Illness uncertainty and the psychological well-being of individuals with schizophrenia: The mediating role of psychological resilience


ŞAHİN BAYINDIR G., Günay S., ER S., Gültekin B. K.

Archives of Psychiatric Nursing, vol.58, 2025 (SCI-Expanded, SSCI, Scopus) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 58
  • Publication Date: 2025
  • Doi Number: 10.1016/j.apnu.2025.151960
  • Journal Name: Archives of Psychiatric Nursing
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Keywords: Illness uncertainty, Psychological resilience, Psychological well-being, Schizophrenia
  • Istanbul University-Cerrahpasa Affiliated: Yes

Abstract

Objective: This study aimed to determine the mediating role of psychological resilience in the relationship between illness uncertainty and psychological well-being in individuals with schizophrenia. Method: A descriptive and correlational study was conducted following the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. A total of 150 participants diagnosed with schizophrenia according to the DSM-5-TR criteria were recruited for the study. Data were collected using the Personal Information Form, the Structured Clinical Interview for DSM-5, the Positive and Negative Syndrome Scale, the Mishel Uncertainty in Illness Scale–Community Form, the Psychological Well-Being Scale, and the Connor–Davidson Resilience Scale. Results: The mean age of the participants diagnosed with schizophrenia was 37.52 ± 10.62 years, and the mean age at diagnosis of schizophrenia was 30.78 ± 10.88 years. The mediating role of psychological resilience in the effect of uncertainty in illness on psychological well-being was significant (−0.1647, −0.0289). Conclusion: This study underscores the critical role of resilience in mitigating the negative effect of illness uncertainty and emphasizes the need for health professionals to assess the level of uncertainty experienced by individuals with schizophrenia, its effects on psychological well-being, and their coping mechanisms.