Skip to main content
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 50
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Carter, Lucy Read, John Pyle, Melissa and Morrison, Anthony P. 2016. The Impact of Causal Explanations on Outcome in People Experiencing Psychosis: A Systematic Review. Clinical Psychology & Psychotherapy, p. n/a.

    Gómez-de-Regil, Lizzette 2015. Insight and illness perception in Mexican patients with psychosis. Schizophrenia Research: Cognition, Vol. 2, Issue. 1, p. 33.

    Oexle, Nathalie Ajdacic-Gross, Vladeta Müller, Mario Rodgers, Stephanie Rössler, Wulf and Rüsch, Nicolas 2015. Predicting perceived need for mental health care in a community sample: an application of the self-regulatory model. Social Psychiatry and Psychiatric Epidemiology, Vol. 50, Issue. 10, p. 1593.

    Taylor, Peter J. Pyle, Melissa Schwannauer, Matthias Hutton, Paul and Morrison, Anthony 2015. Confirming the structure of negative beliefs about psychosis and bipolar disorder: A confirmatory factor analysis study of the Personal Beliefs about Experience Questionnaire and Personal Beliefs about Illness Questionnaire. British Journal of Clinical Psychology, Vol. 54, Issue. 4, p. 361.

    Gómez-de-Regil, Lizzette Kwapil, Thomas R. and Barrantes-Vidal, Neus 2014. Illness Perception Mediates the Effect of Illness Course on the Quality of Life of Mexican Patients with Psychosis. Applied Research in Quality of Life, Vol. 9, Issue. 1, p. 99.

    Marcus, Elena Garety, Philippa Weinman, John Emsley, Richard Dunn, Graham Bebbington, Paul Freeman, Daniel Kuipers, Elizabeth Fowler, David Hardy, Amy Waller, Helen and Jolley, Suzanne 2014. A pilot validation of a modified Illness Perceptions Questionnaire designed to predict response to cognitive therapy for psychosis. Journal of Behavior Therapy and Experimental Psychiatry, Vol. 45, Issue. 4, p. 459.

    Thomas, Neil Ribaux, Darryl and Phillips, Lisa J. 2014. Rumination, Depressive Symptoms and Awareness of Illness in Schizophrenia. Behavioural and Cognitive Psychotherapy, Vol. 42, Issue. 02, p. 143.

    2014. Causal Attribution and Illness Perception: A Cross-Sectional Study in Mexican Patients with Psychosis. The Scientific World Journal, Vol. 2014, p. 1.

    Baines, Tineke and Wittkowski, Anja 2013. A Systematic Review of the Literature Exploring Illness Perceptions in Mental Health Utilising the Self-Regulation Model. Journal of Clinical Psychology in Medical Settings, Vol. 20, Issue. 3, p. 263.

    Bebbington, Paul Kuipers, Elizabeth and Fowler, David 2013. Improving Mental Health Care.

    Bloomer, Melissa J. and O'Brien, Anthony P. 2013. Palliative care for the person with a serious mental illness: The need for a partnership approach to care in Australia. Progress in Palliative Care, Vol. 21, Issue. 1, p. 27.

    Freeman, D. Dunn, G. Garety, P. Weinman, J. Kuipers, E. Fowler, D. Jolley, S. and Bebbington, P. 2013. Patients' beliefs about the causes, persistence and control of psychotic experiences predict take-up of effective cognitive behaviour therapy for psychosis. Psychological Medicine, Vol. 43, Issue. 02, p. 269.

    Birchwood, Max Jackson, Chris Brunet, Kat Holden, Judith and Barton, Karen 2012. Personal beliefs about illness questionnaire-revised (PBIQ-R): Reliability and validation in a first episode sample. British Journal of Clinical Psychology, Vol. 51, Issue. 4, p. 448.

    Cavelti, Marialuisa Contin, Giuliana Beck, Eva-Marina Kvrgic, Sara Kossowsky, Joe Stieglitz, Rolf-Dieter and Vauth, Roland 2012. Validation of the Illness Perception Questionnaire for Schizophrenia in a German-Speaking Sample of Outpatients with Chronic Schizophrenia. Psychopathology, Vol. 45, Issue. 4, p. 259.

    Cavelti, Marialuisa Beck, Eva-Marina Kvrgic, Sara Kossowsky, Joe and Vauth, Roland 2012. The Role of Subjective Illness Beliefs and Attitude Toward Recovery Within the Relationship of Insight and Depressive Symptoms Among People With Schizophrenia Spectrum Disorders. Journal of Clinical Psychology, Vol. 68, Issue. 4, p. 462.

    Falzer, P. R. and Garman, D. M. 2012. Optimizing clozapine through clinical decision making. Acta Psychiatrica Scandinavica, Vol. 126, Issue. 1, p. 47.

    Kao, Yu-Chen Liu, Yia-Ping Chou, Ming-Kuen and Cheng, Tsung-Hsing 2012. Psychometric properties of the Taiwanese version of the Illness Concept Scale: relation of health beliefs to psychopathology and medication compliance. Social Psychiatry and Psychiatric Epidemiology, Vol. 47, Issue. 4, p. 597.

    Moriarty, Anna Jolley, Suzanne Callanan, Margie M. and Garety, Philippa 2012. Understanding reduced activity in psychosis: the roles of stigma and illness appraisals. Social Psychiatry and Psychiatric Epidemiology, Vol. 47, Issue. 10, p. 1685.

    Ng, Petrus Chun, Ricky W. K. and Tsun, Angela 2012. Recovering from Hallucinations: A Qualitative Study of Coping with Voices Hearing of People with Schizophrenia in Hong Kong. The Scientific World Journal, Vol. 2012, p. 1.

    Pruß, Linda Wiedl, Karl Heinz and Waldorf, Manuel 2012. Stigma as a predictor of insight in schizophrenia. Psychiatry Research, Vol. 198, Issue. 2, p. 187.


The impact of beliefs about mental health problems and coping on outcome in schizophrenia

  • F. LOBBAN (a1), C. BARROWCLOUGH (a1) and S. JONES (a1)
  • DOI:
  • Published online: 01 October 2004

Background. Using the theoretical framework of the Self Regulation Model (SRM), many studies have demonstrated that beliefs individuals hold about their physical health problems are important in predicting health outcomes. This study tested the SRM in the context of a mental health problem, schizophrenia.

Method. One hundred and twenty-four people with a diagnosis of schizophrenia were assessed on measures of symptom severity, beliefs about their mental health problems, coping and appraisal of outcome at two time points, 6 months apart.

Results. Using multivariate analyses and controlling for severity of symptoms, beliefs about mental health were found to be significant predictors of outcome. Beliefs about greater negative consequences were the strongest and most consistent predictors of a poorer outcome in both cross-sectional and longitudinal analyses.

Conclusions. These results suggest that the SRM is a promising model for mental health problems and may highlight important areas for development in clinical, and especially psychosocial interventions.

Corresponding author
Dr F. Lobban, Department of Clinical Psychology, The Whelan Building, The Quad, Brownlow Hill, The University of Liverpool, Liverpool, L69 3GB, UK. (Email:
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *