Cognitive discrepancies, motivation and subjective well-being in people with schizophrenia

Abstract

Research indicates that people with schizophrenia often achieve similar levels of subjective well-being (SWB) compared to healthy controls despite prominent symptomatology and significant functional difficulties. Furthermore, compared to healthy controls, young-adult people with schizophrenia differ in the relative importance they place on values, or guiding life principles, associated with educational and occupational success ( openness to change ), suggesting that changing motivations may contribute to SWB and the apparent motivational deficits commonly reported in this population. The current study sought to better understand these relationships in middle-aged people with schizophrenia or schizoaffective disorder ( n =29) versus a relatively healthy group of community controls ( n =23). Participants completed measures of SWB and values. They also completed a cognitive battery and interviews concerned with mental and physical health. Patients reported similar levels of SWB compared to controls in the context of significant cognitive, social and vocational difficulties. Moreover, living consistently with values ( valued living ) predicted SWB in both groups. Lastly, internalized mental illness stigma was negatively associated with openness to change in the patient group. While encouraging from an emotional resiliency perspective, SWB and valued living in people with schizophrenia may hinder motivation towards treatment goals that could otherwise improve functional outcomes in this population.

Classification of schizophrenia based on graph product depth neural network fusion of fMRI and dMRI multidimensional information

“…These brain areas overlap with the areas of medical pathology of cognitive function in a large area, indicating that schizophrenia will mainly lead to the imbalance of cognitive function. This also proved that our study is consistent with medical judgment [14] .…”

Languishing and flourishing experiences in schizophrenic patients during hospitalization

“…Hospitalization is a highly recommended treatment for schizophrenic patients, since mental health professionals such as psychiatrists, clinical psychologists, and nurses can work together to provide the necessary psychiatric care and monitor patient health development (Hooley et al, 2018). Previous studies have found that through psychiatric treatment in hospitals, subjective well-being in schizophrenic patients can be improved by optimizing antipsychotic treatment (Vothknecht et al, 2011); maximizing psychological interventions such as by using a positive psychological approach (Valiente et al, 2019); defining values; and developing the selfefficacy of patients (Krzyzanowski et al, 2021).…”