The effect of self-management and subjective recovery on social functioning in people with schizophrenia: A cross-sectional study based on a community mental health centre

Yeliz Karaçar, Seher Kaşlı, Kerime Bademli and Gönül Yavuz Çoşğun

International Journal of Social Psychiatry, 2026, vol. 72, issue 1, 148-159

Abstract: Background: Schizophrenia is a mental illness that can affect an individual’s social functioning in various ways. Aims: This study aimed to determine the self-management and subjective recovery levels of individuals with schizophrenia and to examine the effects of these variables on their level of social functioning. Methods: The study was conducted on individuals with schizophrenia who were followed up at a community mental health centre. Data were collected using the ‘Chronic Illness Self-Management Scale’, ‘Social Functionality Assessment Scale’ and ‘Subjective Recovery Assessment Scale’. Descriptive statistics, Pearson’s correlation analysis, and a stepwise multiple regression model were used. Results: The subjective recovery of the participants was 52.56 ( SD 19.95), social functioning 39.18 ( SD 7.76), self-stigmatisation 2.49 ( SD 0.93), coping with stigmatisation 2.95 ( SD 0.70), health care effectiveness 3.22 ( SD 0.93), and adherence to treatment 3.90 ( SD 0.93). According to the Pearson correlation test, a statistically significant moderate positive correlation was found between self-management, subjective recovery and social functioning ( r  = .595 and .525, p  ⩽ .001). Subjective recovery, self-stigmatisation, and healthcare effectiveness levels explained 44.7% of the total variance in social functioning. Conclusion: In this study, the most important predictors of social functioning were subjective recovery, self-stigmatisation, and health care effectiveness self-management. To improve social functioning in schizophrenia, the development of self-management strategies that increase subjective recovery and promote social integration is recommended.

Keywords: Community mental health; schizophrenia; self-management; social functioning; subjective recovery (search for similar items in EconPapers)
Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:72:y:2026:i:1:p:148-159

DOI: 10.1177/00207640251357076

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