Aim of the study:
The aim of the study was to assess the associations between resiliency, patient’s perception of mutual communication in close relationships, and the subjective perception of mental health.

Subject or material and methods:
Sixty-one patients diagnosed with schizophrenia completed the following questionnaires: the RAS (subscales included: determination, openness, competencies, tolerance and life attitude), the mutual communications subscale from the PRQ, and the GHQ-12.

Results:
Investigation showed positive associations between openness and tolerance with patient’s perception of mutual communication. Based on this findings, a model of double mediation was created and included two factors of resiliency. Double mediation analysis revealed a significant indirect effect of patients` perception of mutual communication on the subjective perception of mental health mediating through openness and tolerance.

Discussion:
Deducing from the results, the patients` perception of mutual communication appears to be a significant determinant of the two factors of resiliency that play a key role in the state of mental health.

Conclusions:
Building effective and positive communication (e.g., in family or couples therapy) can have a long-term impact on mental health, provided it fosters the development of psychological resilience traits.