Psychosocial and neuropsychiatric predictors of subjective recovery from psychosis

• Published in: Psychiatry research Vol. 208; no. 3; pp. 203 - 209
• Main Authors: Morrison, Anthony P, Shryane, Nick, Beck, Rosie, Heffernan, Suzanne, Law, Heather, McCusker, Monica, Bentall, Richard P
• Format: Journal Article
• Language: English
• Published: Kidlington Elsevier Ireland Ltd 15-08-2013; Elsevier
• Subjects: Adolescent; Adult; Adult and adolescent clinical studies; Aged; Biological and medical sciences; Emotion; Emotions - physiology; Factor Analysis, Statistical; Female; Humans; Judgment; Male; Medical sciences; Middle Aged; Neuropsychology; Predictive Value of Tests; Psychiatric Status Rating Scales; Psychiatry; Psychological Tests; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Psychoses; Psychosis; Psychotic Disorders - physiopathology; Psychotic Disorders - psychology; Recovery; Recovery of Function - physiology; Schizophrenia; Self Concept; Surveys and Questionnaires; Young Adult; Psychosis; Schizophrenia; Neuropsychology; Emotion; Recovery; Affect affectivity; Neuropsychiatry; Mental disorder; Emotion emotionality; Predictive factor; Psychosocial factor; Neuropsychologia
• ISSN: 0165-1781; 1872-7123
• DOI: 10.1016/j.psychres.2013.05.008

Abstract Research suggests that both psychosocial factors and neuropsychiatric factors are important predictors of outcome, but little research has examined their relative importance to self-rated recovery. We aim to investigate how such factors are associated with subjective judgements of recovery from psychosis. The participants comprised 122 individuals with experience of psychosis who completed measures of perceived recovery, as well as measures of psychological factors (including self-esteem, locus of control, and emotion) and psychiatric factors (including psychotic symptoms, neurocognition and insight). Measurement models developed using confirmatory factor analysis supported a hypothesis of separate recovery and negative emotion factors. Structural equation modelling showed that negative emotion and internal locus of control had a direct influence on self-rated recovery, and that positive symptoms and internal locus of control had an indirect effect on recovery, mediated via negative emotion. There did not appear to be any effect of insight, negative symptoms or neurocognitive functioning on either self-rated recovery or negative emotion. Psychosocial factors are more directly related to perceived recovery than neuropsychiatric factors. The implications of these findings are discussed.