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The relationship between treatment motivation, coping, and psychosocial functioning in a schizophrenia patient’s sample

Published online by Cambridge University Press:  01 September 2022

N. Semenova ,
B. Kazakovtsev ,
M. Kachaeva  and
L. Burygina
N. Semenova*
Affiliation:
Moscow Research Institute of Psychiatry, Clinical Psychology Counseling, Moscow, Russian Federation
B. Kazakovtsev
Affiliation:
V. Serbsky National Medical Research Centre for Psychiatry and Narcology, Department Of Epidemiological And Organizational Problems Of Psychiatry, Moscow, Russian Federation
M. Kachaeva
Affiliation:
V. Serbsky National Medical Research Centre for Psychiatry and Narcology, Forensic Psychiatry, Moscow, Russian Federation
L. Burygina
Affiliation:
Psychiatric hospital No. 4 named after P.B. Gannushkin, Administration, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Schizophrenia is characterized by impairments in motivation and coping and decrements in psychosocial functioning in major life areas.

Objectives

This study attempted to examine the links between treatment motivation, coping, and psychosocial functioning for persons with schizophrenia. Design: Cross-sectional survey.

Methods

One hundred thirty-eight participants were recruited at random from outpatient psychosocial rehabilitation programs in Moscow-based psychiatric hospitals. The measures of motivation were administered by testers blind to scores on other study variables; measures of coping (COPE, CERQ) and psychosocial functioning (PSP, EQ5D5L, SF36, Q-Les-Q-18) were administered. Data were analyzed using latent construct modeling to test for mediator and moderator effects.

Results

There were strong bivariate relationships between coping, motivation, and psychosocial functioning. The results demonstrated that coping strongly mediated the relationship between motivation and psychosocial functioning. This mediation was evidenced by: 1) the direct path from motivation to a functional outcome no longer being statistically significant after introducing coping into the model; 2) the statistical significance of the indirect path from motivation through coping to functional outcome. There was no support for the moderation hypotheses.

Conclusions

Motivation influences psychosocial functioning through its relationship with coping, and coping is a critical mechanism for explaining the relationship between motivation and psychosocial functioning. These results will be compared with work on motivation, neurocognition, and psychosocial functioning in schizophrenia (Nakagami et al. 2008), as well as with gender issues. Professionals working with schizophrenia patients should consider such variables as coping when designing and implementing gender-sensitive intervention programs.

Disclosure

No significant relationships.

Keywords

Psychosocial functioningcopingschizophréniaTreatment motivation
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S760
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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