title: The relationships of personal resources with symptom severity and psychosocial functioning in persons with schizophrenia: results from the Italian Network for Research on Psychoses study.
abstract: The relationships of personal resources with symptom severity and psychosocial functioning have never been tested systematically in a large sample of people with schizophrenia. We applied structural equation models to a sample of 921 patients with schizophrenia collected in a nationwide Italian study, with the aim to identify, among a large set of personal resources, those that may have an association with symptom severity or psychosocial functioning. Several relevant demographic and clinical variables were considered concurrently. Poor service engagement and poor recovery style, as well as older age and younger age at onset, were related to greater symptom severity and poorer social functioning. Higher resilience and higher education were related to better social functioning only. Poor problem-focused coping and internalized stigma, as well as male gender and depression, were related to symptom severity only. The explored variables showed distinctive and partially independent associations with symptom severity and psychosocial functioning. A deeper understanding of these relationships may inform treatment decisions.
authors.affiliation: Department of Biotechnological and Applied Sciences and ASL, University of L'Aquila, L'Aquila, Italy. alessandro.rossi@cc.univaq.it.|Department of Mental Health, Giulianova Hospital ASL Teramo, Giulianova, Italy. alessandro.rossi@cc.univaq.it.
authors.forename: Alessandro
authors.identifier: http://orcid.org/0000-0001-8723-7622
authors.initials: A
authors.lastname: Rossi
authors.affiliation: Department of Psychiatry, University of Naples SUN, Naples, Italy.
authors.forename: Silvana
authors.initials: S
authors.lastname: Galderisi
authors.affiliation: Department of Neuroscience, Section of Psychiatry, University of Turin, Turin, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Rocca
authors.affiliation: Department of Neurological and Psychiatric Sciences, University of Bari, Bari, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Bertolino
authors.affiliation: Department of Psychiatry, University of Naples SUN, Naples, Italy.
authors.forename: Armida
authors.initials: A
authors.lastname: Mucci
authors.affiliation: Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Rucci
authors.affiliation: Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
authors.forename: Dino
authors.initials: D
authors.lastname: Gibertoni
authors.affiliation: Department of Clinical and Molecular Biomedicine, Psychiatry Unit, University of Catania, Catania, Italy.
authors.forename: Eugenio
authors.initials: E
authors.lastname: Aguglia
authors.affiliation: Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics and Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Amore
authors.affiliation: Department of Neurological and Psychiatric Sciences, University of Bari, Bari, Italy.
authors.forename: Ileana
authors.initials: I
authors.lastname: Andriola
authors.affiliation: Department of Medical Sciences, Psychiatry Unit, University of Foggia, Foggia, Italy.
authors.forename: Antonello
authors.initials: A
authors.lastname: Bellomo
authors.affiliation: Department of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Biondi
authors.affiliation: Department of Biotechnological and Applied Sciences and ASL, University of L'Aquila, L'Aquila, Italy.|Department of Mental Health, Giulianova Hospital ASL Teramo, Giulianova, Italy.
authors.forename: Gaetano
authors.initials: G
authors.lastname: Callista
authors.affiliation: Department of Neurosciences, Mental Health and Sensory Organs, S. Andrea Hospital, Sapienza University of Rome, Rome, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Comparelli
authors.affiliation: Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.
authors.forename: Liliana
authors.initials: L
authors.lastname: Dell'Osso
authors.affiliation: Department of Neuroscience and Imaging, Chair of Psychiatry, G. D'Annunzio University, Chieti, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Di Giannantonio
authors.affiliation: Department of Molecular Medicine and Clinical Department of Mental Health, University of Siena, Siena, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Fagiolini
authors.affiliation: Department of Neuroscience, Psychiatry Unit, University of Parma, Parma, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Marchesi
authors.affiliation: Department of Medicine and Surgery, Chair of Psychiatry, University of Salerno, Salerno, Italy.
authors.forename: Palmiero
authors.initials: P
authors.lastname: Monteleone
authors.affiliation: Department of Neuroscience, Section of Psychiatry, University of Turin, Turin, Italy.
authors.forename: Cristiana
authors.initials: C
authors.lastname: Montemagni
authors.affiliation: Department of Systems Medicine, Chair of Psychiatry, Tor Vergata University of Rome, Rome, Italy.
authors.forename: Cinzia
authors.initials: C
authors.lastname: Niolu
authors.affiliation: Department of Psychiatry, University of Naples SUN, Naples, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Piegari
authors.affiliation: Department of Public Health, Clinical and Molecular Medicine, Section of Psychiatry, University of Cagliari, Cagliari, Italy.
authors.forename: Federica
authors.initials: F
authors.lastname: Pinna
authors.affiliation: Department of Life, Health and Environmental Sciences, Unit of Psychiatry, University of L'Aquila, L'Aquila, Italy.
authors.forename: Rita
authors.initials: R
authors.lastname: Roncone
authors.affiliation: Department of Biotechnological and Applied Sciences and ASL, University of L'Aquila, L'Aquila, Italy.|Department of Mental Health, Giulianova Hospital ASL Teramo, Giulianova, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Stratta
authors.affiliation: Psychiatric Clinic, Department of Neurosciences, University of Padua, Padua, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Tenconi
authors.affiliation: Psychiatric Unit, School of Medicine, University of Brescia, Brescia, Italy.|Department of Mental Health, Spedali Civili Hospital, Brescia, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Vita
authors.affiliation: Department of Translational Medicine, Psychiatric Unit, University of Eastern Piedmont, Novara, Italy.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Zeppegno
authors.affiliation: Department of Psychiatry, University of Naples SUN, Naples, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Maj
mesh_terms: D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D000368:Aged; D000987:Antisocial Personality Disorder / Q000209:etiology*; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000503:physiopathology*; D012565:Schizophrenic Psychology; D012649:Self Concept; D012720:Severity of Illness Index; D012917:Social Adjustment; D057545:Social Stigma; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Personal resources; Psychosocial functioning; Schizophrenia; Structural equation models; Symptom severity