The relationship between functional capacity and community responsibilities in middle-aged and older Latinos of Mexican origin with chronic psychosis
The relationship between functional capacity and community responsibilities in middle-aged and older Latinos of Mexican origin with chronic psychosis
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DOI：
10.1016/j.schres.2007.09.008
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发表时间：
2008-01-01
影响因子：
4.5
通讯作者：
Patterson, Thomas
中科院分区：
文献类型：
--
作者：
Cardenas, Veronica;Mausbach, Brent T.;Patterson, Thomas
本研究的目的是检验UCSD基于绩效的技能评估（UPSA）得分之间的关系，UPSA是一种基于绩效的功能能力测量方法，在拉丁裔样本中，患者的社区责任水平（即有偿工作、志愿工作、上学、家务）。参与者为58名中老年墨西哥裔拉美人（平均年龄48.8岁），诊断为精神分裂症或分裂情感性障碍。我们进行了协方差分析（ANCOVA），控制了年龄、精神病症状和参与者语言，以确定更多地参与社区责任是否与更高的功能能力相关，如UPSA所测量的那样。结果显示UPSA评分有显著的组间差异（F= 5.11, df= 2,51; p= 0.009），仅报告单一社区责任的患者的UPSA评分显著高于报告零社区责任的患者（p= 0.016），报告两项社区责任的患者的UPSA评分显著高于报告零社区责任的患者（p= 0.008）。报告一项社区责任的人和报告两项社区责任的人之间没有差异（p= 0.256）。相比之下，痴呆评分量表（一种全球认知功能测量方法）没有观察到组间差异（F=2.14, df= 2,51; p= 0.128）。这些结果为UPSA在墨西哥裔拉丁裔患者中的有效性提供了初步支持，并表明功能能力的改善（即UPSA评分）可能与该人群中更多社区参与能力的增加有关。(C) 2007 Elsevier B.V.版权所有
The purpose of this study was to examine the relationship between scores on the UCSD Performance-based Skills Assessment (UPSA), a performance-based measure of functional capacity, and level of patient community responsibilities (i.e., work for pay; volunteer work; attend school; household duties) in a Latino sample. Participants were 58 middle-aged and older Latmos of Mexican origin (mean age =48.8 years) with a diagnosis of schizophrenia or schizoaffective disorder. We conducted an analysis of covariance (ANCOVA), controlling for age, symptoms of psychosis, and participant language, to determine if greater participation in community responsibilities was associated with higher functional capacity, as measured by the UPSA. Results indicated significant group differences in UPSA scores (F= 5.11, df= 2, 51; p =.009), with patients reporting only a single community responsibility having significantly higher UPSA scores than those reporting zero community responsibilities (p=.016) and those reporting two responsibilities scoring significantly higher than those reporting zero community responsibility (p=.008). There were no differences found between those reporting one and those reporting two community responsibilities (p=.256). In contrast, no group differences were observed on the Dementia Rating Scale, a global measure of cognitive functioning (F=2.14, df=2, 51; p=.128). These results provide initial support for the validity of the UPSA in Latino patients of Mexican origin, and suggest that improvement in functional capacity (i.e., UPSA scores) may be associated with increased capacity for greater community involvement in this population. (C) 2007 Elsevier B.V. All rights reserved.