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Beyond symptoms: How mental health competencies shape everyday well-being among psychiatric patients

Published online by Cambridge University Press:  26 August 2025

F. Pongracz
Affiliation:
Faculty of Education and Psychology, Institute of Psychology
V. Zabo
Affiliation:
Faculty of Education and Psychology, Institute of Psychology Doctoral School of Psychology, Eotvos Lorand University Faculty of Medicine, Institute of Behavioural Sciences, Semmelweis University, Budapest
D. Erat
Affiliation:
Department of Sociology, University of Pecs, Pecs
A. Vargha
Affiliation:
Faculty of Education and Psychology, Institute of Psychology Person- and Family-Oriented Health Science Research Group, Faculty of Humanities and Social Sciences, Institute of Psychology, Károli Gáspár University of the Reformed Church in Hungary
A. Vincze
Affiliation:
Faculty of Education and Psychology, Institute of Psychology Doctoral School of Psychology, Eotvos Lorand University Nyiro Gyula Hospital, National Institute of Psychiatry and Addictology
J. Harangozo
Affiliation:
Community Psychiatry Centre, Semmelweis University Awakenings Foundation
M. Ivancsics
Affiliation:
Nyiro Gyula Hospital, National Institute of Psychiatry and Addictology
J. Farkas
Affiliation:
Faculty of Education and Psychology, Institute of Psychology Nyiro Gyula Hospital, National Institute of Psychiatry and Addictology
G. Balogh
Affiliation:
Nyiro Gyula Hospital, National Institute of Psychiatry and Addictology
J. Bognar
Affiliation:
Department of Pediatrics
E. Nagy
Affiliation:
Faculty of Education and Psychology, Institute of Psychology
X. Gonda*
Affiliation:
Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
*
*Corresponding author.

Abstract

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Introduction

Just as our bodies have immune systems to defend against harmful biological agents, our souls also need psychological “immune competencies” to cope with stress. These competencies include effective emotional, psychological, social and spiritual functioning, resilience, creative and executive efficiency, self-regulation and savoring, the ability to enjoy positive experiences.

Objectives

The aim of the present study was to investigate whether the mental health competencies, the symptoms of mental disorder, or the interaction of the two have a stronger predictive power on subjective well-being among Hungarian adult psychiatric patients.

Methods

The psychiatric sample of 129 patients (44 men, 85 women) was recruited in a cross-sectional design in four Hungarian health care facilities. Participants completed the Symptom Checklist-90-Revised, the Mental Health Test and six well-being questionnaires.

Results

Mental health competencies are stronger predictors of the three indicators of well-being (β = 0.61; 0.79; 0.51 p < 0.05) than mental disorder symptoms (β = 0.17; 0.12; 0.25, p < 0.05). Including both mental health competencies and mental disorder symptoms in a regression model more accurately predicts indicators of well-being (BIC = 310; 359.7; 170; AIC = 289; 337.3; 148.3; R2 = 0.74; 0.52; 0.58, p < 0.05) than either the effect of the two separately (BIC = 310.3; 365.4; 170.2; AIC = 291.1; 345.8; 151.1; R2 = 0.73; 0.48; 0.56, p > 0.05) or the effect of their interaction (BIC = 314.9; 363.6; 173.6; AIC = 290.3; 338.4; 149.1; R2 = 0.74; 0.52; 0.57, p > 0.05). Mental health competencies were positively (B = 0.88; 1.64; 0.54, p < 0.05) while mental disorder symptoms were negatively (B = -0.50; -0.28; -0,17, p < 0.05) related to indicators of subjective well-being.

Conclusions

The results underscore the potential of mental health competencies as protective factors that can enhance well-being and restore daily functioning even in the presence of mental disorder symptoms.

Disclosure of Interest

None Declared

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Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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