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The impact of beliefs about mental health problems and coping on outcome in schizophrenia

Published online by Cambridge University Press:  21 October 2004

F. LOBBAN ,
C. BARROWCLOUGH  and
S. JONES
F. LOBBAN
Affiliation:
University of Liverpool, UK; University of Manchester, UK
C. BARROWCLOUGH
Affiliation:
University of Liverpool, UK; University of Manchester, UK
S. JONES
Affiliation:
University of Liverpool, UK; University of Manchester, UK
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Abstract

Background. Using the theoretical framework of the Self Regulation Model (SRM), many studies have demonstrated that beliefs individuals hold about their physical health problems are important in predicting health outcomes. This study tested the SRM in the context of a mental health problem, schizophrenia.

Method. One hundred and twenty-four people with a diagnosis of schizophrenia were assessed on measures of symptom severity, beliefs about their mental health problems, coping and appraisal of outcome at two time points, 6 months apart.

Results. Using multivariate analyses and controlling for severity of symptoms, beliefs about mental health were found to be significant predictors of outcome. Beliefs about greater negative consequences were the strongest and most consistent predictors of a poorer outcome in both cross-sectional and longitudinal analyses.

Conclusions. These results suggest that the SRM is a promising model for mental health problems and may highlight important areas for development in clinical, and especially psychosocial interventions.

Type
Research Article
Information
Psychological Medicine , Volume 34 , Issue 7 , October 2004 , pp. 1165 - 1176
Copyright
© 2004 Cambridge University Press

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