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