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How Neurocognition and Social Cognition Influence Functional Change During Community-Based Psychosocial Rehabilitation for Individuals with Schizophrenia

机译:神经认知和社会认知如何影响精神分裂症患者基于社区的社会心理康复过程中的功能变化

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摘要

The purpose of this study was to assess how neurocognition and social cognition were associated with initial functional level and with rates of functional change in intensive community-based psychosocial rehabilitation interventions that have been shown to yield significant functional change for individuals diagnosed with schizophrenia. We also examined how service intensity was associated with rates of change and whether it served as a moderator of the relationship between functional change and both neurocognition and social cognition. The sample consisted of 125 individuals diagnosed with schizophrenia or schizoaffective disorder who were recruited upon admission to 1 of 4 community-based psychosocial rehabilitation facilities and were followed prospectively for 12 months. One hundred and two subjects completed the 12-month protocol. The findings suggested that (i) the initial level of psychosocial functioning was related to both social cognition and neurocognition at baseline, (ii) when significant rehabilitative change occurs, higher neurocognition and social cognition scores at baseline predicted higher rates of functional change over the subsequent 12 months, (iii) greater service intensity was related to higher rates of improvement in functional outcome over time, and (iv) service intensity moderated the relationship between neurocognition and initial functional level and moderated the relationship between social cognition and the rates of functional change at a trend level. These findings have relevance to our understanding of the heterogeneity in functional rehabilitative outcomes, to our understanding of the conditions of rehabilitative change and for the design of psychosocial interventions in the community.
机译:这项研究的目的是评估在以社区为基础的密集心理社会康复干预措施中,神经认知和社交认知与初始功能水平和功能变化率之间的关系如何,这些干预措施已证明对诊断为精神分裂症的患者产生重大的功能变化。我们还研究了服务强度如何与变化率相关联,以及它是否充当功能变化与神经认知和社会认知之间关系的调节者。该样本由125位被诊断为精神分裂症或精神分裂症的患者组成,他们在进入4个基于社区的社会心理康复设施中的1个后被招募,并进行了为期12个月的随访。 102名受试者完成了为期12个月的实验方案。研究结果表明:(i)心理社会功能的初始水平与基线时的社会认知和神经认知有关;(ii)当发生重大的康复性改变时,基线时较高的神经认知和社会认知得分预示着随后的功能改变率更高12个月,(iii)更高的服务强度与功能性结果随时间的改善率更高相关;(iv)服务强度减轻了神经认知与初始功能水平之间的关系,并减轻了社会认知与功能变化率之间的关系在趋势水平上。这些发现与我们对功能康复结果异质性的理解,对康复变化条件的理解以及社区中社会心理干预的设计有关。

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  • 来源
    《Schizophrenia Bulletin》 |2007年第5期|1247-1256|共10页
  • 作者单位

    School of Social Work MC-0411 University of Southern California Los Angeles CA 90089-0411;

    School of Social Work University of Southern California;

    Department of Educational Statistics University of Minnesota;

    Department of Psychiatry and Biobehavioral Science University of California at Los Angeles VA Greater Los Angeles Healthcare System;

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  • 正文语种 eng
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  • 入库时间 2022-08-18 01:07:39

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