The purpose of this descriptive study was to examine the relationships amon
g 4 variables that are hypothesized to be associated with relapse in schizo
phrenia; insight, symptom recognition, symptom self-management, and perceiv
ed effectiveness of symptom self-management. The theoretical framework was
derived from self-management theory and the vulnerability-stress model of s
chizophrenia. Pearson's correlation coefficients for the variables in the m
odel detected 2 significant relationships; between symptom recognition and
symptom self-management and between symptom self-management and perceived e
ffectiveness of symptom self-man agement. Insight was not found to be signi
ficantly related to the other variables. Results of the study indicate that
individuals with schizophrenia do recognize symptoms associated with relap
se and use a wide range of management methods, regardless of the degree of
insight present. Copyright (C) 2000 by W.B. Saunders Company.