Journal article
How Neurocognition and Social Cognition Influence Functional Change During Community-Based Psychosocial Rehabilitation for Individuals with Schizophrenia
Schizophrenia bulletin, Vol.33(5), pp.1247-1256
09/2007
DOI: 10.1093/schbul/sbl072
PMCID: PMC2632359
PMID: 17255120
Abstract
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.
Details
- Title: Subtitle
- How Neurocognition and Social Cognition Influence Functional Change During Community-Based Psychosocial Rehabilitation for Individuals with Schizophrenia
- Creators
- John S Brekke - University of Southern CaliforniaMaanse Hoe - University of Southern CaliforniaJeffrey Long - University of MinnesotaMichael F Green - VA Greater Los Angeles Healthcare System
- Resource Type
- Journal article
- Publication Details
- Schizophrenia bulletin, Vol.33(5), pp.1247-1256
- DOI
- 10.1093/schbul/sbl072
- PMID
- 17255120
- PMCID
- PMC2632359
- NLM abbreviation
- Schizophr Bull
- ISSN
- 0586-7614
- eISSN
- 1745-1701
- Publisher
- Oxford University Press
- Language
- English
- Date published
- 09/2007
- Academic Unit
- Psychiatry; Biostatistics
- Record Identifier
- 9984280833302771
Metrics
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