The relationships of personal resources with symptom severity and psychosocial functioning in persons with schizophrenia: results from the Italian Network for Research on Psychoses study

被引:38
作者
Rossi, Alessandro [1 ,2 ]
Galderisi, Silvana [3 ]
Rocca, Paola [4 ]
Bertolino, Alessandro [5 ]
Mucci, Armida [3 ]
Rucci, Paola [6 ]
Gibertoni, Dino [6 ]
Aguglia, Eugenio [7 ]
Amore, Mario [8 ]
Andriola, Ileana [5 ]
Bellomo, Antonello [9 ]
Biondi, Massimo [10 ]
Callista, Gaetano [1 ,2 ]
Comparelli, Anna [11 ]
Dell'Osso, Liliana [12 ]
Di Giannantonio, Massimo [13 ]
Fagiolini, Andrea [14 ,15 ]
Marchesi, Carlo [16 ]
Monteleone, Palmiero [17 ]
Montemagni, Cristiana [4 ]
Niolu, Cinzia [18 ]
Piegari, Giuseppe [3 ]
Pinna, Federica [19 ]
Roncone, Rita [20 ]
Stratta, Paolo [1 ,2 ]
Tenconi, Elena [21 ]
Vita, Antonio [22 ,23 ]
Zeppegno, Patrizia [24 ]
Maj, Mario [3 ]
机构
[1] Univ Aquila, Dept Biotechnol & Appl Sci & ASL, Laquila, Italy
[2] Giulianova Hosp ASL Teramo, Dept Mental Hlth, Giulianova, Italy
[3] Univ Naples SUN, Dept Psychiat, Naples, Italy
[4] Univ Turin, Sect Psychiat, Dept Neurosci, Turin, Italy
[5] Univ Bari, Dept Neurol & Psychiat Sci, Bari, Italy
[6] Univ Bologna, Dept Biomed & Neuromotor Sci, Bologna, Italy
[7] Univ Catania, Dept Clin & Mol Biomed, Psychiat Unit, Catania, Italy
[8] Univ Genoa, Sect Psychiat, Dept Neurosci Rehabil Ophthalmol Genet & Maternal, Genoa, Italy
[9] Univ Foggia, Dept Med Sci, Psychiat Unit, Foggia, Italy
[10] Sapienza Univ Rome, Dept Neurol & Psychiat, Rome, Italy
[11] Sapienza Univ Rome, S Andrea Hosp, Dept Neurosci Mental Hlth & Sensory Organs, Rome, Italy
[12] Univ Pisa, Sect Psychiat, Dept Clin & Expt Med, Pisa, Italy
[13] Univ G dAnnunzio, Dept Neurosci & Imaging, Chair Psychiat, Chieti, Italy
[14] Univ Siena, Dept Mol Med, Siena, Italy
[15] Univ Siena, Clin Dept Mental Hlth, Siena, Italy
[16] Univ Parma, Dept Neurosci, Psychiat Unit, Parma, Italy
[17] Univ Salerno, Dept Med & Surg, Chair Psychiat, Salerno, Italy
[18] Tor Vergata Univ Rome, Dept Syst Med, Chair Psychiat, Rome, Italy
[19] Univ Cagliari, Sect Psychiat, Dept Publ Hlth, Clin & Mol Med, Cagliari, Italy
[20] Univ Aquila, Dept Life Hlth & Environm Sci, Unit Psychiat, Laquila, Italy
[21] Univ Padua, Dept Neurosci, Psychiat Clin, Padua, Italy
[22] Univ Brescia, Sch Med, Psychiat Unit, Brescia, Italy
[23] Spedali Civili Hosp, Dept Mental Hlth, Brescia, Italy
[24] Univ Piemonte Orientale, Dept Translat Med, Psychiat Unit, Novara, Italy
关键词
Schizophrenia; Personal resources; Symptom severity; Psychosocial functioning; Structural equation models; QUALITY-OF-LIFE; SOCIAL PERFORMANCE SCALE; NEGATIVE SYNDROME SCALE; MENTAL-ILLNESS; INTERNALIZED STIGMA; COPING STRATEGIES; SELF-ESTEEM; SPECTRUM DISORDERS; FAMILY-MEMBERS; RECOVERY STYLE;
D O I
10.1007/s00406-016-0710-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The relationships of personal resources with symptom severity and psychosocial functioning have never been tested systematically in a large sample of people with schizophrenia. We applied structural equation models to a sample of 921 patients with schizophrenia collected in a nationwide Italian study, with the aim to identify, among a large set of personal resources, those that may have an association with symptom severity or psychosocial functioning. Several relevant demographic and clinical variables were considered concurrently. Poor service engagement and poor recovery style, as well as older age and younger age at onset, were related to greater symptom severity and poorer social functioning. Higher resilience and higher education were related to better social functioning only. Poor problem-focused coping and internalized stigma, as well as male gender and depression, were related to symptom severity only. The explored variables showed distinctive and partially independent associations with symptom severity and psychosocial functioning. A deeper understanding of these relationships may inform treatment decisions.
引用
收藏
页码:285 / 294
页数:10
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