Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions.

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 dia...

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Main Authors: Watson, P, Garety, P, Weinman, J, Dunn, G, Bebbington, P, Fowler, D, Freeman, D, Kuipers, E
Format: Journal article
Language:English
Published: 2006
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author Watson, P
Garety, P
Weinman, J
Dunn, G
Bebbington, P
Fowler, D
Freeman, D
Kuipers, E
author_facet Watson, P
Garety, P
Weinman, J
Dunn, G
Bebbington, P
Fowler, D
Freeman, D
Kuipers, E
author_sort Watson, P
collection OXFORD
description 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.
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spelling oxford-uuid:80ef9ad7-e554-4920-9432-2283622ce1322022-03-26T21:26:51ZEmotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:80ef9ad7-e554-4920-9432-2283622ce132EnglishSymplectic Elements at Oxford2006Watson, PGarety, PWeinman, JDunn, GBebbington, PFowler, DFreeman, DKuipers, EBACKGROUND: 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.
spellingShingle Watson, P
Garety, P
Weinman, J
Dunn, G
Bebbington, P
Fowler, D
Freeman, D
Kuipers, E
Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions.
title Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions.
title_full Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions.
title_fullStr Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions.
title_full_unstemmed Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions.
title_short Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions.
title_sort emotional dysfunction in schizophrenia spectrum psychosis the role of illness perceptions
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