{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T07:19:35Z","timestamp":1766474375825,"version":"3.48.0"},"reference-count":81,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["iaap-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Applied Psych Health &amp;amp; Well"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Severe mental disorders (SMDs), such as schizophrenia, bipolar disorder, and personality disorders, present significant challenges for stress and anxiety management due to cognitive vulnerabilities. Self\u2010regulated learning (SRL) models offer a structured framework for analyzing self\u2010management strategies, yet their application in mental health contexts remains underexplored. This study applies Pintrich's (2000) SRL model to examine how individuals with SMDs manage stress and anxiety, identifying strengths and gaps across the forethought, monitoring, control, and reaction\/reflection phases. A qualitative approach was employed, analyzing focus group discussions with 28 adults diagnosed with SMDs. Thematic analysis, conducted using NVivo, combined inductive coding and theory\u2010driven interpretation based on the SRL framework. Results show that the forethought phase was most frequently represented, emphasizing participants' cognitive preparation and anticipation of stressors. The control phase followed, highlighting behavioral and contextual coping strategies such as relaxation, problem\u2010solving, and support\u2010seeking. However, the monitoring and reaction\/reflection phases were less developed, with limited focus on real\u2010time awareness and evaluation. These findings point to the need for tailored interventions and highlight theoretical adaptations required to extend SRL to clinical contexts. We discuss how integrating SRL with recovery\u2010oriented frameworks could support more adaptive, person\u2010centered strategies for managing stress and anxiety in SMDs.<\/jats:p>","DOI":"10.1111\/aphw.70091","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T07:04:58Z","timestamp":1764918298000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Applying self\u2010regulated learning to anxiety and stress management in severe mental disorders: A qualitative study"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1053-4869","authenticated-orcid":false,"given":"Madalin M.","family":"Deliu","sequence":"first","affiliation":[{"name":"Department of Developmental and Educational Psychology University of Salamanca  Salamanca Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0950-9279","authenticated-orcid":false,"given":"Felipe","family":"Soto\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Personality, Evaluation and Psychological Treatments University of Salamanca  Salamanca Spain"},{"name":"Institute on Community Integration (INICO) University of Salamanca  Salamanca Spain"},{"name":"Institute for Biomedical Research of Salamanca (IBSAL)  Salamanca Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1460-1195","authenticated-orcid":false,"given":"Alba","family":"Aza","sequence":"additional","affiliation":[{"name":"Department of Personality, Evaluation and Psychological Treatments University of Salamanca  Salamanca Spain"},{"name":"Institute on Community Integration (INICO) University of Salamanca  Salamanca Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5802-8220","authenticated-orcid":false,"given":"Miguel \u00c1ngel","family":"Verdugo","sequence":"additional","affiliation":[{"name":"Department of Personality, Evaluation and Psychological Treatments University of Salamanca  Salamanca Spain"},{"name":"Institute on Community Integration (INICO) University of Salamanca  Salamanca Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9551-4009","authenticated-orcid":false,"given":"Andrea","family":"Lettieri","sequence":"additional","affiliation":[{"name":"Research and Treatment in Mental Health and Social Services (INTRAS) Foundation  Valladolid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"American Psychological Association. (2022 February 22).What's the difference between stress and anxiety?https:\/\/www.apa.org\/topics\/stress\/anxiety-difference"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.1"},{"key":"e_1_2_12_4_1","first-page":"408","volume-title":"Handbook of self\u2010regulation of learning and performance","author":"Boekaerts M.","year":"2011"},{"volume-title":"Transforming qualitative information: Thematic analysis and code development","year":"1998","author":"Boyatzis R. E.","key":"e_1_2_12_5_1"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676x.2019.1628806"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2022.2129597"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.15283"},{"key":"e_1_2_12_10_1","unstructured":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM). (2024).Identifican alteraciones gen\u00e9ticas en el ADN de la mitocondria en pacientes con esquizofrenia. CIBERSAM.https:\/\/www.cibersam.es\/noticias\/identifican-alteraciones-geneticas-en-el-adn-de-la-mitocondria-en-pacientes-con-esquizofrenia"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010880.pub2"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198114547701"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/5.3.371"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2009.60.2.246"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.04.018"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-004-6125-5"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-12-195"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wpsyc.2012.05.009"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0014-2999(00)00567-7"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.102002"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.861493"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.847460"},{"issue":"1","key":"e_1_2_12_24_1","first-page":"20","article-title":"Family interventions for mental disorders: Efficacy and effectiveness","volume":"2","author":"Falloon I. R.","year":"2003","journal-title":"World Psychiatry"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41537-023-00362-z"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1176\/foc.8.1.foc32"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20618"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/S204579602400049"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781483384436.n4"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41537-022-00225-z"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12212151"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-psych-061020-105721"},{"volume-title":"Qualitative data analysis with NVivo","year":"2019","author":"Jackson K.","key":"e_1_2_12_33_1"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.05.051"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20940"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.50.5.372"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.083733"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.54"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs3040536"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-213642"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15324796ABM2601_01"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-023-01684-w"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20508"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001089"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-9004.2007.00005.x"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1177\/15598276211049771"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.17744\/mehc.36.1.0k5v52l12540w218"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.53.10.1272"},{"volume-title":"Illness management and recovery: Personalized skills and strategies for those with mental illness","year":"2013","author":"Mueser K. T.","key":"e_1_2_12_50_1"},{"key":"e_1_2_12_51_1","unstructured":"National Institute of Mental Health (NIMH). (2023).Mental Illness \u2013 Statistics. Retrieved fromhttps:\/\/www.nimh.nih.gov\/health\/statistics\/mental-illness"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1145\/3613904.3642662"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2017.00422"},{"volume-title":"Qualitative research & evaluation methods: Integrating theory and practice","year":"2015","author":"Patton M. Q.","key":"e_1_2_12_55_1"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2014.03.004"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2006.10.003"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-012109890-2\/50043-3"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1138741600006004"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291723002064"},{"key":"e_1_2_12_61_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15326985ep4002_3"},{"key":"e_1_2_12_62_1","first-page":"45","volume-title":"Handbook of psychology: Educational psychology","author":"Schunk D. H.","year":"2013"},{"key":"e_1_2_12_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2020.107552"},{"volume-title":"Making recovery a reality","year":"2008","author":"Shepherd G.","key":"e_1_2_12_64_1"},{"key":"e_1_2_12_65_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511581649"},{"key":"e_1_2_12_66_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20084"},{"key":"e_1_2_12_67_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291722002422"},{"key":"e_1_2_12_68_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.1050"},{"key":"e_1_2_12_69_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-032816-045012"},{"key":"e_1_2_12_70_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.915617"},{"key":"e_1_2_12_71_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sbspro.2012.12.002"},{"key":"e_1_2_12_72_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40263-015-0282-7"},{"key":"e_1_2_12_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.01.003"},{"key":"e_1_2_12_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.03.016"},{"key":"e_1_2_12_75_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000063"},{"key":"e_1_2_12_76_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11218-023-09772-4"},{"key":"e_1_2_12_77_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2005.00728.x"},{"key":"e_1_2_12_78_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053"},{"key":"e_1_2_12_79_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2016.04.016"},{"key":"e_1_2_12_80_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-025-07617-1"},{"key":"e_1_2_12_81_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.86.2.103"},{"key":"e_1_2_12_82_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00648"}],"container-title":["Applied Psychology: Health and Well-Being"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/iaap-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aphw.70091","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T07:15:51Z","timestamp":1766474151000},"score":1,"resource":{"primary":{"URL":"https:\/\/iaap-journals.onlinelibrary.wiley.com\/doi\/10.1111\/aphw.70091"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":81,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/aphw.70091"],"URL":"https:\/\/doi.org\/10.1111\/aphw.70091","archive":["Portico"],"relation":{},"ISSN":["1758-0846","1758-0854"],"issn-type":[{"type":"print","value":"1758-0846"},{"type":"electronic","value":"1758-0854"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-04-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70091"}}