The Relationship of Clinical Factors and Environmental Opportunities to Social Functioning in Young Adults With Schizophrenia

Angell, Beth; Test, Mary Ann

doi:10.1093/oxfordjournals.schbul.a006936

Cited by 62 publications

(66 citation statements)

References 53 publications

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“…Dickerson, Boronow, Ringel, and Parente (1999) found that baseline negative symptoms and neurocognitive impairment had a moderate negative effect on ability to improve in social functioning at a 2-year follow-up. Similarly, Angell and Test (2002) found that initial levels of disorganized symptoms predicted poorer 7-year outcomes in social functioning among a group of young adults with schizophrenia.…”

Section: Enduring Environmental Conditions and Copingmentioning

confidence: 88%

Determinants of functioning and well-being among individuals with schizophrenia: An integrated model

Yanos

Moos

2007

Clinical Psychology Review

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Outcomes for health conditions are typically the result of multiple factors; however, studies tend to focus on a narrow class of variables. Functioning and well-being outcomes for schizophrenia are diverse and have resisted simple explanation; however, prior research has not offered an integrated understanding of the relative contributions of enduring and episodic environmental factors, personal resources and psychiatric factors, and cognitive appraisal and coping, on functioning and well-being outcomes in schizophrenia. The present article sets out an integrated model of the determinants of functioning and well-being among individuals with schizophrenia. To examine evidence that bears on the model, literature on hypothesized relationships is reviewed to identify areas for which there is strong evidence and areas where more research is needed. The article suggests areas for further research, and directs researchers and practitioners toward areas of intervention that can enhance functioning and well-being for persons diagnosed with schizophrenia.

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Section: Enduring Environmental Conditions and Copingmentioning

confidence: 88%

Determinants of functioning and well-being among individuals with schizophrenia: An integrated model

Yanos

Moos

2007

Clinical Psychology Review

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“…Mental health researchers have devoted considerable effort toward identifying factors that promote friendships because of the importance of these relationships to the quality of life of persons with schizophrenia (33). However, little is known about the factors that promote close relationships between adults with schizophrenia and their parents.…”

Section: Discussionmentioning

confidence: 99%

Prosocial Family Processes and the Quality of Life of Persons With Schizophrenia

Greenberg

Knudsen²,

Aschbrenner³

2006

Psychiatric Services

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Objectives-Research on the family's contribution to the quality of life of persons with serious mental illness has largely focused on negative family interactions associated with poorer client outcomes. The purpose of this naturalistic study of aging mothers and adults with schizophrenia was to investigate prosocial family processes that potentially enhance, rather than detract from, the life satisfaction of persons with serious mental illness.Methods-The data were drawn from a longitudinal study of aging parents caring for a son or daughter with schizophrenia. This report is based on 122 mother-adult child dyads who participated in the third wave of the study. Mothers completed an in-home interview and questionnaire that included measures of the quality of the relationship between the mother and adult child, maternal warmth, and maternal praise of the adult child. The adult with schizophrenia completed a life satisfaction questionnaire.Results-The adults with schizophrenia had higher life satisfaction when their mothers expressed greater warmth and praise of their son or daughter with schizophrenia and when their mothers reported the quality of their relationship as being close and mutually supportive.Conclusions-Past research has emphasized changing families, most typically by lowering expressed emotion, with little emphasis on the families' strengths, in particular, prosocial family processes that may enhance the life satisfaction of their loved one. As a recovery orientation focuses on the strengths of adults with mental illness, it also should focus equally on the supportive presence of families in the lives of clients.Research on the family's contribution to the quality of life of persons with serious mental illness has focused largely on negative family interactions associated with poorer outcomes. The concept of expressed emotion has received the most attention, with an emphasis on the family's role in relapse through criticism of and overinvolvement in the life of the relative with mental illness. However, many families play a supportive role and serve as a safety net, because the demand for mental health services far exceeds their availability (1).Yet little is known about the types of family behaviors that enhance rather than detract from the quality of life of persons with schizophrenia. Lopez and colleagues (2) have begun to identify prosocial family processes, such as the expression of warmth and positive remarks, that support clients on their road to recovery. However, research on adults with schizophrenia has been limited to studying the relationship of these prosocial behaviors to relapse (3)(4)(5). The This article is part of a special section honoring the memory of three leaders in the psychosocial treatment of patients with severe and persistent mental disorders: Wayne S. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript purpose of this cross-sectional analysis of data drawn from a longitudinal study of families and adults with schizophrenia was to build upon ...

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“…In general, research suggests that the living environment of people with schizophrenia influences their social relationships (Angell & Test, 2002). For example, researchers have found a relationship between hospitalization and the breakdown of social networks (Holmes-Eber & Riger, 1990;Lipton, Cohen, Fischer & Katz, 1981).…”

Section: People With Schizophreniamentioning

confidence: 99%

Housing, Social Support and People With Schizophrenia: A Grounded Theory Study

Browne

Courtney

2005

Issues in Mental Health Nursing

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The aim of this study was to develop a substantive grounded theory describing the relationship among housing, social support, and the mental health of people with schizophrenia. To achieve this aim, data were collected from people with schizophrenia living in boarding houses and living in their own home. Semi-structured in-depth interviews were conducted with 13 people with schizophrenia to explore their experiences and views regarding the impact of their housing on their mental health. Findings indicate a strong desire among all participants to live in their own home. When they do they feel they belong, they feel safe and most importantly they have greater opportunities to make and maintain supportive social relationships.

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The Relationship of Clinical Factors and Environmental Opportunities to Social Functioning in Young Adults With Schizophrenia

Cited by 62 publications

References 53 publications

Determinants of functioning and well-being among individuals with schizophrenia: An integrated model

Determinants of functioning and well-being among individuals with schizophrenia: An integrated model

Prosocial Family Processes and the Quality of Life of Persons With Schizophrenia

Housing, Social Support and People With Schizophrenia: A Grounded Theory Study

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