Evidence map›Paper›PMID 37667278›Full record

ArticleBMC psychiatry2023

Towards an integrative hope-dysfunctional beliefs perspective to personal recovery in schizophrenia: a path analysis.

Daniel Fu Keung Wong, Yves Cho Ho Cheung, Xiaoyu Zhuang, Yat-Nan Petrus Ng, Lindsey G Oades, Shengquan Sam Ye

Abstract read
In one paragraph

Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Daniel Fu Keung WongDepartment of Social Work, Baptist University of Hong Kong, AAB1035, 10/F, Academic and Administration Building, 15 Baptist University Road, Baptist University Road Campus, Kowloon Tong, Hong Kong.ORCID http://orcid.org/0000-0002-1030-2040
Yves Cho Ho CheungDepartment of Social Work, Baptist University of Hong Kong, AAB1035, 10/F, Academic and Administration Building, 15 Baptist University Road, Baptist University Road Campus, Kowloon Tong, Hong Kong. yvesresilience@gmail.com.ORCID http://orcid.org/0000-0001-9660-1051
Xiaoyu ZhuangSociology Research Center, School of Humanities, Jinan University, 601, Huangpu Avenue West, Tianhe District, Guangzhou City, Guangdong Province, China.ORCID http://orcid.org/0000-0002-5826-1161
Yat-Nan Petrus NgDepartment of Social Work, Baptist University of Hong Kong, AAB1035, 10/F, Academic and Administration Building, 15 Baptist University Road, Baptist University Road Campus, Kowloon Tong, Hong Kong.ORCID http://orcid.org/0000-0002-1313-752X
Lindsey G OadesMelbourne Graduate School of Education, The University of Melbourne, Melbourne Graduate School of Education, The University of Melbourne, Grattan Street, Parkville, VIC, 3010, Australia.ORCID http://orcid.org/0000-0001-8731-3525
Shengquan Sam YeDepartment of Social and Behavioural Sciences, City University of Hong Kong, Department of Social and Behavioural Sciences, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong.ORCID http://orcid.org/0000-0003-4949-7372

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence shows that negative symptoms of schizophrenia and underlying dysfunctional cognition are related to persistently low functioning and quality of life. However, despite the abundance of existing recovery programs for people with schizophrenia, few have examined whether and how the widely-adopted hope-motivation recovery pathway and the deficit-oriented cognitive pathway might converge to influence functioning and quality of life.

methodsA cross-sectional, quantative survey recruited a convenient sample of adult outpatients with DSM-5 schizophrenia spectrum disorders and low social functioning (n = 124). Self-reported measurements included personal recovery (30-item Mental Health Recovery Measure), social functioning (8-item Social Functioning Questionnaire), hope (12-item Hope Scale), quality of life (28-item World Health Organization Quality of Life Scale-Abbreviated Version-Hong Kong), defeatist beliefs (15-item extracted from Dysfunctional Attitude Scale), and asocial beliefs (15-item extracted from Revised Social Anhedonia Scale). Correlation analysis and structural equation modelling was applied to investigate how the two pathways intertwined to predict social functioning and quality of life.

resultsAsocial beliefs and hope separately mediated two partial mediation pathways from defeatist beliefs to recovery outcomes (social functioning and personal recovery). Meanwhile, defeatist beliefs, social functioning, and personal recovery further predicted quality of life.

conclusionsThis is one of the very few studies that provides empirical evidence of a deficit-strength linkage in the recovery from schizophrenia. Remediation of dysfunctional beliefs and the injection of hope and successful experiences should be undertaken concurrently in recovery as they are associated with differential effects on enhancing social functioning and personal recovery, which then converge and contribute to a better quality of life.

Indexed as

SchizophreniaAdultAnhedoniaCognitionCross-Sectional StudiesHumansQuality of LifeAsocial beliefsCognitive-behavioral therapyDefeatist beliefsNegative symptomsRecoverySchizophreniaStrength-based

Identifiers

PMID37667278
PMCPMC10478494

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.