Citation

Krzyzanowski D, Agid O, Goghari V, Remington G. Schizophr. Res. Cogn. 2021; 26.

Copyright

(Copyright © 2021, Elsevier Publishing)

DOI

10.1016/j.scog.2021.100205

PMID

unavailable

Abstract

Research indicates that people with schizophrenia often achieve similar levels of subjective well-being (SWB) compared to healthy controls despite prominent symptomatology and significant functional difficulties. Furthermore, compared to healthy controls, young-adult people with schizophrenia differ in the relative importance they place on values, or guiding life principles, associated with educational and occupational success (openness to change), suggesting that changing motivations may contribute to SWB and the apparent motivational deficits commonly reported in this population. The current study sought to better understand these relationships in middle-aged people with schizophrenia or schizoaffective disorder (n=29) versus a relatively healthy group of community controls (n=23). Participants completed measures of SWB and values. They also completed a cognitive battery and interviews concerned with mental and physical health. Patients reported similar levels of SWB compared to controls in the context of significant cognitive, social and vocational difficulties. Moreover, living consistently with values (valued living) predicted SWB in both groups. Lastly, internalized mental illness stigma was negatively associated with openness to change in the patient group. While encouraging from an emotional resiliency perspective, SWB and valued living in people with schizophrenia may hinder motivation towards treatment goals that could otherwise improve functional outcomes in this population. © 2021 The Authors

Language: en

Keywords

adult; Motivation; human; cognition; mental health; female; male; quality of life; Schizophrenia; Psychosis; schizophrenia; psychosis; health; scoring system; suicide attempt; major depression; binge eating disorder; motivation; controlled study; questionnaire; clinical article; self report; anxiety disorder; self concept; cohort analysis; achievement; anhedonia; stimulation; Article; self transcendence; Social and Occupational Functioning Assessment Scale; Subjective well-being; Values; DSM-5; Calgary Depression Scale; Scale for the Assessment of Negative Symptoms; Scale for the Assessment of Positive Symptoms; Subjective Happiness Scale; security; tradition; emotional well-being; Brief Assessment of Cognition in Schizophrenia; cognitive discrepancy; Functional Assessment Short Test; Internalized Stigma of Mental Illness Inventory; Marlowe Crowne Social Desirability Scale; Schizophrenia Hope Scale; self direction; Self enhancement; value system; well being scale