Family Dynamics and Mental Health in Schizophrenia: Investigating the Impact of Cohesion and Adaptability.

IF 2.7 4区医学 Q2 PSYCHIATRY

International Journal of Social Psychiatry Pub Date : 2025-09-27 DOI:10.1177/00207640251369133

Seunghyong Ryu, Anna Jo, Honey Kim, Ju-Wan Kim, Bong Ju Lee, Hangoeunbi Kang, Ha-Ran Jung, Ju-Yeon Lee, Jae-Min Kim, Young-Chul Chung, Sung-Wan Kim

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引用次数: 0

Abstract

Purpose: This study aimed to examine how family cohesion and adaptability are associated with mental health outcomes, including functionality, mood, stress, and well-being, in individuals with schizophrenia.

Methods: A total of 225 individuals diagnosed with schizophrenia spectrum and other psychotic disorders were included in the analysis. Participants were assessed using the Family Adaptability and Cohesion Evaluation Scale (FACES-III), Positive and Negative Syndrome Scale (PANSS-6), Drug Attitude Inventory (DAI-10), Social and Occupational Functioning Assessment Scale (SOFAS), Health of the Nation Outcome Scales (HoNOS), Beck Depression Inventory (BDI-I), Perceived Stress Scale (PSS-10), Subjective Well-being under Neuroleptics Scale (SWN-20), Warwick-Edinburgh Mental Well-being Scale (WEMWBS), and Multidimensional Scale of Perceived Social Support (MSPSS). K-means clustering was performed to classify participants into distinct groups based on FACES-III scores.

Results: K-means clustering, based on FACES-III scores, classified participants into high cohesion and adaptability (HC-HA; N = 139) and low cohesion and adaptability (LC-LA; N = 86) groups. No significant differences were observed in symptom severity (PANSS-6), medication adherence (DAI-10), or functionality measured by SOFAS. However, overall psychosocial functioning (HoNOS) was better in the HC-HA group. The HC-HA group exhibited lower depressive symptoms (BDI-I) and stress levels (PSS-10), as well as higher subjective well-being (SWN-20) and mental well-being (WEMWBS) compared to the LC-LA group. Perceived social support (MSPSS) was significantly higher in the HC-HA group.

Conclusion: Family cohesion and adaptability are associated with improved psychosocial outcomes in individuals with schizophrenia. These findings suggest that enhancing family dynamics may support recovery and well-being.

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精神分裂症患者的家庭动态与心理健康：凝聚力和适应性的影响。

目的：本研究旨在探讨精神分裂症患者的家庭凝聚力和适应性如何与心理健康结果相关，包括功能、情绪、压力和幸福感。方法：共225名诊断为精神分裂症谱系和其他精神障碍的个体纳入分析。采用家庭适应与凝聚力量表（face - iii）、阳性与阴性综合征量表（PANSS-6）、药物态度量表（DAI-10）、社会与职业功能量表（SOFAS）、国民健康结果量表（HoNOS）、贝克抑郁量表（bdi -1）、感知压力量表（PSS-10）、抗精神病药物主观幸福感量表（SWN-20）、华威- edinburgh心理幸福感量表（WEMWBS）、感知社会支持多维度量表（MSPSS）。采用k -均值聚类，根据FACES-III评分将参与者分为不同的组。结果：基于FACES-III评分，K-means聚类将参与者分为高凝聚力和适应性组（HC-HA, N = 139）和低凝聚力和适应性组（LC-LA, N = 86）。在症状严重程度（PANSS-6）、药物依从性（DAI-10）或SOFAS测量的功能方面没有观察到显著差异。然而，HC-HA组的整体社会心理功能（HoNOS）更好。与LC-LA组相比，HC-HA组表现出较低的抑郁症状（bdi -1）和压力水平（PSS-10），以及较高的主观幸福感（SWN-20）和心理幸福感（WEMWBS）。知觉社会支持（MSPSS）显著高于HC-HA组。结论：家庭凝聚力和适应性与精神分裂症患者改善的社会心理结局有关。这些发现表明，加强家庭动力可能有助于康复和幸福。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Social Psychiatry PSYCHIATRY-

CiteScore

12.30

自引率

1.30%

发文量

120

期刊介绍： The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.