Citation

Araya, Gonzalez N, Vallejos J, Ruiz S. J. Neuroeuropsychiatry (Santiago, Chile) 2022; 60(1): 75-91.

Copyright

(Copyright © 2022, Society of Neurology, Neurosurgery and Psychiatry, Chile)

DOI

10.4067/S0717-92272022000100075

PMID

unavailable

Abstract

INTRODUCTION: resilience has been defined as the resistance to adverse psychosocial experiences. It has an important role in various mental disorders, being associated, for example, with the severity in major depressive disorder and the quality of life in bipolar affective disorder. Schizophrenia is a severe mental disorder that stands out for causing difficulties in multiple domains of life and high morbidity and mortality. The objective of this review was to synthesize the available evidence about the importance of resilience in schizophrenia.

METHODS: a search of the PubMed, LILACS and SciELO databases was performed, selecting articles in English and Spanish that included patients with schizophrenia and measured resilience. Twenty-five articles met the inclusion criteria.

RESULTS: patient with schizophrenia had less resilience than healthy subjects (9 studies). Resilience levels were inversely associated with negative symptoms (3 studies), positive symptoms (1 study), depression (4 studies), hopelessness (3 studies), and suicide (1 study). On the other hand, resilience was positively associated with quality of life (5 studies), functionality (4 studies) and physical health (2 studies). In two studies, interventions aimed at enhancing the resilience of patients with schizophrenia were evaluated, showing inconclusive results.

DISCUSSION: there is a striking limited literature that address the topic of resilience in schizophrenia. The findings of the present review place resilience as a determining factor in the evolution and clinical expression of this disease. © 2022 Sociedad de Neurologia Psiquiatria y Neurocirugia. All rights reserved.

Language: es

Keywords

human; systematic review; Review; quality of life; depression; schizophrenia; hopelessness; controlled study; negative syndrome; positive syndrome; qualitative analysis; Medline; psychological resilience; resilience, psychological; schizophrenia spectrum and other psychotic disorders