Levels of Patient Activation Among Adults With Schizophrenia: Associations With Hope, Symptoms, Medication Adherence, and Recovery Attitudes
Abstract
Patient activation, defined as one's attitudes and confidence toward managing illness, has been not been thoroughly studied in consumers with schizophrenia. The current study sought to understand the relationship between patient activation and symptoms, medication adherence, recovery attitudes, and hope in a sample of 119 adults with schizophrenia. The participants were enrolled in an 18-month randomized controlled study of the Illness Management and Recovery program. Data were collected at baseline; correlations and stepwise multiple regressions were used to examine the relationships and determine the unique contribution of variables. Higher patient activation was most strongly associated with positive recovery attitudes, higher levels of hope, and fewer emotional discomfort symptoms. Patient activation was significantly related to a broad measure of illness self-management, providing evidence for the construct validity of the patient activation measure. Our findings emphasize the importance of recovery-based mental health services that recognize level of patient activation as a potential factor in consumer outcomes.
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Commitment to treatment is a behavioral strategy explicitly oriented toward mental illness management.
“Commitment to treatment is a behavioral strategy explicitly oriented toward mental illness management [36,38,45,48,62,77].”
From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [36]
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Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis
Laranjeira, C., Carvalho, D., Valentim, O., Moutinho, L., Morgado, T., Tomás, C., Gomes, J., & Querido, A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20053869 · Cited by 45 · see citing works
- Authors
- Kukla, M., Salyers, M. P., & Lysaker, P. H.
- Affiliations
- Health Services Research & Development (US)
- Richard L. Roudebush VA Medical Center (US)
- Corresponding author
- Kukla, Marina
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2013-04
- Volume
- 201
- Issue
- 4
- Pages
- 339-344
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2077567083
- Cited by
- 63
- References
- 31
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 8 · 2022: 5 · 2021: 7 · 2020: 5 · 2019: 2 · 2018: 1 · 2017: 7 · 2016: 9 · 2015: 7 · 2014: 5
- FWCI
- 12.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Keywords
- patient activation, schizophrenia, illness self-management, medication adherence, recovery attitudes, hope, emotional symptoms, construct validity
- MeSH terms
- Adult, Attitude to Health, Culture, Emotions, Female, Humans, Internal-External Control, Male, Middle Aged, Motivation, Schizophrenia, Schizophrenic Psychology, Self Care, Sick Role, Statistics as Topic, Treatment Outcome, Medication Adherence
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