{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T22:14:19Z","timestamp":1785104059718,"version":"3.55.0"},"reference-count":55,"publisher":"Wiley","issue":"21-22","license":[{"start":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T00:00:00Z","timestamp":1598832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>This study aimed to address the interrelationships among neurocognition, self\u2010efficacy, motivation and self\u2010management in individuals with schizophrenia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Self\u2010management performance of individuals with schizophrenia is relatively poor. The effect of neurocognitive impairment on self\u2010management in schizophrenia remains inconsistent, which may be attributed to the neglect of possible mediating factors. Little attention has been given to the role of motivation and self\u2010efficacy for linking neurocognition to self\u2010management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three hundred and twenty patients were recruited with convenience sampling in this study. Patients\u2019 neurocognitive function, self\u2010efficacy, motivation and self\u2010management behaviours were measured. Pearson or Spearman correlation analysis and path analysis were performed to examine the interrelationships. This study followed STROBE checklist for cross\u2010sectional studies (see Appendix S1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The final model, with good fit indices, revealed that (1) neurocognition, self\u2010efficacy and motivation were directly associated with self\u2010management, (2) self\u2010efficacy and motivation partly mediated the impact of neurocognition on self\u2010management and (3) motivation additionally mediated the association of self\u2010efficacy and self\u2010management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study extends the current findings, indicating that self\u2010efficacy and motivation may act as mediators in the relationship between neurocognition and self\u2010management in schizophrenia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Mental health professionals should pay attention to interventions targeting both cognitive and psychosocial components to enhance self\u2010management in individuals with schizophrenia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15407","type":"journal-article","created":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T21:49:52Z","timestamp":1594331392000},"page":"3966-3976","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Modelling of self\u2010management in schizophrenia: The role of neurocognition, self\u2010efficacy and motivation"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7212-3881","authenticated-orcid":false,"given":"Chenxi","family":"Zhou","sequence":"first","affiliation":[{"name":"School of Nursing Peking Union Medical College Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zheng","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing Peking Union Medical College Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,31]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.01.001"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00032-0"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbr040"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291718000442"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2007.05.022"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbs004"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716003044"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sby058"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12101"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2014.01.027"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbq078"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2016.06.014"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15327965PLI1104_01"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2015.09.006"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2011.07.001"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20167"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2014.04.027"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbn008"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wpsyc.2012.05.004"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbs130"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1537"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31470-3"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2017.01.038"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.13065su1.02"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2003.09.011"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2008.03.024"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.54"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyl148"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/11038128.2017.1290135"},{"key":"e_1_2_12_32_1","unstructured":"Liu S.(2016).Subtypes Identification Of People With Schizophrenia Before Discharge. 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