Self-efficacy and psychosocial functioning in schizophrenia: A mediational analysis

The construct of self-efficacy has been hypothesized to mediate the relationship between efforts at coping with psychiatric illness and functional outcome. This study examined whether self-efficacy mediated the relationships between psychosocial functioning and important predictors of functioning: p...

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Bibliographic Details
Published in:Schizophrenia research 2005-10, Vol.78 (2), p.187-197
Main Authors: Pratt, Sarah I., Mueser, Kim T., Smith, Thomas E., Lu, Weili
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Affect
Biological and medical sciences
Cognition Disorders - diagnosis
Cognition Disorders - epidemiology
Cognitive functioning
Demography
Female
Humans
Male
Medical sciences
Negative symptoms
Neuropsychological Tests
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Psychosocial functioning
Psychotherapy - methods
Quality of Life - psychology
Schizophrenia
Schizophrenia - epidemiology
Schizophrenia - therapy
Schizophrenic Psychology
Self Efficacy
Surveys and Questionnaires
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Summary:The construct of self-efficacy has been hypothesized to mediate the relationship between efforts at coping with psychiatric illness and functional outcome. This study examined whether self-efficacy mediated the relationships between psychosocial functioning and important predictors of functioning: premorbid functioning, negative symptoms, and cognitive functioning. Although self-efficacy was positively associated with psychosocial functioning, it did not mediate the relationships between functioning and the other established predictors. Rather, negative symptoms were the strongest predictor of functioning and mediated the relationship between self-efficacy and functioning. The findings suggest that negative symptoms, and not self-efficacy, are the most critical determinants of psychosocial functioning in schizophrenia, and that psychosocial treatment should focus on the amelioration of these symptoms.
ISSN:0920-9964
1573-2509
DOI:10.1016/j.schres.2005.02.014