An examination of neurocognition and symptoms as predictors of post-hospital community tenure in treatment resistant schizophrenia

Ahmed, Anthony O.; Murphy, Christina; Latoussakis, Vassilios; McGovern, Kelly Elizabeth; English, Judith; Bloch, Alexander; Anthony, Donna T.; Savitz, Adam

doi:10.1016/j.psychres.2016.01.001

Cited by 21 publications

(15 citation statements)

References 46 publications

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“…Using an experimental social interaction paradigm, McCarthy et al (47) reported that in patients with schizophrenia, higher ratings on social anhedonia were associated with reduced feelings of interpersonal closeness and less willingness to interact, with subjective responses during interactions with the experimental partner being related to social functioning in general. Conversely, in treatment-resistant patients with schizophrenia, lower levels of anhedonia–asociality predicted a longer time living in the community between admissions (48). Patients with schizophrenia and schizoaffective disorder who had high levels of social anhedonia had higher levels of symptomatology and lower levels of self-esteem, self-efficacy, subjective recovery, social support, and poorer quality of life compared to patients with intact hedonic responses and an intermediary group (49).…”

Section: Psychosis Continuummentioning

confidence: 99%

A Transdiagnostic Perspective on Social Anhedonia

2019

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Humans are highly social beings, yet people with social anhedonia experience reduced interest in or reward from social situations. Social anhedonia is a key facet of schizotypal personality, an important symptom of schizophrenia, and increasingly recognized as an important feature in a range of other psychological disorders. However, to date, there has been little examination of the similarities and differences in social anhedonia across diagnostic borders. Here, our goal was to conduct a selective review of social anhedonia in different psychological and life course contexts, including the psychosis continuum, depressive disorder, posttraumatic stress disorder, eating disorders, and autism spectrum disorders, along with developmental and neurobiological factors. Current evidence suggests that the nature and expression of social anhedonia vary across psychological disorders with some groups showing deficient learning about, enjoyment from, and anticipation of the pleasurable aspects of social interactions, while for others, some of these components appear to remain intact. However, study designs and methodologies are diverse, the roles of developmental and neurobiological factors are not routinely considered, and direct comparisons between diagnostic groups are rare—which prevents a more nuanced understanding of the underlying mechanisms involved. Future studies, parsing the wanting, liking, and learning components of social reward, will help to fill gaps in the current knowledge base. Consistent across disorders is diminished pleasure from social situations, subsequent withdrawal, and poorer social functioning in those who express social anhedonia. Nonetheless, feelings of loneliness often remain, which suggests the need for social connection is not entirely absent. Adolescence is a particularly important period of social and neural development and may provide a valuable window on the developmental origins of social anhedonia. Adaptive social functioning is key to recovery from mental health disorders; therefore, understanding the intricacies of social anhedonia will help to inform treatment and prevention strategies for a range of diagnostic categories.

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Section: Psychosis Continuummentioning

confidence: 99%

A Transdiagnostic Perspective on Social Anhedonia

2019

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“…Literature is not yet consistent regarding the effect of neurocognitive impairment on self‐management in schizophrenia. Some studies demonstrated the associations between decreased cognitive function and poor medication adherence, decreased everyday living activities, as well as low tendency to service engagement in patients with schizophrenia (Chuang, Wu, Wang, Liu, & Pan, 2016; El‐Missiry et al., 2015; Joseph et al., 2017; Lexen & Bejerholm, 2018; Thomas et al., 2018) while others failed (Ahmed et al., 2016; Färdig, Lewander, Fredriksson, & Melin, 2011; Sendt, Tracy, & Bhattacharyya, 2015). The ambiguous findings may be attributed to those models that minimise or ignore possible mediating factors between neurocognitive impairment and self‐management and thus prompt the search for mediators.…”

Section: Introductionmentioning

confidence: 99%

Modelling of self‐management in schizophrenia: The role of neurocognition, self‐efficacy and motivation

Zhou

2020

Journal of Clinical Nursing

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“…Future studies should aim to explore the evolution of UPSA-2-PT scores longitudinally, not only to assess test-retest reliability, but also to address the UPSA-2-PT's potential to detect functional changes resulting from interventions in clinical samples. Additionally, studies should further explore the relationships between functional capacity across different domains and neurocognitive impairments that have a significant impact task performance (Ahmed et al, 2016;Ventura, Hellemann, Thames, Koellner, & Nuechterlein, 2009) Overall, the use of the UPSA-2-PT is of increased utility to practitioners aiming to screen participants for rehabilitation programs, to assess the effectiveness of recovery-based interventions and increasing the likelihood of success of interventions aiming to foster the integration of patients with severe psychiatric illnesses.…”

Section: Ptmentioning

confidence: 99%

Construct validity, sensitivity and specificity of the USCD Performance-based Skill Assessment 2 in a mixed Portuguese sample

Motta¹,

Carvalho²,

Castilho³

et al. 2019

Preprint

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This study explores the psychometric properties of the Portuguese USCD Performance-based Skill Assessment 2 (UPSA-2-PT) in a mixed sample or Portuguese participants. Inter-rater Reliability and internal consistency, convergent validity with community integration are described. A Receiver Operating Curve analysis establishes the sensitivity and specificity of scores, and an optimal cutoff value of functional capacity was established for the Portuguese population. These findings show an excellent the UPSA-2-PT integrity when compared to with previous studies carried out in Western countries. Thus, this is a useful tool for research and clinical purposes to practitioners in several fields that rely on functional assessment.<br>

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An examination of neurocognition and symptoms as predictors of post-hospital community tenure in treatment resistant schizophrenia

Cited by 21 publications

References 46 publications

A Transdiagnostic Perspective on Social Anhedonia

A Transdiagnostic Perspective on Social Anhedonia

Modelling of self‐management in schizophrenia: The role of neurocognition, self‐efficacy and motivation

Construct validity, sensitivity and specificity of the USCD Performance-based Skill Assessment 2 in a mixed Portuguese sample

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