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Cognitive and Social Cognitive Predictors of Change in Objective versus Subjective Quality-of-Life in Rehabilitation for Schizophrenia

机译:精神分裂症康复的客观变化的认知和社会认知预测因子。精神分裂症康复的康复

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摘要

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.
机译:一小部分但正在增长的工作研究了认知技能在预测对精神分裂症的综合康复计划的反应中的作用。然而,尚无研究直接比较认知,社会认知和其他疾病因素在预测客观生活质量(QOL)和主观生活满意度(SWL)响应康复方面的改善方面的作用和相互关系。精神分裂症,。对44名精神分裂症门诊患者在进入社会心理和认知康复计划时进行了认知,社会认知和症状的测量。测量治疗前后客观QOL和主观SWL的变化作为结果变量。言语记忆的认知措施和面部情感识别的社会认知措施与客观QOL的提高有关,而言语记忆和结晶的言语技巧与SWL的提高有关。面部情感识别部分介导了言语记忆与客观QOL改善之间的关系。讨论了这些发现对于理解认知与社会认知之间的相互关系的意义,以及它们在预测作为行为治疗功能的不同结果域变化中的作用。

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