Predictors of Community Functioning in Schizophrenia and Substance Use Disorder Patients.

Community functioning is a broad term that encompasses various 'real world' measures of disability among schizophrenia patients. It includes outcomes such as independent living, social competence and behavioural problems-all of which are priorities for treatment among schizophrenia patients, mental...

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Publicado en:Community Mental Health Journal Vol. 49; no. 3; pp. 317 - 323
Autores principales: Zhornitsky, Simon, Aubin, Ginette, Desfossés, Joelle, Rizkallah, Élie, Pampoulova, Tania, Lipp, Olivier, Chiasson, Jean-Pierre, Stip, Emmanuel, Potvin, Stéphane
Formato: Artículo
Publicado: Springer Nature Jun2013
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2013
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      pub: Springer Nature
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        10.1007/s10597-012-9525-y
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        atl: Predictors of Community Functioning in Schizophrenia and Substance Use Disorder Patients.
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          Zhornitsky, Simon
          Aubin, Ginette
          Desfossés, Joelle
          Rizkallah, Élie
          Pampoulova, Tania
          Lipp, Olivier
          Chiasson, Jean-Pierre
          Stip, Emmanuel
          Potvin, Stéphane
        affil:
          Fernand-Seguin Research Centre, Department of Psychiatry, Faculty of Medicine, Université de Montréal, Montreal Canada
          Occupational Therapy Service, Centre Hospitalier de l'Université de Montréal, Montreal Canada
          Clinique du Nouveau-Départ, Montréal Canada
      su:
        Motor ability
        Analysis of variance
        Schizophrenia
        Substance abuse
        Chi-squared test
        Neuropsychological tests
        Probability theory
        Regression analysis
        Research funding
        Data analysis software
      sug:
        subj:
          Motor ability
          Analysis of variance
          Schizophrenia
          Substance abuse
          Chi-squared test
          Neuropsychological tests
          Probability theory
          Regression analysis
          Research funding
          Data analysis software
      keyword:
        Community functioning
        Depression
        Memory
        Substance use disorder
        Community functioning
        Depression
        Memory
        Substance use disorder
      ab: Community functioning is a broad term that encompasses various 'real world' measures of disability among schizophrenia patients. It includes outcomes such as independent living, social competence and behavioural problems-all of which are priorities for treatment among schizophrenia patients, mental health care providers, and family members. An important goal for rehabilitation programs is to identify predictors of community functioning which, in turn, could be used as targets for intervention. The present case-control study examined socio-demographic and substance use disorder (SUD) variables as well as psychiatric, extrapyramidal, and cognitive symptoms as predictors of community functioning in schizophrenia patients with (DD patients; n = 31) and without comorbid SUDs (SCZ patients; n = 31), and non-psychosis substance abusers (SUD patients; n = 39). Psychiatric and extrapyramidal symptoms were evaluated with the Positive and Negative Syndrome Scale, the Calgary Depression Scale for Schizophrenia and the Extrapyramidal Symptoms Rating Scale. Cognition was evaluated using the Cambridge Neuropsychological Test Automated Battery (speed of processing, explicit and working memory). In SCZ patients, community functioning was predicted by explicit memory performance. In DD patients, community functioning was predicted by substance abuse, depression and speed of processing. In SUD patients, community functioning was predicted by substance abuse, positive symptoms and education. Our results suggest that cognition should be among the top treatment priorities in SCZ patients, whereas the key treatment targets in DD patients should be substance abuse and depression. Future studies will need to replicate the current findings, using prospective research designs.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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