TY - JOUR

T1 - The impact of beliefs about mental health problems and coping on outcome in schizophrenia.

AU - Lobban, Fiona

AU - Barrowclough, Christine

AU - Jones, Steven H.

N1 - http://journals.cambridge.org/action/displayJournal?jid=PSM The final, definitive version of this article has been published in the Journal, Psychological Medicine, 34 (7), pp 1165-1176 2004, © 2004 Cambridge University Press.

PY - 2004/10

Y1 - 2004/10

N2 - 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.

AB - 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.

U2 - 10.1017/S003329170400203X

DO - 10.1017/S003329170400203X

M3 - Journal article

VL - 34

SP - 1165

EP - 1176

JO - Psychological Medicine

JF - Psychological Medicine

SN - 1469-8978

IS - 7

ER -