Exploring the Link Between Sense of Coherence, Cognitive Flexibility, and Well-Being in Patients With Schizophrenia: A Cross-Sectional Study

İngilizce (OpenAlex)

Background: Schizophrenia is a chronic and severe mental health condition that adversely affects individuals’ sense of coherence, cognitive flexibility, and overall well-being. Objectives: This study aimed to examine the association between sense of coherence, cognitive flexibility, and well-being in people with schizophrenia. Methods: This cross-sectional and correlational study was conducted with 104 patients diagnosed with schizophrenia in a community mental health center in Western Turkey. Data were collected through a personal information form, the Sense of Coherence (SOC) Scale, the Cognitive Flexibility Inventory (CFI), and the Flourishing Scale (FS). Results: The mean (± SD) scores obtained by participants were 52.8 ± 11.4 for the SOC Scale, 57.0 ± 16.5 for the CFI, and 37.4 ± 11.8 for the FS. Analyses revealed positive and significant correlations between the total scores of the SOC Scale, the CFI, and the FS, as well as their respective subdimensions ( P < .05). Moreover, CFI and FS scores accounted for 63% of the variance in SOC scores among patients (adjusted R 2 = 0.63; F = 88.43). Conclusion: Intervention programs that enhance sense of coherence, cognitive flexibility, and well-being should be developed and implemented for individuals with schizophrenia. These findings highlight the role of mental health nurses in implementing psychosocial interventions to increase cognitive flexibility and well-being in people diagnosed with schizophrenia.