Watson, PWB;
Garety, PA;
Weinman, J;
Dunn, G;
Bebbington, PE;
Fowler, D;
Freeman, D;
(2006)
Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions.
PSYCHOL MED
, 36
(6)
761 - 770.
10.1017/S0033291706007458.
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Abstract
Background. Assessing illness perceptions has been useful in a range of medical disorders. This study of people with a recent relapse of their psychosis examines the relationship between illness perception, their emotional responses and their attitudes to medication.Method. One hundred patients diagnosed with a non-affective psychotic disorder were assessed within 3 months of relapse. Measures included insight, self-reported. illness perceptions, medication adherence, depression, self-esteem and anxiety.Results. Illness perceptions about psychosis explained 46, 36 and 34% of the variance in depression, anxiety and self-esteem respectively. However, self-reported medication adherence was more strongly associated with a measure of insight.Conclusions. Negative illness perceptions in psychosis are clearly related to depression, anxiety and self-esteem. These in turn have been linked to symptom maintenance and recurrence. Clinical interventions that foster appraisals of recovery rather than of chronicity and severity may therefore improve emotional well-being in people with psychosis. It might be better to address adherence to medication through direct attempts at helping them understand their need for treatment.
Type: | Article |
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Title: | Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1017/S0033291706007458 |
Keywords: | RANDOMIZED CONTROLLED-TRIAL, MEDICATION ADHERENCE, COGNITIVE APPROACH, SUICIDAL THINKING, DEPRESSION SCALE, INSIGHT, VALIDITY, BELIEFS, NONADHERENCE, THERAPY |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > IoN RLW Inst of Neurological Sci |
URI: | https://discovery-pp.ucl.ac.uk/id/eprint/2154 |
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