Book contents
- Schizophrenia and Psychoses in Later Life
- Reviews
- Schizophrenia and Psychoses in Later Life
- Copyright page
- Contents
- Contributors
- Preface
- Acknowledgments
- Section 1 Epidemiology, Historical Background, Illness Phenomenology, and Diagnostic Issues
- Section 2 Biological, Neurocognitive, and Medical Aspects
- Section 3 Outcome and Course
- 8 Assessing Outcomes in Schizophrenia in Later Life
- 9 Positive Psychiatry for Schizophrenia and Other Psychotic Disorders
- Section 4 Social Functioning and Mood
- Section 5 Treatment and Services
- Section 6 Health Policy and Research: Future Directions
- Index
- References
9 - Positive Psychiatry for Schizophrenia and Other Psychotic Disorders
from Section 3 - Outcome and Course
Published online by Cambridge University Press: 15 March 2019
Book contents
- Schizophrenia and Psychoses in Later Life
- Reviews
- Schizophrenia and Psychoses in Later Life
- Copyright page
- Contents
- Contributors
- Preface
- Acknowledgments
- Section 1 Epidemiology, Historical Background, Illness Phenomenology, and Diagnostic Issues
- Section 2 Biological, Neurocognitive, and Medical Aspects
- Section 3 Outcome and Course
- 8 Assessing Outcomes in Schizophrenia in Later Life
- 9 Positive Psychiatry for Schizophrenia and Other Psychotic Disorders
- Section 4 Social Functioning and Mood
- Section 5 Treatment and Services
- Section 6 Health Policy and Research: Future Directions
- Index
- References
Summary
Positive psychiatry seeks to understand and promote well-being by assessing and enhancing positive psychosocial factors among individuals with or at risk for mental illnesses. This branch of psychiatry has roots in humanistic psychology and the positive psychology movement, but expands on them by focusing on the biology of positive traits and promoting well-being. Important positive psychosocial factors include resilience, optimism, social engagement, wisdom, post-traumatic growth, hope, and personal mastery. Contrary to traditional pessimistic views of schizophrenia, recent research has shown that patients often exhibit improved psychosocial functioning as they age. There is considerable variability in levels of positive psychosocial factors among individuals with schizophrenia, with some reporting levels of happiness, resilience, and optimism comparable to non-psychiatric individuals. Positive psychosocial factors are associated with biological markers of inflammation and insulin resistance, suggesting that their promotion may improve physical health too and, therefore, be promising intervention targets. Further investigations are needed to develop objective measures of positive psychosocial factors, explore biological processes underlying these factors, elucidate their longitudinal course, and offer pragmatic interventions to improve physical, mental, and cognitive health.
- Type
- Chapter
- Information
- Schizophrenia and Psychoses in Later LifeNew Perspectives on Treatment, Research, and Policy, pp. 112 - 116Publisher: Cambridge University PressPrint publication year: 2019
References
Jeste, D.V., and Palmer, B.W. (2015). Introduction: What is positive psychiatry? In. Jeste, D.V. and Palmer, B.W. (Eds.), Positive Psychiatry (1–16). Washington, D.C.: American Psychiatric Association.CrossRefGoogle Scholar
Jeste, D.V., Palmer, B.W., Rettew, D.C., and Boardman, S. (2015). Positive psychiatry: its time has come. Journal of Clinical Psychiatry, 76(6), 675–83.Google ScholarPubMed
Jeste, D.V., Palmer, B.W., and Saks, E.R. (2017). Why we need positive psychiatry for schizophrenia and other psychotic disorders. Schizophrenia Bulletin, 43(2), 227–9.CrossRefGoogle ScholarPubMed
Froh, J.J. (2004). The history of positive psychology: truth be told. The Psychologist, 16(3), 18–20.Google Scholar
Seligman, M.E.P. and Csikszentmihalyi, M. (2000). Positive psychology: an introduction. American Psychologist, 55(1), 5–14.CrossRefGoogle ScholarPubMed
Harding, C.M. and Zahniser, J.H. (1994). Empirical correction of seven myths about schizophrenia with implications for treatment. Acta Psychiatrica Scandinivica Supplement, 384, 140–6.Google ScholarPubMed
Jeste, D.V., Wolkowitz, O.M., and Palmer, B.W. (2011). Divergent trajectories of physical, cognitive, and psychosocial aging in schizophrenia. Schizophrenia Bulletin, 37, 451–5.CrossRefGoogle ScholarPubMed
Reine, G., Simeoni, M.C., Auquier, P., et al. (2005). Assessing health-related quality of life in patients suffering from schizophrenia: a comparison of instruments. European Psychiatry, 20(7), 510–19.CrossRefGoogle ScholarPubMed
Folsom, D.P., Depp, C., Palmer, B., et al. (2009). Physical and mental health-related quality of life among older people with schizophrenia. Schizophrenia Research, 108(1–3), 207–13.CrossRefGoogle ScholarPubMed
Post, F. (1971). Schizo-affective symptomatology in late life. British Journal of Psychiatry, 118(545), 437–45.CrossRefGoogle ScholarPubMed
Shepherd, S., Depp, C.A., Harris, G., et al. (2012). Perspectives on schizophrenia over the lifespan: a qualitative study. Schizophrenia Bulletin, 38(2), 295–303.CrossRefGoogle ScholarPubMed
Auslander, L.A. and Jeste, D.V. (2004). Sustained remission of schizophrenia among comunity-dwelling older outpatients. American Journal of Psychiatry, 161, 1490–3.CrossRefGoogle Scholar
Agid, O., McDonald, K., Siu, C., et al. (2012). Happiness in first-episode schizophrenia. Schizophrenia Research, 141(1), 98–103.CrossRefGoogle ScholarPubMed
Palmer, B.W., Martin, A.S., Depp, C.A., Glorioso, D.K., and Jeste, D.V. (2014). Wellness within illness: happiness in schizophrenia. Schizophrenia Research, 159, 151–6.CrossRefGoogle ScholarPubMed
Fervaha, G., Agid, O., Takeuchi, H., Foussias, G., and Remington, G. (2016). Life satisfaction and happiness among young adults with schizophrenia. Psychiatry Research, 242, 174–9.CrossRefGoogle ScholarPubMed
Mankiewicz, P.D., Gresswell, D.M., and Turner, C. (2013). Subjective wellbeing in psychosis: mediating effects of psychological distress on happiness levels amongst individuals diagnosed with paranoid schizophrenia. International Journal of Wellbeing, 3(1), 35–59.CrossRefGoogle Scholar
Edmonds, E.C., Martin, A.S., Palmer, B.W., et al. (2018). Positive mental health in schizophrenia and healthy comparison groups: relationships with overall health and biomarkers. Aging and Mental Health, 22(3), 354–62.CrossRefGoogle ScholarPubMed
Cohen, A.N., Hamilton, A.B., Saks, E.R., et al. (2017). How occupationally high-achieving individuals with a diagnosis of schizophrenia manage their symptoms. Psychiatric Services, 68, 324–9.CrossRefGoogle ScholarPubMed
Granholm, E., Holden, J., Link, P.C., McQuaid, J.R., and Jeste, D. V. (2013). Randomized controlled trial of cognitive behavioral social skills training for older consumers with schizophrenia: defeatist performance attitudes and functional outcome. American Journal of Geriatric Psychiatry, 21(3), 251–62.CrossRefGoogle ScholarPubMed
Twamley, E.W., Vella, L., Burton, C.Z., et al. (2012). The efficacy of supported employment for middle-aged and older people with schizophrenia. Schizophrenia Research, 135(1), 100–4.CrossRefGoogle ScholarPubMed