Quality of life in schizophrenia and bipolar disorder: The impact of symptomatic remission and resilience

Hofer, Alex; Mizuno, Yuya; Wartelsteiner, Fabienne; Fleischhacker, W. Wolfgang; Frajo-Apor, Beatrice; Kemmler, Georg; Mimura, Masaru; Pardeller, Silvia; Sondermann, Catherine; Suzuki, Takefumi; Welte, Anna-Sophia; Uchida, Hiroyuki

doi:10.1016/j.eurpsy.2017.08.005

Cited by 56 publications

(45 citation statements)

References 35 publications

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“…Furthermore, resilience, as a dynamic structure to maintain the balance of an individual's state, should always be treated as an important target for intervention or the core of intervention programmes, as it is critical to the recovery of patients [18]. As an important predictor of QOL, even among remitted patients, the predictive effect of resilience on QOL is still significant [19]. Hope and resilience, as two major areas of consumer-based recovery, are significantly correlated in patients with schizophrenia [20].…”

Section: Introductionmentioning

confidence: 99%

Mediation and moderation analyses: exploring the complex pathways between hope and quality of life among patients with schizophrenia

et al. 2020

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Background: The underlying mechanism between hope and quality of life is as yet unknown. We aim to examine the potential mediating effect of depression and resilience and the moderated effect of sex in this well-established association. Methods: Two hundred seven patients diagnosed with schizophrenia were administered a questionnaire battery that measured hope, depression, resilience and QOL. A multiple mediation model was used to examine the mediating effect of resilience and depression on the association between hope and QOL. A subgroup analysis was performed and a moderated mediation model was examined to find and test the moderated effect of sex on the mediation model. We used Mplus to perform moderation and mediation analyses so that the mediators and moderator could function together in the same model. Result: Sex was the moderator on the direct path between hope and QOL. The relationship between hope and QOL was mediated by resilience and depression in both sexes. When compared with female patients, the effect of hope on QOL was completely mediated by resilience and depression in males. In female patients, the model was partially mediated, and the direct effect of hope on QOL was significantly negatively correlated with the level of hope. Conclusion: We present a conceptual model containing the mediated effects of resilience and depression and the moderated effect of sex between hope and QOL, which we believe facilitates the understanding of these associations. This model should be useful in the formulation of strategies to improve QOL.

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Section: Introductionmentioning

confidence: 99%

Mediation and moderation analyses: exploring the complex pathways between hope and quality of life among patients with schizophrenia

et al. 2020

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“…As schizophrenia usually occurs in the age range of 15 to 25 years, when people are highly socially active, it significantly affects the quality of life and imposes major health-care costs due to its frequent recurrence and the chronic course of the disease [3]. The quality of life of people with schizophrenia is not only an important therapeutic goal beyond simply alleviating symptoms and preventing recurrence but also a significant indicator representing community adaptation and integration [4]. In recent years, researchers investigating the quality of life among people with schizophrenia have reported major associations between their quality of life and their experiences of social stigma and discrimination as people with a psychiatric disorder [5,6].…”

Section: Introductionmentioning

confidence: 99%

The Mediating Effects of Self-Esteem and Resilience on the Relationship Between Internalized Stigma and Quality of Life in People with Schizophrenia

Kim

Jang

2019

Asian Nursing Research

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This study examined the mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life in people with schizophrenia. Methods: The participants were 123 people with schizophrenia (mean age ¼ 41.87 years; 62.6% men) recruited from Soonchunhyang university hospital, a mental health center, and daytime rehabilitation facilities located in Seoul and Gyeonggi Province in South Korea. Using a cross-sectional survey, participants completed structured questionnaires with psychometric adequacy. The regression method of Baron and Kenny was used to test the mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life. Results: Self-esteem and resilience were found to be full and partial mediators, respectively, in the relationship between internalized stigma and quality of life. Conclusion: The findings of this study imply that effective future intervention strategies should target improvements in self-esteem and resilience to reduce the negative impact of internalized stigma on the quality of life of people with schizophrenia.

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“…For example, some authors have considered that resilience in the adversity context is dynamic and encompasses positive adaptation [74,75]. Davidov and his collaborators (2013) noted that resilience can be defined as synonymous with reduced vulnerability, with the ability to adapt to or cope with adversity [76][77][78]. However, it is important to note the distinction between resilience and coping [74].…”

Section: Resilience Stigma and Quality Of Lifementioning

confidence: 99%

Psychological Quality of Life in People with Physical Disability: The Effect of Internalized Stigma, Collective Action and Resilience

Silván-Ferrero

Recio

Molero

et al. 2020

IJERPH

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Purpose: The main objective of this study was to examine the role of social identification, collective action and resilience in reducing the negative consequences of internalized stigma on the psychological quality of life of people with physical disability using path analysis. We propose a model with two paths: the first through social identification and collective action and the second via resilience. Method: A total of 288 Spanish people with physical disability aged between 18 and 82 years (46.4% males; mean [SD] of age = 45.1 [12.3] responded to the questionnaire. Data were collected for three months through an online survey. Results: The tested model adequately fit the data. We found that the relationship between internalized stigma and the psychological quality of life of people with physical disability was mediated by resilience. However, neither social identification nor collective action mediated the association between internalized stigma and quality of life among our participants. Conclusions: The results confirmed the negative association between internalized stigma and quality of life in the population with physical disability. The results show that some interactive processes, such as resilience, may contribute to decreasing the negative effects of internalized stigma. In contrast, no effects of identification with the group or collective action intention were found.

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Quality of life in schizophrenia and bipolar disorder: The impact of symptomatic remission and resilience

Abstract: These findings demonstrate the impact of symptomatic remission and resilience on HRQOL of both patients suffering from schizophrenia and BD-I and indicate that these factors are especially relevant for HRQOL of patients with BD-I.

Cited by 56 publications

References 35 publications

Mediation and moderation analyses: exploring the complex pathways between hope and quality of life among patients with schizophrenia

Mediation and moderation analyses: exploring the complex pathways between hope and quality of life among patients with schizophrenia

The Mediating Effects of Self-Esteem and Resilience on the Relationship Between Internalized Stigma and Quality of Life in People with Schizophrenia

Psychological Quality of Life in People with Physical Disability: The Effect of Internalized Stigma, Collective Action and Resilience

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