A cross-sectional study on the association between executive functions and social disabilities in people with a psychotic disorder

IF 2.3 Q2 PSYCHIATRY
B.C. van Aken , R. Rietveld , A.I. Wierdsma , Y. Voskes , G.H.M. Pijnenborg , J. van Weeghel , C.L. Mulder
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Abstract

Background

Social recovery (SR) in people with psychotic disorders involves taking on social roles and completing daily tasks. Functional recovery (FR), particularly executive functions, is critical for these roles. Psychotic disorder patients often experience severe cognitive impairments, especially in executive functions. This study investigates the relationship between functional and social recovery in individuals with psychotic disorders and examines the effect of employment status on this association.

Method

This cross-sectional study involved people with a psychotic disorder. SR was measured using the WHO-DAS, divided into Daily Functioning (DF) and Social Functioning (SF) scales. FR was measured using the BRIEF-A and the TOL. Employment status was categorized into Non-active, Otherwise Active, and Active. The Likelihood-ratio Test (LRT) was used for model selection.

Results

Data from 251 participants (mean age 41.5) showed that the BRIEF-A affected both DF and SF, while the TOL only affected DF. Only being Otherwise Active influenced DF. Employment status had no influence on SF. Being Otherwise Active positively influenced perceived disabilities in Daily Functioning.

Conclusion

Measuring executive functions using both performance-based and self-report measures is important. Both measures are associated differently with perceived disabilities in daily and social functioning. Being a volunteer or looking for a job positively influences perceived disabilities in Daily Functioning.
精神障碍患者执行功能与社交障碍之间关系的横断面研究
精神障碍患者的社会恢复(SR)包括承担社会角色和完成日常任务。功能恢复(FR),特别是执行功能,对这些角色至关重要。精神病患者通常会经历严重的认知障碍,尤其是在执行功能方面。本研究探讨了精神障碍患者的功能恢复与社会恢复之间的关系,并探讨了就业状况对这种关系的影响。方法本横断面研究涉及精神病患者。使用WHO-DAS测量SR,分为日常功能(DF)和社会功能(SF)量表。FR采用BRIEF-A和TOL测量。就业状态分为Non-active、else Active和Active。采用似然比检验(LRT)进行模型选择。结果来自251名参与者(平均年龄41.5岁)的数据显示BRIEF-A同时影响DF和SF,而TOL仅影响DF。只有在其他方面处于活动状态才会影响DF。就业状况对SF没有影响。在其他方面积极地影响感知到的日常功能障碍。结论使用绩效和自我报告两种方法来测量执行功能是很重要的。这两种措施与日常和社会功能方面的感知残疾有不同的关联。成为一名志愿者或寻找一份工作对日常功能的感知障碍有积极影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.60
自引率
10.70%
发文量
54
审稿时长
67 days
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