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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

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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.

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Acknowledgments

The study was funded by the Italian Ministry of Education, the Italian Society of Psychopathology (SOPSI), the Italian Society of Biological Psychiatry (SIPB), Roche, Lilly, AstraZeneca, Lundbeck and Bristol-Myers Squibb. The members of the Italian Network for Research on Psychoses are mentioned below: Members of the Italian Network for Research on Psychoses who participated in this study include: Marina Mancini, Maria Antonietta Nettis, Giuseppe Rizzo (University of Bari); Stefano Porcelli (University of Bologna); Giacomo Deste, Alessandro Galluzzo, Luca Gheda (University of Brescia); Bernardo Carpiniello, Alice Ghiani, Alice Lai (University of Cagliari); Dario Cannavò, Giuseppe Minutolo, Maria Salvina Signorelli (University of Catania); Tiziano Acciavatti, Marco Alessandrini, Federica Vellante (University of Chieti); Andrea Cantisani (University of Florence); Mario Altamura, Flavia A. Padalino, Tiziana Pagano (University of Foggia); Martino Belvedere Murri, Pietro Calcagno, Alessandro Corso (University of Genoa); Simona D’Onofrio,Carmela Marucci, Valeria Santarelli (University of L’Aquila – DISCAB); Valeria Bianchini, Laura Giusti, Maurizio Malavolta (University of L’Aquila- MESVA); Paola Bucci, Marcello Chieffi, Stefania De Simone, Eleonora Merlotti, Mariangela Rocco, Annarita Vignapiano (University of Naples SUN); Carmine Tomasetti (University of Naples Federico II); Alessandro Feggi, Eleonora Gattoni, Carla Gramaglia (University of Eastern Piedmont, Novara); Carla Cremonese, Enrico Collantoni, Davide Gallicchio (University of Padua); Chiara De Panfilis, Paolo Ossola, Matteo Tonna (University of Parma); Claudia Carmassi, Camilla Gesi, Grazia Rutigliano (University of Pisa); Roberto Brugnoli, Valentina Corigliano, Antonella De Carolis, Fabio Di Fabio, Alessia Mirigliani, Maria Chiara Torti (Sapienza University of Rome); Giorgio Di Lorenzo, Alberto Siracusano, Alfonso Troisi (Tor Vergata University of Rome); Luca Bartoli, Giulio Corrivetti, Ferdinando Diasco (Department of Mental Health, Salerno); Simone Bolognesi, Elisa Borghini, Arianna Goracci (University of Siena); Tiziana Frieri, Cinzia Mingrone, Monica Sigaudo (University of Turin).

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Authors and Affiliations

  1. Department of Biotechnological and Applied Sciences and ASL, University of L’Aquila, L’Aquila, Italy

    Alessandro Rossi, Gaetano Callista & Paolo Stratta

  2. Department of Mental Health, Giulianova Hospital ASL Teramo, Giulianova, Italy

    Alessandro Rossi, Gaetano Callista & Paolo Stratta

  3. Department of Psychiatry, University of Naples SUN, Naples, Italy

    Silvana Galderisi, Armida Mucci, Giuseppe Piegari & Mario Maj

  4. Department of Neuroscience, Section of Psychiatry, University of Turin, Turin, Italy

    Paola Rocca & Cristiana Montemagni

  5. Department of Neurological and Psychiatric Sciences, University of Bari, Bari, Italy

    Alessandro Bertolino & Ileana Andriola

  6. Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy

    Paola Rucci & Dino Gibertoni

  7. Department of Clinical and Molecular Biomedicine, Psychiatry Unit, University of Catania, Catania, Italy

    Eugenio Aguglia

  8. Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics and Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, Italy

    Mario Amore

  9. Department of Medical Sciences, Psychiatry Unit, University of Foggia, Foggia, Italy

    Antonello Bellomo

  10. Department of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy

    Massimo Biondi

  11. Department of Neurosciences, Mental Health and Sensory Organs, S. Andrea Hospital, Sapienza University of Rome, Rome, Italy

    Anna Comparelli

  12. Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy

    Liliana Dell’Osso

  13. Department of Neuroscience and Imaging, Chair of Psychiatry, G. D’Annunzio University, Chieti, Italy

    Massimo Di Giannantonio

  14. Department of Molecular Medicine and Clinical Department of Mental Health, University of Siena, Siena, Italy

    Andrea Fagiolini

  15. Department of Neuroscience, Psychiatry Unit, University of Parma, Parma, Italy

    Carlo Marchesi

  16. Department of Medicine and Surgery, Chair of Psychiatry, University of Salerno, Salerno, Italy

    Palmiero Monteleone

  17. Department of Systems Medicine, Chair of Psychiatry, Tor Vergata University of Rome, Rome, Italy

    Cinzia Niolu

  18. Department of Public Health, Clinical and Molecular Medicine, Section of Psychiatry, University of Cagliari, Cagliari, Italy

    Federica Pinna

  19. Department of Life, Health and Environmental Sciences, Unit of Psychiatry, University of L’Aquila, L’Aquila, Italy

    Rita Roncone

  20. Psychiatric Clinic, Department of Neurosciences, University of Padua, Padua, Italy

    Elena Tenconi

  21. Psychiatric Unit, School of Medicine, University of Brescia, Brescia, Italy

    Antonio Vita

  22. Department of Mental Health, Spedali Civili Hospital, Brescia, Italy

    Antonio Vita

  23. Department of Translational Medicine, Psychiatric Unit, University of Eastern Piedmont, Novara, Italy

    Patrizia Zeppegno

Authors
  1. Alessandro Rossi
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  2. Silvana Galderisi
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  3. Paola Rocca
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  4. Alessandro Bertolino
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  5. Armida Mucci
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  6. Paola Rucci
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  7. Dino Gibertoni
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  8. Eugenio Aguglia
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  9. Mario Amore
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  10. Ileana Andriola
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  11. Antonello Bellomo
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  12. Massimo Biondi
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  13. Gaetano Callista
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  14. Anna Comparelli
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  15. Liliana Dell’Osso
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  16. Massimo Di Giannantonio
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  17. Andrea Fagiolini
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  18. Carlo Marchesi
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  19. Palmiero Monteleone
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  20. Cristiana Montemagni
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  21. Cinzia Niolu
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  22. Giuseppe Piegari
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  23. Federica Pinna
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  24. Rita Roncone
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  25. Paolo Stratta
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  26. Elena Tenconi
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  27. Antonio Vita
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  28. Patrizia Zeppegno
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  29. Mario Maj
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Consortia

Italian Network for Research on Psychoses

  • Marina Mancini
  • , Maria Antonietta Nettis
  • , Giuseppe Rizzo
  • , Stefano Porcelli
  • , Giacomo Deste
  • , Alessandro Galluzzo
  • , Luca Gheda
  • , Bernardo Carpiniello
  • , Alice Ghiani
  • , Alice Lai
  • , Dario Cannavò
  • , Giuseppe Minutolo
  • , Maria Salvina Signorelli
  • , Tiziano Acciavatti
  • , Marco Alessandrini
  • , Federica Vellante
  • , Andrea Cantisani
  • , Mario Altamura
  • , Flavia A. Padalino
  • , Tiziana Pagano
  • , Martino Belvedere Murri
  • , Pietro Calcagno
  • , Alessandro Corso
  • , Simona D’Onofrio
  • , Carmela Marucci
  • , Valeria Santarelli
  • , Valeria Bianchini
  • , Laura Giusti
  • , Maurizio Malavolta
  • , Paola Bucci
  • , Marcello Chieffi
  • , Stefania De Simone
  • , Eleonora Merlotti
  • , Mariangela Rocco
  • , Annarita Vignapiano
  • , Carmine Tomasetti
  • , Alessandro Feggi
  • , Eleonora Gattoni
  • , Carla Gramaglia
  • , Carla Cremonese
  • , Enrico Collantoni
  • , Davide Gallicchio
  • , Chiara De Panfilis
  • , Paolo Ossola
  • , Matteo Tonna
  • , Claudia Carmassi
  • , Camilla Gesi
  • , Grazia Rutigliano
  • , Roberto Brugnoli
  • , Valentina Corigliano
  • , Antonella De Carolis
  • , Fabio Di Fabio
  • , Alessia Maria Chiara Mirigliani Torti
  • , Giorgio Di Lorenzo
  • , Alberto Siracusano
  • , Alfonso Troisi
  • , Luca Bartoli
  • , Giulio Corrivetti
  • , Ferdinando Diasco
  • , Simone Bolognesi
  • , Elisa Borghini
  • , Arianna Goracci
  • , Tiziana Frieri
  • , Cinzia Mingrone
  •  & Monica Sigaudo

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Correspondence to Alessandro Rossi.

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Rossi, A., Galderisi, S., Rocca, P. et al. 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. Eur Arch Psychiatry Clin Neurosci 267, 285–294 (2017). https://doi.org/10.1007/s00406-016-0710-9

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