Social functioning in schizophrenia: Comparing laboratory-based assessment with real-world measures.

Social functioning in schizophrenia: Comparing laboratory-based assessment with real-world measures.
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DOI:
10.1016/j.jpsychires.2021.04.039
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发表时间:
2021-06
影响因子:
4.8
通讯作者:
Minor KS
Minor KS
中科院分区:
医学2区
文献类型:
--
作者:
Abel DB;Minor KS

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研究人员使用许多不同的策略来测量精神分裂症患者的社会功能。最近的技术进步使得被动地测量现实社会环境中的行为成为可能,从而允许进行更客观、生态有效的评估。然而,研究测试的收敛效度之间的现实世界和实验室为基础的社会功能评估是稀疏的。本研究的目的是测试的收敛效度之间的四个社会功能的措施:两个访谈为基础的评级量表,自我报告的生态瞬时评估(EMA),和一个被动的,动态的生态评估。数据收集自36名精神分裂症患者和33名对照参与者。在整个样本中,基于采访的评级和现实世界的社会功能指标之间的关系仅表现出较小的相关性(r =0.17-0.19),而现实世界的指标彼此之间表现出中度相关性(r=0.36)。在组内,现实世界的措施显示中度,显着的关系,在对照组(r=0.44),但不是在精神分裂症组(r=0.27)。对于精神分裂症患者,基于访谈的社会功能测量与动态生态评估中度相关(r =0.38和0.47),但与自我报告的EMA仅观察到小的相关性(r =0.15和0.17)。结果表明,社会功能评估是不高度收敛,可能针对社会功能的不同方面。基于实验的测量提供了社会功能的全球印象,而现实世界的测量则代表了一种更微妙的方法。此外,动态生态评估可能最准确地衡量精神分裂症患者的日常社会互动频率,因为它避免了自我报告的常见陷阱,并提供了一个更少偏见的,深入的社会行为评估。
Researchers have measured social functioning in schizophrenia using many different strategies. Recent technological advances have made it possible to passively measure behaviors in real-world social situations—allowing for more objective, ecologically valid assessments. Yet, research testing the convergent validity among real-world and laboratory-based social functioning assessment is sparse. The purpose of this study was to test the convergent validity among four social functioning measures: two interview-based rating scales, a self-reported ecological momentary assessment (EMA), and a passive, ambulatory ecological assessment. Data was collected from 36 people with schizophrenia and 33 control participants. Across the entire sample, relationships between interview-based ratings and real-world measures of social functioning only demonstrated small correlations (r’s=0.17–0.19), whereas real-world measures exhibited moderate correlations with one another (r=0.36). Within groups, real-world measures showed moderate, significant relationships in the control group (r=0.44) but not in the schizophrenia group (r=0.27). For those with schizophrenia, the interview-based measures of social functioning were moderately associated with ambulatory ecological assessment (r’s=0.38 and 0.47), but only small associations were observed with self-reported EMA (r’s=0.15 and 0.17). Results suggest social functioning assessments are not highly convergent and likely target different aspects of social functioning. Laboratory-based measures offer global impressions of social functioning whereas real-world measures represent a more nuanced approach. Moreover, ambulatory ecological assessment may most accurately gauge frequency of daily social interactions for those with schizophrenia as it circumvents common pitfalls of self-report and offers a less-biased, in-depth evaluation of social behavior.
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