title: Psychosocial and neuropsychiatric predictors of subjective recovery from psychosis.
abstract: Research suggests that both psychosocial factors and neuropsychiatric factors are important predictors of outcome, but little research has examined their relative importance to self-rated recovery. We aim to investigate how such factors are associated with subjective judgements of recovery from psychosis. The participants comprised 122 individuals with experience of psychosis who completed measures of perceived recovery, as well as measures of psychological factors (including self-esteem, locus of control, and emotion) and psychiatric factors (including psychotic symptoms, neurocognition and insight). Measurement models developed using confirmatory factor analysis supported a hypothesis of separate recovery and negative emotion factors. Structural equation modelling showed that negative emotion and internal locus of control had a direct influence on self-rated recovery, and that positive symptoms and internal locus of control had an indirect effect on recovery, mediated via negative emotion. There did not appear to be any effect of insight, negative symptoms or neurocognitive functioning on either self-rated recovery or negative emotion. Psychosocial factors are more directly related to perceived recovery than neuropsychiatric factors. The implications of these findings are discussed.
authors.affiliation: Greater Manchester West Mental Health NHS Foundation Trust, Manchester, United Kingdom; School of Psychological Sciences, University of Manchester, Manchester M13 9PL, United Kingdom. Electronic address: tony.morrison@manchester.ac.uk.
authors.forename: Anthony P
authors.initials: AP
authors.lastname: Morrison
authors.forename: Nick
authors.initials: N
authors.lastname: Shryane
authors.forename: Rosie
authors.initials: R
authors.lastname: Beck
authors.forename: Suzanne
authors.initials: S
authors.lastname: Heffernan
authors.forename: Heather
authors.initials: H
authors.lastname: Law
authors.forename: Monica
authors.initials: M
authors.lastname: McCusker
authors.forename: Richard P
authors.initials: RP
authors.lastname: Bentall
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004644:Emotions / Q000502:physiology*; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007600:Judgment; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests; D011618:Psychotic Disorders / Q000503:physiopathology* / Q000523:psychology*; D020127:Recovery of Function / Q000502:physiology*; D012649:Self Concept; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Emotion; Neuropsychology; Psychosis; Recovery; Schizophrenia