A Review of Instruments for Measuring Functional Recovery in Those Diagnosed With Psychosis

Mausbach, Brent T.; Moore, Raeanne C.; Bowie, Christopher R.; Cárdenas, Verónica; Patterson, Thomas L.

doi:10.1093/schbul/sbn152

Cited by 118 publications

(86 citation statements)

References 33 publications

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“…A recent review of methods that assess functioning in this population found that performance-based methods exceed other methods (eg, clinical judgment) in terms of reliability and validity. 10 One criticism is that while these measures may capture a person's capacity to perform real-world tasks, capacity does not always translate to real-world functioning. 11,12 Instead, efforts to assess real-world functioning should at least partially rely on third party ratings of actual real-world behavior.…”

Section: Introductionmentioning

confidence: 99%

When Functional Capacity and Real-World Functioning Converge: The Role of Self-Efficacy

Cárdenas

Abel

Bowie

et al. 2012

Schizophrenia Bulletin

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Section: Introductionmentioning

confidence: 99%

When Functional Capacity and Real-World Functioning Converge: The Role of Self-Efficacy

Cárdenas

Abel

Bowie

et al. 2012

Schizophrenia Bulletin

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“…Choice of measures can be debated; for example, there are more comprehensive measures for both functioning and negative symptoms. 11,34 The benefits of a case-control design are countered by the relatively small sample size, and note that our samples differed on years of education, not uncommon in investigations addressing schizophrenia but perhaps more relevant when looking at values. Parental socioeconomic status was not measured, thus it is unclear if and how this may influence values for either group.…”

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confidence: 99%

Values in First-Episode Schizophrenia

et al. 2015

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Objective: Functional impairment continues to represent a major challenge in schizophrenia. Surprisingly, patients with schizophrenia report a level of happiness comparable with control subjects, even in the face of the prominent functional deficits, a finding at odds with evidence indicating a positive relation between happiness and level of functioning. In attempting to reconcile these findings, we chose to examine the issue of values, defined as affectively infused criteria or motivational goals used to select and justify actions, people, and the self, as values are related to both happiness and functioning.Methods: Fifty-six first-episode patients in remission and 56 healthy control subjects completed happiness and values measures. Statistical analyses included correlations, analysis of variance, structural equation modelling, and smallest space analysis. Results:Results indicated that patients with schizophrenia placed significantly greater priority on the value dimensions of Tradition (P = 0.02) and Power (P = 0.03), and significantly less priority on Self-direction (P = 0.007) and Stimulation, (P = 0.008).Conclusions: Essentially, people with schizophrenia place more emphasis on the customs and ideas that traditional culture or religion provide in conjunction with a decreased interest in change, which is at odds with the expectations of early adulthood. This value difference could be related to functional deficits. To this point, we have assumed that people hold to the same values that guided them before the illness' onset, but this may not be the case. Our study indicates that values differ in people with schizophrenia, compared with control subjects, even early in the illness and in the face of symptomatic remission. W W W Les valeurs au premier épisode de schizophrénieObjectif : La déficience fonctionnelle représente encore une difficulté majeure de la schizophrénie. Étonnamment, les patients souffrant de schizophrénie déclarent un niveau de bonheur comparable à celui des sujets témoins, même devant des déficits fonctionnels proéminents, un résultat qui ne cadre pas avec les données probantes indiquant une relation positive entre le bonheur et le niveau de fonctionnement. Dans une tentative de concilier ces résultats, nous avons choisi d'examiner la question des valeurs, définies comme étant des critères imprégnés affectivement ou des buts motivationnels servant à choisir et à justifier des actions, des gens, et le soi, parce que les valeurs sont liées tant au bonheur qu'au fonctionnement. Méthodes :Cinquante-six patients en rémission du premier épisode et 56 sujets témoins en santé ont répondu à des mesures du bonheur et des valeurs. Les analyses statistiques comprenaient les corrélations, l'analyse de variance, la modélisation par équation structurelle, et l'analyse du plus petit espace.

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“…In addition, we also sought to evaluate patterns of interrelationships of these measures to neurocognition and psychiatric symptoms, both of which have previously been shown to influence and predict real-world functioning in individuals with schizophrenia. Based on previous research, we hypothesised that performance-based measures would be more strongly related to neurocognitive variables Mausbach, Moore, Bowie, Cardenas, & Patterson, 2009;McClure et al, 2007), than to psychiatric symptoms, if at all (Bowie, Reichenberg, Patterson, Heaton, & Harvey, 2006;Gupta, Bassett, Iftene, & Bowie, 2012a;Velligan, Alphs, Lancaster, Morlock, & Mintz, 2009). Since there were limited data on correlates of our self-report measure, analyses examining its' interrelationships with neurocognitive and symptoms correlates were exploratory.…”

mentioning

confidence: 99%

Comparison of self-report and performance-based measures of everyday functioning in individuals with schizophrenia: implications for measure selection

Elliott

Fiszdon

2014

Cognitive Neuropsychiatry

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The pattern of interrelationships among these self-report and performance-based measures suggests that they tap different aspects of everyday functioning. This has important implications for measure selection, particularly for evaluating intervention outcomes. When targeting symptoms, a self-report measure like the ILSS-SR may be more appropriate, whereas a performance-based measure may be more sensitive to functional changes subsequent to treatments targeting cognition.

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A Review of Instruments for Measuring Functional Recovery in Those Diagnosed With Psychosis

Cited by 118 publications

References 33 publications

When Functional Capacity and Real-World Functioning Converge: The Role of Self-Efficacy

When Functional Capacity and Real-World Functioning Converge: The Role of Self-Efficacy

Values in First-Episode Schizophrenia

Comparison of self-report and performance-based measures of everyday functioning in individuals with schizophrenia: implications for measure selection

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