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Cited by 37Schizophrenia research and treatmentResilience and Mental HealthMental Health and Patient Involvement

Resilience and recovery style: a retrospective study on associations among personal resources, symptoms, neurocognition, quality of life and psychosocial functioning in psychotic patients

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Zizolfi, Daniele, Poloni, Nicola, Caselli, Ivano, Ielmini, Marta, Lucca, Giulia, Diurni, Marcello, Cavallini, Greta, Callegari, Camilla·2019·Psychology Research and Behavior Management
DOI 10.2147/prbm.s205424PMC PMC6549482
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Abstract

Background: Personal resources have been identified as important factors in predicting patient healing or symptoms control in schizophrenia. This observational retrospective study aims to explore the influence of resilience and recovery style on the modalities of clinical presentation of the disease, as well as individual functioning and quality of life. Methods: Participants were patients affected by schizophrenia spectrum disorders assessed at different mental health facilities. The rating scales considered are the following: Resilience Scale 10-items (RS); Recovery Style Questionnaire (RSQ); Montreal Cognitive Assessment (MoCA); Schizophrenia Quality of Life Scale (SQLS); Life Skills Profile (LSP); Positive and Negative Syndrome Scale (PANSS). Results: Forty-four patients fulfilled the inclusion criteria. The mean age was 46 years; the average length of the history of the disease at recruitment was 23 years with an average age at first episode of psychosis (FEP) of 23 years. General psychopathology, neurocognition, and integration recovery style can predict psychosocial functioning and explain ∼54% of the LSP variance; RS total score and PANSS general psychopathology score can predict and explain ∼29% of the LSP variance. A negative association between PANSS general psychopathology and LSP total score supports the need to reduce first the symptomatology, and then successfully apply other types of interventions. A strong positive association between neurocognition and life functioning was detected, showing that deficits in neurocognition have proved to be important predictors of the functional outcome. Integration was also proven to be significantly associated with a good functional outcome. Psychotic symptoms turn out to be a negative predictive factor, whereas resilience can be hypothesized as a protective factor. Conclusions: Resilience and recovery style “integration” can be considered as two complementary predictive resources for a good outcome; this result supports the need to set up personalized treatments, based on the characteristics of the patients. Keywords: mental health recovery, psychological resilience, schizophrenia, cognition, life quality, community functioning

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  • A recovery style directed at turning toward and integrating experiences predicts better long-term functioning.

    “a recovery style directed at turning toward and integrating experiences predicts better functioning on the long term”

    From Making meaning of trauma in psychosis (2023) · cites this paper as [61]

    The Introduction defines integration as accepting and incorporating psychotic experiences, and the Discussion reports that integration recovery style predicts better psychosocial functioning. The Discussion also calls for follow-up research, so the study does not establish that it predicts functioning over the long term. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • Meaning-making styles in psychosis are not static but can change over time.

    “meaning-making styles in psychosis are not static but can change over time (58–61).”

    From Making meaning of trauma in psychosis (2023) · cites this paper as [61]

    The Introduction (page not provided) describes recovery style as a response to psychosis and says patients using integration gradually incorporate psychotic experiences into a more integrated understanding. That supports change in how experiences are understood, but the paper does not establish that a person's meaning-making style itself changes over time. (LLM, conf=0.78)

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Authors
Zizolfi, D., Poloni, N., Caselli, I., Ielmini, M., Lucca, G., Diurni, M., Cavallini, G., & Callegari, C.
Affiliations
University of Insubria (IT)
Corresponding author
  • Zizolfi, Daniele
  • Poloni, Nicola
  • Caselli, Ivano
  • Ielmini, Marta
  • Lucca, Giulia
  • Diurni, Marcello
  • Cavallini, Greta
  • Callegari, Camilla
ORCID
Venue
Psychology Research and Behavior Management
Publisher
Informa UK Limited
Published
2019-05
Volume
Volume 12
Pages
385-395
ISSN
1179-1578 (ISSN-L)
DOI
10.2147/prbm.s205424
PMC
PMC6549482
OpenAlex
W2947291864
Cited by
37
References
71
Citations by year
2025: 2 · 2024: 6 · 2023: 6 · 2022: 8 · 2021: 9 · 2020: 3 · 2019: 3
FWCI
4.58
Type
journal article
Language
en
Open access
Licence
Locations
  • Psychology Research and Behavior Management (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
  • IrInSubria (University of Insubria) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
Keywords
resilience, schizophrenia spectrum disorders, personal resources, neurocognitive function, quality of life, psychosocial functioning, life skills, functional outcome, psychotic symptoms, personalized treatment

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