Cognitive and social cognitive predictors of change in objective versus subjective quality-of-life in rehabilitation for schizophrenia.
Cognitive and social cognitive predictors of change in objective versus subjective quality-of-life in rehabilitation for schizophrenia.
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DOI：
10.1016/j.psychres.2012.06.025
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发表时间：
2012-12-30
影响因子：
11.3
通讯作者：
Rose J
中科院分区：
文献类型：
--
作者：
Kurtz MM;Bronfeld M;Rose J
一小部分但不断增长的工作研究了认知技能在预测精神分裂症综合康复计划反应中的作用。然而，还没有研究直接比较认知、社会认知和其他疾病因素在预测精神分裂症康复后客观生活质量（QOL）和主观生活满意度（SWL）各个领域的改善方面的作用和相互关系。 44 名精神分裂症门诊患者在接受心理社会和认知康复计划时接受了认知、社会认知和症状测量。治疗前后客观 QOL 和主观 SWL 的变化作为结果变量进行测量。言语记忆的认知测量和面部情感识别的社会认知测量与客观生活质量的改善相关，而言语记忆和结晶语言技能则与社会工作负载的改善相关。面部情感识别部分调节了言语记忆与客观生活质量改善之间的关系。讨论了这些发现对于理解认知和社会认知之间的相互关系的影响，以及它们在预测不同结果领域作为行为治疗功能的变化中的作用。
A small but growing body of work has studied the role of cognitive skills in predicting response to integrated programs of rehabilitation in schizophrenia. No studies however, have directly compared the roles and interrelationships of cognition, social cognition and other disease factors in predicting improvements in the separate domains of objective quality-of-life (QOL) and subjective satisfaction with life (SWL) in response to rehabilitation in schizophrenia,. Forty-four outpatients with schizophrenia were administered measures of cognition, social cognition, and symptoms at entry to a psychosocial and cognitive rehabilitation program. Change in objective QOL and subjective SWL before and after treatment were measured as outcome variables. Cognitive measures of verbal memory and social cognitive measures of facial affect recognition were linked to improvements in objective QOL, while verbal memory and crystallized verbal skill was linked to improvements in SWL. Facial affect recognition partially mediated the relationship between verbal memory and improvements in objective QOL. The implications of these findings for understanding interrelationships between cognition and social cognition and their role in predicting change in different domains of outcome as a function of behavioral treatment are discussed.
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