<p>Associations Of Personality Traits With The Capacity-Performance Discrepancy Of Functional Outcome In Patients With Schizophrenia</p>

Abstract

ObjectiveFunctional capacity, which indicates one’s ability to perform everyday living tasks, contributes to real-world functional performance in patients with schizophrenia. However, functional capacity is sometimes not comparable with functional performance in clinical settings. We hypothesized that specific personality traits are related to this capacity-performance discrepancy of functional outcome.MethodsThe measures in this study were the UCSD Performance-based Skills Assessment Brief (UPSA-B) for functional capacity, the Social Functioning Scale (SFS) for functional performance, and the Temperament and Character Inventory-140 (TCI-140) for personality traits. A total of 94 stable outpatients with schizophrenia were divided into four groups based on combinations of their UPSA-B and SFS cut-off points, as follows: a high capacity and high performance (HH) group, a high capacity but low performance (HL) group, a low capacity but high performance (LH) group, and a low capacity and low performance (LL) group.ResultsThere were no significant differences in demographics among the four groups. The LH group showed a significantly lower harm avoidance level than the LL group. The HL group showed a significantly lower persistence level than the HH group.ConclusionLower harm avoidance may enhance functional performance, and lower persistence can limit functional performance, regardless of the primary levels of functional capacity in patients with schizophrenia. Novel and individualized psychosocial treatments considering the individual’s personality traits seem to be helpful for maximizing their functional performance in the community.

Perceptions of and subjective difficulties with social cognition in schizophrenia from an internet survey: Knowledge, clinical experiences, and awareness of association with social functioning

“…Furthermore, it is also associated with other psychiatric symptoms, such as social anxiety, in patients with schizophrenia 41,42 . Because fewer social anxiety symptoms and a lesser personality tendency to behave pessimistically have been shown to facilitate social functioning in patients with schizophrenia, 43,44 the present negative relationship, i.e. fewer subjective difficulties in attributional bias were associated with better social functioning, could be consistent with these previous findings.…”

Systematic Literature Review of Studies Reporting Measures of Functional Outcome or Quality of Life in People with Negative Symptoms of Schizophrenia

“… 61 Further, functional capacity may not always be an accurate reflection of functional performance. 62 However, one advantage of this type of measurement is that it is not subject to recall bias. 63 …”

“…61 Further, functional capacity may not always be an accurate reflection of functional performance. 62 However, one advantage of this type of measurement is that it is not subject to recall bias. 63 Two articles (covering one study) reported using three different functional outcome measures, which were the Objective Social Outcomes Index, Social Network Schedule and the Time Use Survey.…”

An integrated youth mental health service in a densely populated metropolitan area in Japan: Clinical case management bridges the gap between mental health and illness services

“…Although, some of the subjects in our practice had their needs met through a small number of sessions that included brief psychological support and various service referrals, the rest of the subjects who had difficulties in multiple domains received CCM for 6 months, at their request. Notably, they showed a significant improvement in function after 6 months; such improvement is usually difficult to achieve in chronic patients (Uchino et al, 2019). To address their functional decline, our CCM included the contents as follows: psychological support including supportive psychotherapy incorporating cognitive-behavioural therapy or Morita therapy approaches (Nakamura, 2016), and psychoeducation on distress reduction and coping behaviour for emotional disturbances, depressed mood and symptoms of neurosis such as social anxiety and panic attacks (Aikawa et al, 2018;Nemoto et al, 2019Nemoto et al, , 2020.…”