Research Information System
Journal of Psychiatric and Mental Health Nursing, 2026 (SCI-Expanded, SSCI, Scopus)
Introduction: Self-management of early warning signs is essential to preventing relapse in individuals with schizophrenia. Although both patients and caregivers are central to this process, few studies have examined the factors influencing their self-management abilities. No validated tool has previously assessed this capacity in Turkish mental health settings. Aim: This study aimed to identify sociodemographic and clinical predictors of self-management abilities related to relapse and to evaluate the psychometric properties of the Turkish version of the Management of Early Warning Signs of Relapse Questionnaire (MEWSRQ). Method: A cross-sectional study was conducted with 155 patients with schizophrenia and 155 primary caregivers. Data were collected using the MEWSRQ. Confirmatory factor analysis and internal consistency tests assessed validity and reliability, and regression identified predictors. Results: Higher self-management scores were associated with medication adherence, employment, fewer hospitalizations, and consistent caregiving. Among caregivers, higher education and financial status were positive predictors, while multiple caregivers and non-adherence predicted lower scores. The Turkish MEWSRQ showed strong construct validity and internal consistency. Discussion: Findings suggest that clinical and contextual factors shape relapse-related self-management capacities. The Turkish MEWSRQ is a reliable tool for assessment. Implications: The MEWSRQ can be integrated into psychiatric care to identify individuals needing support in relapse prevention. Interventions should enhance treatment adherence, reduce caregiver fragmentation, and include targeted psychoeducation to strengthen both patient and caregiver self-efficacy in managing early warning signs.