Abstract
Aim
This study was conducted to evaluate the cognitive insight, social functionality,
and coping attitudes of patients diagnosed with schizophrenia being followed-up in
a Community Mental Health Center (CMHC).
Design and methods
The population of this descriptive and relationship-seeking study comprised 170 schizophrenia
patients followed-up in the CMHC. Study data were collected using the Information
Form, the Beck Cognitive Insight Scale (BCIS), the Social Functioning Assessment Scale
(SFAS), and the Coping Orientation of Problem Experience (COPE).
Findings
A moderately significant positive correlation between cognitive insight and social
functionality was determined. It was found that participants with high cognitive insight
and social functionality used more problem- and emotion-focused coping methods.
Application implications
It is thought that practices that improve cognitive insight and social functionality
will contribute to the rehabilitation of patients with schizophrenia by supporting
their coping skills.
Keywords
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References
- COPE (Başa çıkma tutumlarını değerlendirme ölçeği): Psikometrik özelliklere ilişkin bir ön çalışma.Anadolu Psikiyatri Dergisi. 2005; 6: 221-226
- The relationship of clinical factors and environmental opportunities to social functioning in young adults with schizophrenia.Schizophrenia Bulletin. 2002; 28: 259-271https://doi.org/10.1093/oxfordjournals.schbul.a006936
- The mental status, functional levels, and related factors of patients discharged from a psychiatric clinic in Sivas, Turkey.Anadolu Psikiyatri Dergisi. 2009; 10: 293
- Rehabilitasyon programının şizofreni hastalarının kliniği, sosyal işlevselliği ve yaşam kalitesi üzerindeki uzun dönem etkileri: Izleme çalışması.Anadolu Psikiyatri Dergisi. 2015; 16: 238-246
- İçgörü kavramı ve şizofreni.RCHP. 2010; 4: 23-32
- Beck Bilişsel İçgörü Ölçeği Türkçe formunun şizofrenik hastalar için güvenilirlik ve geçerlik çalışması.Klinik Psikiyatri Dergisi. 2005; 8: 186-196
- The role of effort, cognitive expectancy appraisals and coping style in the maintenance of the negative symptoms of schizophrenia.Psychiatry Research. 2009; 167: 36-46https://doi.org/10.1016/j.psychres.2008.04.016
- Nurse's role in community mental health centers: Example of England.Current Approaches to Psychiatry. 2012; 4: 465-486
- A new instrument for measuring insight: The Beck cognitive insight scale.Schizophrenia Research. 2004; 68: 319-329https://doi.org/10.1016/S0920-9964(03)00189-0
- Insight into illness, neurocognition and quality of life in schizophrenia.Neuropsychopharmacology and Biological Psychiatry. 2012; 36: 271-276https://doi.org/10.1016/j.pnpbp.2011.10.008
- The influence of incomelevel and ethnicity on copingstrategies.Journal of Psychopathology and Behavioural Assessment. 2002; 24: 39-45
- Is personal and social functioning associated with subjective quality of life in schizophrenia patients living in the community?.European Archives of Psychiatry and Clinical Neuroscience. 2011; 261: 509-517https://doi.org/10.1007/s00406-011-0200-z
- Assessing coping strategies: A theoretically based approach.Journal of Personality and Social Psychology. 1989; 56: 267https://doi.org/10.1037/0022-3514.56.2.267
- Stigma: A core factor on predicting functionality in bipolar disorder.Comprehensive Psychiatry. 2012; 53: 484-489https://doi.org/10.1016/j.comppsych.2011.08.010
- The relationship between the hope levels of patients with schizophrenia and functional recovery.Archives of Psychiatric Nursing. 2018; 32: 98-102https://doi.org/10.1016/j.apnu.2017.10.006
- Davidson M. Dopamine in schizophrenia: A review and reconceptualization.The American Journal of Psychiatry. 1991; 148: 1474-1486https://doi.org/10.1176/ajp.148.11.1474
- Toplum ruh sağlığı merkezi’nden hizmet alan bir şizofrenili olguda bütüncül yaklaşımın hastalığın gidişine etkisi.Clinical and Experimental Health Sciences. 2014; 4: 122-125
- Şizofreni ve bipolar bozukluk tanısı almış hastaların baş etme tutumları ile bilişsel şema alanlarının psikiyatrik tanı almamış kişilerle karşılaştırılması.Haliç Üniversitesi, Sosyal Bilimler Enstitüsü, 2018 (Doktora Tezi)
- Bir grup Şizofreni Hastasında tedaviye uyum ve etkileyen etmenlerin belirlenmesi.Journal of Psychiatric Nursing. 2014; 5
- Diagnostic and statistical manual of mental disorders.American Psychiatric Association. 2018; 21: 591-643
- Şizofrenide sosyal İşlevselliği yordayan etmenler.Türk Psikiyatri Dergisi. 2009; 20
- The impact of insight on social functioning in patients with schizophrenia.The International Journal of Social Psychiatry. 2015; 61: 379-385https://doi.org/10.1177/0020764014548287
- Gündüz Hastanesi ve Rehabilitasyon Merkezi’ne devam eden şizofreni hastalarının işlevsellik ve yaşam kalitesinin karşılaştırılması.Uzmanlık Tezi, 2008
- Six-year follow-up study of cognitive and functional status across the lifespan in schizophrenia: A comparison with Alzheimer’s disease and normal aging.American Journal of Psychiatry. 2001; 158: 1441-1448
- Kırıkkale toplum ruh sağlığı merkezi’nde takip edilen şizofreni hastalarının değerlendirilmesi.KÜ Tıp Fakültesi Dergisi. 2014; 16: 15-19https://doi.org/10.24938/kutfd.124887
- Şizofrenide ailenin yükünü etkileyen etmenler.Türk Psikiyatri Dergisi. 2010; 21: 203-212
- Şizofreni Hastalarında İzleti ve Anlatı tedavilerinin Uskuramı ve toplumsal İşlevsellik Üzerine etkisi.Neuropsychiatry. 2021; 58: 108-114https://doi.org/10.29399/npa.27291
- Specialist practice in community mental health nursing.Nurse Education Today. 1999; 19: 509-516https://doi.org/10.1054/nedt.1999.0347
- Validity and stability of performance-based estimates of premorbid educational functioning in older patients with schizophrenia.Journal of Clinical and Experimental Neuropsychology. 2006; 28: 178-192https://doi.org/10.1080/13803390500360349
- Correlates of subjective and functional outcomes in outpatient clinic attendees with schizophrenia and schizoaffective disorder.European Archives of Psychiatry and Clinical Neuroscience. 2006; 256: 246-255
- Ciddi ruhsal Hastalığı olan bireylerde olgu Yöneticiliği: 24 Aylık uygulama Sonuçları.Türk Psikiyatri Dergisi. 2019; 30
- Şizofreni Hastalarında Öznel İyileşme İle Bilişsel İçgörü Arasındaki İlişkinin Araştırılması.Kocaeli Üniversitesi Sağlık Bilimleri Dergisi. 2018; 4https://doi.org/10.30934/kusbed.337808
- İntihar Girişiminde bulunan Kişilerde Başa Çıkma Tutumları.Archives of Neuropsychiatry. 2014; 51
- DSM-5 Tanı Odaklı Klinik Psikiyatri.HBY Yayıncılık, 2015
- Prodromes, coping strategies, insight and social functioning in bipolar affective disorders.Psychological Medicine. 1997; 27: 1091-1100https://doi.org/10.1017/S0033291797005540
- Improving cardiovascular diseases creening in community mental health centers.Perspectives in Psychiatric Care. 2012; 48: 179-186https://doi.org/10.1111/j.1744-6163.2012.00348.x
- Predictive factors of functional capacity and real-world functioning in patients with schizophrenia.European Psychiatry. 2015; 30 (Elsevier Masson): 622-627https://doi.org/10.1016/j.eurpsy.2014.12.011
- A prospective analysis of work in schizophrenia.Schizophrenia Bulletin. 2001; 27: 281-296https://doi.org/10.1093/oxfordjournals.schbul.a006874
- Coping strategies and real-world functioning in bipolar disorder.Journal of Affective Disorders. 2016; 198: 185-188https://doi.org/10.1016/j.jad.2016.03.028
- Stressful life events and schizophrenia.The British Journal of Psychiatry. 1993; 162: 161-166
- Şizofreni hastalarında intihar girişiminin pozitif ve negatif semptomlar, depresyon, umutsuzluk, içgörü ve bilişsel işlevlerle ilişkisi.Gazi Üniversitesi Tıp Fakültesi, Psikiyatri Anabilim Dalı, 2012 (Uzmanlık Tezi)
- The relationship between cognitive insight and quality of life in schizophrenia spectrum disorders: Symptom severity as potential moderator.Psychiatry Research. 2015; 230: 839-845https://doi.org/10.1016/j.psychres.2015.10.014
- The relationship between positive symptoms and instrumental work functioning in schizophrenia: A 10 year follow-up study.Schizophrenia Research. 2002; 56: 95-103https://doi.org/10.1016/S0920-9964(01)00273-0
- Vol. 1. lippincott Williams & wilkins, Philadelphia2000: 938-950 Comprehensive textbook of psychiatry.
- Şizofreni hastalarında hastalık süresinin klinik özelliklere etkisi.Klinik Psikiyatri Dergisi. 2017; 20: 301-307
- How do men with schizophrenia fare at work? A follow-up study from India.Schizophrenia Research. 1997; 25: 149-154https://doi.org/10.1016/S0920-9964(97)00016-9
- Improved insight affects social outcomes in involuntarily committed psychotic patients: A longitudinal study in the Netherlands.Comprehensive Psychiatry. 2013; 54: 873-879https://doi.org/10.1016/j.comppsych.2013.03.016
- Symptomatic and functional remission in patients with first-episode psychosis.Acta Psychiatrica Scandinavica. 2012; 126: 282-289https://doi.org/10.1111/j.1600-0447.2012.01883.x
- Assessment of coping with schizophrenia: Stressors, appraisals, and coping behaviour.The British Journal of Psychiatry. 1992; 161: 114-122https://doi.org/10.1192/S0007125000297134
- Social disability in schizophrenia: Its development and prediction over 15 years in incidence cohorts in six european centres.Psychological Medicine. 2000; 30: 1155-1167https://doi.org/10.1017/S0033291799002627
- Correlates, change and ‘state or trait’properties of insight in schizophrenia.Schizophrenia Research. 2010; 122: 94-103https://doi.org/10.1016/j.schres.2010.03.005
- Schizophrenia.
- Şizofreni Hastaları için toplumsal İşlevselliği Değerlendirme Ölçeğinin geliştirilmesi: Geçerlilik ve güvenirlik çalışması.Anadolu Psikiyatri Dergisi. 2018; 19: 29-38
Article info
Publication history
Published online: February 01, 2023
Accepted:
January 29,
2023
Received:
December 18,
2022
Identification
Copyright
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