Which factor is associated with a better prognosis for schizophrenia?

• A. Being newly married.
• B. Having a history of substance abuse.
• C. Low social support.
• D. Chronic unemployment.

Answer: (A)

A factor that reflects strong social support and integration into meaningful life roles tends to be linked with a better course for schizophrenia. Being newly married often provides ongoing emotional support, practical help with daily routines, and encouragement to stay engaged in treatment. A spouse can assist with medication adherence, attending appointments, and maintaining regular routines, all of which help reduce relapse risk and support functioning. This social scaffolding is why this factor is associated with a more favorable prognosis.

In contrast, a history of substance abuse, low social support, and chronic unemployment each introduce additional stressors, complicate treatment, and reduce access to resources, which generally worsen outcomes. Substance use can interact with medications and trigger relapses; limited support systems leave individuals with fewer coping resources; and long-term unemployment adds financial strain and isolation that can undermine recovery.