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

Cárdenas, Verónica; Abel, Stephanie; Bowie, Christopher R.; Tiznado, Denisse; Depp, Colin A.; Patterson, Thomas L.; Jeste, Dilip V.; Mausbach, Brent T.

doi:10.1093/schbul/sbs004

Cited by 92 publications

(55 citation statements)

References 40 publications

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“…This is again consistent with previous questionnaire studies that found defeatist performance beliefs (Grant and Beck, 2009;Green et al, 2012), negative expectancy appraisals (Couture et al, 2011) and self-efficacy (Choi et al, 2010;Cardenas et al, 2013) were related to negative symptoms and functioning.…”

Section: Discussionsupporting

confidence: 92%

“…The study extends this finding by demonstrating that inexperience with activities could lead to limited availability of memories of successful outcomes and, via the availability heuristic, lower expectations of success. The causal relationship between expectations and functioning could, therefore, run in the opposite direction to that assumed, but not proven, by the literature on negative performance beliefs and self-efficacy Cardenas et al, 2013). That is, the assumption that low confidence in task performance impedes motivation and action.…”

Section: Discussionmentioning

confidence: 90%

“…In partial support of this, negative expectations about performance (e.g., If I try to be more active, it will are associated with greater functional impairment and negative symptoms (Couture et al, 2011). Similar research has also established an association between low self-efficacy and poor community functioning (Choi et al, 2010;Cardenas et al, 2013), again highlighting a possible role for performance expectations in functioning ability.…”

Section: Introductionmentioning

confidence: 79%

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Mental simulation and experience as determinants of performance expectancies in people with schizophrenia spectrum disorder

Huddy

Drake

Wykes

2016

Psychiatry Research

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HighlightsWe confirmed previous findings of both impaired mental simulation ability and reduced performance expectancies in people with schizophrenia compared to healthy controls.Experience with tasks, rather than the ability to simulate them, was associated with performance expectancies in people with schizophrenia.Interventions should target problem solving, goal setting or task initiation rather than beliefs about performance. *Highlights 1 AbstractPeople with schizophrenia demonstrate both impairment in mental time travel and reduced expectancies of performance on future tasks. We aimed to reconcile these findings within the Kahneman and Tversky (1982) simulation heuristic framework by testing a key prediction that impaired future simulation would be associated with reduced performance expectancies in people with schizophrenia spectrum disorder (SZSPEC). A total of 54 individuals (30 people with SZSPEC and 24 healthy controls) generated mental simulations of everyday scenarios; after each response they rated performance expectations, distress and the similarity of the scenario to experience. Independent raters coded the coherence of responses. We found that people with SZSPEC had, compared to healthy controls, lower performance expectations and greater anticipated distress when imaging e veryday scenarios.Lower performance expectancies were associated with lower experience of similar scenarios, greater negative symptoms and social withdrawal in the SZSPEC group. The current study confirmed previous findings of both impaired mental simulation and abnormal performance expectations in people with SZSPEC, together with the association of the latter with negative symptoms. Experience with social or occupational activities plays a more important role in determining performance expectancies in people with SS than the ability to mentally simulate scenarios.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 79%

See 1 more Smart Citation

Mental simulation and experience as determinants of performance expectancies in people with schizophrenia spectrum disorder

Huddy

Drake

Wykes

2016

Psychiatry Research

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“…For example, 'functional capacity' has recently been suggested as an independent construct, which can be assessed with separate assessment tools (Harvey et al, 2012). Functional capacity was shown to be strongly mediated by psychological characteristics such as a person's self-efficacy, defined as a person's belief that they can successfully perform a certain task (Cardenas et al, 2013). The example highlights the complexity of relationships between neurocognitive performance, real-world functional outcome, and psychosocial mediating factors, which need to be considered when conceptualizing descriptive models of illness course and outcome, as discussed later in this article.…”

Section: Withinmentioning

confidence: 99%

The use of clinical and biological characteristics to predict outcome following First Episode Psychosis

Schubert

Clark

Baune

2014

Aust N Z J Psychiatry

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Objective: Psychotic illnesses such as schizophrenia and other non-affective psychoses are heterogeneous in disease course and functional outcomes. We review evidence from investigations in clinical psychiatry, neuroimaging, neurocognition, and blood biomarker research suggesting that distinct bio-psycho-social patterns exist at the onset and during the early phase of a First Episode Psychosis (FEP), which can describe the risk of individual illness progression and functional trajectories.Method: A selective literature review was performed on articles drawn from Medline searches for relevant key words. A simulation model was constructed from data derived from two recent publications, selected as examples of studies that investigated multivariate predictors of long-term outcome following FEP. Results:We illustrate how illness trajectories following FEP could be described based on multimodal sociodemographic, clinical, psychological, and neurobiological information. A clinical modeling simulation shows that risk trajectories for achieving long-term favorable or unfavorable outcomes can differ significantly depending on baseline characteristics in combination with MRI and functional measurements within 6 months of disease onset. Conclusions:Multimodal trajectory modeling may be useful to describe longitudinal outcomes following FEP. Rich longitudinal data on predictors and outcomes, and better integration of multimodal (sociodemographic, clinical, psychological, biological) data, are required to operationalize this approach. This technique may improve our understanding of course of illness and help to provide a more personalized approach to the assessment and treatment of people presenting with FEP.

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“…As expected, negative symptoms contribute to the gap between competence and performance, 56 especially through subtle traits such as defeatist beliefs and lack of motivation. 57 It appears that the dysfunctional attitudes 56 described in cognitive theory, as well as low selfefficacy 58 and depressive symptoms, 7 also contribute negatively to the conversion of capacity into functioning.…”

Section: Functional Capacitymentioning

confidence: 99%

Functional capacity: a new framework for the assessment of everyday functioning in schizophrenia

Mantovani

Teixeira

Salgado

2015

Braz. J. Psychiatry

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

Cited by 92 publications

References 40 publications

Mental simulation and experience as determinants of performance expectancies in people with schizophrenia spectrum disorder

Mental simulation and experience as determinants of performance expectancies in people with schizophrenia spectrum disorder

The use of clinical and biological characteristics to predict outcome following First Episode Psychosis

Functional capacity: a new framework for the assessment of everyday functioning in schizophrenia

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