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Psychosis
Psychological, Social and Integrative Approaches
Volume 12, 2020 - Issue 3
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Research Articles

Inflexibility processes as predictors of social functioning in chronic psychosis

, ORCID Icon, , &
Pages 234-244 | Received 12 Nov 2019, Accepted 10 Mar 2020, Published online: 23 Apr 2020

References

  • Amador, X. F., Strauss, D. H., Yale, S. A., Flaum, M. M., Endicott, J., & Gorman, J. M. (1993). Assessment of insight in psychosis. American Journal of Psychiatry, 150(6), 873–879. https://doi.org/10.1176/ajp.150.6.873
  • Andresen, R., Oades, L., & Caputi, P. (2003). The experience of recovery from schizophrenia: Towards an empirically validated stage model. Australian and New Zealand Journal of Psychiatry, 37(5), 586–594. https://doi.org/10.1046/j.1440-1614.2003.01234.x
  • Angermeyer, M. C., Holzinger, A., Carta, M. G., & Schomerus, G. (2011). Biogenetic explanations and public acceptance of mental illness: Systematic review of population studies. The British Journal of Psychiatry, 199(5), 367–372. https://doi.org/10.1192/bjp.bp.110.085563
  • Bacon, T., Farhall, J., & Fossey, E. (2014). The active therapeutic processes of acceptance and commitment therapy for persistent symptoms of psychosis: Clients’ perspectives. Behavioural and Cognitive Psychotherapy, 42(4), 402–420. https://doi.org/10.1017/S1352465813000209
  • Birchwood, M., Smith, J., Cochrane, R., Wetton, S. C. S., & Copestake, S. O. (1990). The Social Functioning Scale. The development and validation of a new scale of social adjustment for use in family intervention programmes with schizophrenic patients. The British Journal of Psychiatry, 157(6), 853–859. https://doi.org/10.1192/bjp.157.6.853
  • Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Orcutt, H. K., Waltz, T., Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007
  • Bouvet, C., & Bouchoux, A. (2015). Exploring the relationship between internalized stigma, insight and depression for inpatients with schizophrenia. L’Encephale, 41(5), 435–443. https://doi.org/10.1016/j.encep.2014.07.006
  • Bradstreet, S., & Connor, A. (2005). Communities of recovery. Mental Health Today May, 22.
  • Brem, M. J., Shorey, R. C., Anderson, S., & Stuart, G. L. (2017). Depression, anxiety, and compulsive sexual behaviour among men in residential treatment for substance use disorders: The role of experiential avoidance. Clinical Psychology & Psychotherapy, 39(6), 264–278. https://doi.org/10.1002/cpp.2085
  • Burns, T., & Patrick, D. (2007). Social functioning as an outcome measure in schizophrenia studies. Acta psychiatrica Scandinavica, 116(6), 403–418. https://doi.org/10.1111/j.1600-0447.2007.01108.x
  • Cavelti, M., Kvrgic, S., Beck, E. M., Rüsch, N., & Vauth, R. (2012). Self-stigma and its relationship with insight, demoralization and clinical outcome among people with schizophrenia spectrum disorders. Comprehensive Psychiatry, 53(5), 468–479. https://doi.org/10.1016/j.comppsych.2011.08.001
  • Chio, F. H. N., Mak, W. W. S., Chan, R. C. H., & Tong, A. C. Y. (2018). Unraveling the insight paradox: One-year longitudinal study on the relationships between insight, self-stigma and life satisfaction among people with schizophrenia spectrum disorders. Schizophrenia Research, 197, 124–130. https://doi.org/10.1016/j.schres.2018.01.014
  • Cramer, H., Lauche, R., Haller, H., Langhorst, J., & Dobos, G. (2016). Mindfulness-and Acceptance-based interventions for psychosis: A systematic review and meta-analysis. Global Advances in Health and Medicine, 5(1), 30–43. https://doi.org/10.7453/gahmj.2015.083
  • Echarri-Santesteban, O., Paino, M., Rice, S., González-Blanch, C., McGorry, P., Gleeson, J., & Álvarez-Jiménez, M. (2017). Predictors of functional recovery in first-episode psychosis: A systematic review and meta-analysis of longitudinal studies. Clinical Psychology Review, 58, 59–75. https://doi.org/10.1016/j.cpr.2017.09.007
  • Edmonds, J., Masuda, A., & Tully, E. (2014). Relations among self-concealment, mindfulness and internalizing problems. Mindfulness, 5(5), 497–504. https://doi.org/10.1007/s12671-013-0204-z
  • Erol, A., Delibas, H., Bora, O., & Mete, L. (2014). The impact of insight on social functioning in patients with schizophrenia. International Journal of Social Psychiatry, 61(4), 379–385. https://doi.org/10.1177/0020764014548287
  • Friedlander, A., Nazem, S., Fiske, A., Nadorff, M. R., & Smith, M. D. (2012). Self-concealment and suicidal behaviors. Suicide & Life-threatening Behavior, 42(3), 332–340. https://doi.org/10.1111/j.1943-278X.2012.00094.x
  • Goldstone, E., Farhall, J., & Ong, B. (2011). Life hassles, experiential avoidance and distressing delusional experiences. Behaviour Research and Therapy, 4(4), 260–266. https://doi.org/10.1016/j.brat.2011.02.002
  • Haro, J. M., Kamath, S. A., Ochoa, S., Novick, D., Rele, K., Fargas, A., Rodriguez, M. J., Rele, R., Orta, J., Kharbeng, A., Araya, S., Gervin, M., Alonso, J., Mavreas, V., Lavrentzou, E., Liontos, N., Gregor, K., & Jones, P. B. (2003). The Clinical Global Impression-Schizophrenia scale: A simple instrument to measure the diversity of symptoms present in schizophrenia. Acta psychiatrica Scandinavica, 107(416), 16–23. https://doi.org/10.1034/j.1600-0447.107.s416.5.x
  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and Commitment Therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006
  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change. Guilford.
  • Johnson, S., Sathiyaseelan, M., Charles, H., Jeyaseelan, V., & Jacob, K. S. (2012). Insight, psychopathology, explanatory models and outcome of schizophrenia in India: A prospective 5-year cohort study. BMC Psychiatry, 12(1), 159. https://doi.org/10.1186/1471-244X-12-159
  • Kawamura, K. Y., & Frost, R. O. (2004). Self-Concealment as a mediator in the relationship between perfectionism and psychological distress. Cognitive Therapy and Research, 28(2), 183–191. https://doi.org/10.1023/B:COTR.0000021539.48926.c1
  • Kimhy, D., Vakhrusheva, J., Jobson-Ahmed, L., Tarrier, N., Malaspina, D., & Gross, J. J. (2012). Emotion awareness and regulation in individuals with schizophrenia: Implications for social functioning. Psychiatry Research, 200(2–3), 193–201. https://doi.org/10.1016/j.psychres.2012.05.029
  • Kurtz, M. M., Olfson, R., & Rose, J. (2013). Self-efficacy and functional status in schizophrenia: Relationship to insight, cognition and negative symptoms. Schizophrenia Research, 145(1–3), 69–74. https://doi.org/10.1016/j.schres.2012.12.030
  • Larson, D. G., & Chastain, R. L. (1990). SC: Conceptualization, measurement and health implications. Journal of Social and Clinical Psychology, 9(4), 439–455. https://doi.org/10.1521/jscp.1990.9.4.439
  • Larson, D. G., Chastain, R. L., Hoyt, W. T., & Ayzenberg, R. (2015). Self-concealment: Integrative review and working model. Journal of Social and Clinical Psychology, 34(8), 705–774. https://doi.org/10.1521/jscp.2015.34.8.705
  • Levin, M. E., MacLane, C., Daflos, S., Pistorello, J., Hayes, S. C., Seeley, J., & Biglan, A. (2014). Examining psychological inflexibility as a transdiagnostic process across psychological disorders. Journal of Contextual Behavioral Science, 3(3), 155–163. https://doi.org/10.1016/j.jcbs.2014.06.003
  • Litwin, R., Goldbacher, E. M., Cardaciotto, L., & Gambrel, L. E. (2017). Negative emotions and emotional eating: The mediating role of experiential avoidance. Eating and Weight Disorders, 22(1), 97–104. https://doi.org/10.1007/s40519-016-0301-9
  • Livingstone, K., Harper, S., & Gillanders, D. (2009). An exploration of emotion regulation in psychosis. Clinical Psychology & Psychotherapy, 16(5), 418–430. https://doi.org/10.1002/cpp.635
  • López-Santiago, J., Blas, L. V., & Gómez, M. (2012). Efectividad de un programa de tratamiento asertivo comunitario para pacientes con trastorno mental grave. Revista de Psicopatología y Psicología Clínica, 17(1), 1–10. https://doi.org/10.5944/rppc.vol.17.num.1.2012.10365
  • Lysaker, P. H., Pattison, M. L., Leonhardt, B. L., Phelps, S., & Vohs, J. L. (2018). Insight in schizophrenia spectrum disorders: Relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments. World Psychiatry : Official Journal of the World Psychiatric Association (WPA), 17(1), 12–23. https://doi.org/10.1002/wps.20508
  • Masuda, A., Anderson, P. L., Wendell, J. W., Price, M., Feinstein, A. B., & Chou, Y. Y. (2011). Psychological flexibility mediates the relations between self-concealment and negative psychological outcomes. Personality and Individual Differences, 50(2), 243–247. https://doi.org/10.1016/j.paid.2010.09.037
  • Masuda, A., Tully, E., Drake, C., Tarantino, N., Ames, A., & Larson, D. (2017). Examining self-concealment within the framework of psychological inflexibility and mindfulness: A preliminary cross-sectional investigation. Current Psychology, 36(1), 184–191. https://doi.org/10.1007/s12144-015-9399-6
  • Mendoza, H., Masuda, A., & Swartout, K. M. (2015). Mental health stigma and self-concealment as predictors of help-seeking attitudes among latina/o students in the United States. International Journal for the Advancement of Counselling, 37(3), 207–222. https://doi.org/10.1007/s10447-015-9237-4
  • Moritz, S., Lüdtke, T., Westermann, S., Hermeneit, J., Watroba, J., & Lincoln, T. M. (2016). Dysfunctional coping with stress in psychosis. An investigation with the Maladaptive and Adaptive Coping Styles (MAX) questionnaire. Schizophrenia Research, 175(1–3), 129–135. https://doi.org/10.1016/j.schres.2016.04.025
  • Morris, E. M., Garety, P., & Peters, E. (2014). Psychological flexibility and nonjudgemental acceptance in voice hearers: Relationships with omnipotence and distress. Australian and New Zealand Journal of Psychiatry, 48(12), 1150–1162. https://doi.org/10.1177/0004867414535671
  • Morrison, A. P., Haddock, G., & Tarrier, N. (1995). Intrusive thoughts and auditory hallucinations: A cognitive approach. Behavioural and Cognitive Psychotherapy, 23(3), 265–280. https://doi.org/10.1017/S1352465800015873
  • Or, S. E. B., Hasson-Ohayon, I., Feingold, D., Vahab, K., Amiaz, R., Weiser, M., & Lysaker, P. H. (2013). Meaning in life, insight and self-stigma among people with severe mental illness. Comprehensive Psychiatry, 54(2), 195–200. https://doi.org/10.1016/j.comppsych.2012.07.011
  • Pitt, L., Kilbride, M., Nothard, S., Welford, M., & Morrison, A. P. (2007). Researching recovery from psychosis: A user-led project. Psychiatric Bulletin, 31(2), 55–60. https://doi.org/10.1192/pb.bp.105.008532
  • Ruiz, F. J. (2010). A review of Acceptance and Commitment Therapy (ACT) empirical evidence: Correlational, experimental, psychopathology, component and outcome studies. International Journal of Psychology and Psychological Therapy, 10(1), 125–162.
  • Ruiz, F. J., Langer, A. I., Luciano, C., Cangas, A. J., & Beltrán, I. (2013). Measuring experiential avoidance and psychological inflexibility: The Spanish version of the Acceptance and Action Questionnaire-II. Psicothema, 25(1), 123–129. https://doi.org/10.7334/psicothema2011.239
  • Salgado, C. F., Luciano, C., & Gutiérrez, O. (2013). Eficacia de la Terapia de Aceptación y Compromiso en personas con Trastorno Mental Crónico. Un ensayo aleatorizado. Informaciones Psiquiátricas, 214(4), 385–401.
  • Udachina, A., Varese, F., Myin-Germeys, I., & Bentall, R. P. (2014). The role of experiential avoidance in paranoid delusions: An experience sampling study. The British Journal of Clinical Psychology, 53(4), 422–432. https://doi.org/10.1111/bjc.12054
  • Valiente, C., Provencio, M., Espinosa, R., Duque, A., & Everts, F. (2015). Insight in paranoia: The role of experiential avoidance and internalized stigma. Schizophrenia Research, 164(1–3), 214–220. https://doi.org/10.1016/j.schres.2015.03.010
  • Van der Meer, L., Van’t Wout, M., & Aleman, A. (2009). Emotion regulation strategies in patients with schizophrenia. Psychiatry Research, 170(2–3), 108–113. https://doi.org/10.1016/j.psychres.2009.07.010
  • Vandereycken, W., & Van Humbeeck, I. (2008). Denial and concealment of eating disorders: A retrospective survey. European Eating Disorders Review, 16(2), 109–114. https://doi.org/10.1002/erv.857
  • Varese, F., Tai, S. J., Pearson, L., & Mansell, W. (2016). Thematic associations between personal goals and clinical and non-clinical voices (auditory verbal hallucinations). Psychosis, 8(1), 12–22. https://doi.org/10.1080/17522439.2015.1040442
  • Vilardaga, R., Hayes, S. C., Atkins, D. C., Bresee, C., & Kambiz, A. (2013). Comparing experiential acceptance and cognitive reappraisal as predictors of functional outcome in individuals with serious mental illness. Behaviour Research and Therapy, 51(8), 425–433. https://doi.org/10.1016/j.brat.2013.04.003
  • Wagener, A., Baeyens, C., & Blairy, S. (2016). Depressive symptomatology and the influence of the behavioral avoidance and activation: A gender-specific investigation. Journal of Affective Disorders, 193, 123–129. https://doi.org/10.1016/j.jad.2015.12.040
  • Wallace, B. C., & Constantine, M. G. (2005). Africentric cultural values, psychological help-seeking attitudes, and self-concealment in African American college students. Journal of Black Psychology, 31(4), 369–385. https://doi.org/10.1177/0095798405281025
  • Wheaton, M. G., Sternberg, L., McFarlane, K., & Sarda, A. (2016). Self-concealment in obsessive-compulsive disorder: Associations with symptom dimensions, help seeking attitudes, and treatment expectancy. Journal of Obsessive-compulsive and Related Disorders, 11, 43–48. https://doi.org/10.1016/j.jocrd.2016.08.002
  • Wismeijer, A. A. J. (2011). Self-concealment and secrecy: Assessment and associations with subjective well-being. LAP LAMBERT Academic Publishing.
  • World Health Organization. (1992). The ICD-10 Classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines (10th revision ed.). Author.

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