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image of Resilience and Sense of Coherence in Schizophrenia Spectrum Disorder

Abstract

This review article focuses on mapping research studies related to resilience in individuals with schizophrenia spectrum disorders. It challenges the traditional view that these individuals are inherently vulnerable and highlights areas where resilience can develop and be applied. The ability to adapt to or recover from adverse conditions and situations is specifically examined through the theoretical concept of Antonovsky's Sense of Coherence (SOC) with its unique dimension of “Meaningfulness.” It suggests that SOC/resilience is more of a dynamic process rather than a static trait and can be developed and enhanced through targeted psychosocial interventions. Strengthening SOC and resilience may assist these patients in managing everyday challenges, adopting an optimal attitude and insight toward their illness, and significantly improving their experiences and quality of life. A significant overlap emerges between SOC and synthetic metacognition approaches in this line of thought. Both narrative concepts consider reflective thinking about oneself and others, one's competencies, and available resources as key to coping with challenging life situations, and their mutual inspiration appears promising for the future. Through this comprehensive review, the article calls for a broader perspective on understanding resilience in this population and explores potential new directions in both research and clinical practice.

This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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2025-08-28
2025-10-10
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