioning, SOFAS: Social and Occupational Functioning Assessment Scale