Resilience and Associated Factors in Schizophrenia

2022 33(1): 1-10
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Objective: Resilience in schizophrenia has been associated with multiple clinical variables that, to the best of our knowledge, do not include
impulsiveness, aggression and also personality and insight with possible influences, which remain as poorly investigated topics. This study investigated
the relationships of resilience with depression, aggression, impulsivity, personality and insight in order to assess the factors that explain resilience in
Method: The study included 139 individuals with clinically stable schizophrenia. Data were acquired by means of the Resilience Scale for Adults
(RSA), the Positive and Negative Syndrome Scale (PANSS), the Calgary Depression Scale for Schizophrenia (CDSS), the Schedule for Assessment
of Insight (SAI), the Eysenck Personality Questionnaire Revised-Abbreviated (EPQR-A), the Barratt Impulsiveness Scale, 11th version (BIS-11) and
the Buss–Perry Aggression Questionnaire (BPAQ). Correlations of the scores of the RSA with the scores of the other psychometric scales and the
demographic and clinical data were evaluated. Linear regression analysis was used to determine the factors predicting resilience.
Results: The PANSS total and general psychopathology scores and scale scores on depression, impulsiveness and aggression were negatively correlated
with resilience scores. Attentional impulsiveness, neuroticism and depression predicted low levels of resilience. There were no significant correlations
between insight and the total or subdimension scores of resilience except for the subdimension structural style.
Conclusion: Treatments focusing only on clinical remission in schizophrenia are not sufficiently effective. Interventions for enhancing resilience in
schizophrenia should consider depressive symptoms, attentional impulsivity and personality traits such as neuroticism.