Comparison of self-report and performance-based measures of everyday functioning in individuals with schizophrenia: implications for measure selection

Elliott, Colette Seter; Fiszdon, Joanna M.

doi:10.1080/13546805.2014.922062

Cited by 16 publications

(9 citation statements)

References 31 publications

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“…The The UPSA is a performance-based measure that has reliably demonstrated the ability to predict real-world functioning in schizophrenia [101]; it has high correlations with measures of personal care skills, interpersonal skills, and community activities [101,102], and has demonstrated high sensitivity to functional changes [103]. The SCoRS is a clinicianadministered interview, to both participants and informants, which assesses cognition-related daily functioning.…”

Section: Daily Functioningmentioning

confidence: 99%

Improving Cognition via Exercise (ICE): Study Protocol for a Multi-Site, Parallel-Group, Single-Blind, Randomized Clinical Trial Examining the Efficacy of Aerobic Exercise to Improve Neurocognition, Daily Functioning, and Biomarkers of Cognitive Change in Individuals with Schizophrenia

Ospina

Wall

Jarskog

et al. 2019

J Psychiatry Brain Sci

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Individuals with schizophrenia (SZ) display cognitive deficits that have been identified as major determinants of poor functioning and disability, representing a serious public health concern and an important target for interventions. At present, available treatments offer only minimal to moderate benefits to ameliorate cognitive deficits. Thus, there remains an urgent need to identify novel interventions to improve cognition in people with SZ. Emerging evidence from animal and basic human research suggests aerobic exercise training (AE) has beneficial effects on cognition. Preliminary findings suggest that AE is efficacious in improving cognitive functioning in SZ, however the extant studies have been limited by small samples, a dearth of information on biologically-relevant covariates, and limited information on impact on daily functioning. Additionally, while AE-related cognitive benefits have been linked to Brain-Derived Neurotrophic Factor (BDNF) upregulation, this putative mechanism needs

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Section: Daily Functioningmentioning

confidence: 99%

Improving Cognition via Exercise (ICE): Study Protocol for a Multi-Site, Parallel-Group, Single-Blind, Randomized Clinical Trial Examining the Efficacy of Aerobic Exercise to Improve Neurocognition, Daily Functioning, and Biomarkers of Cognitive Change in Individuals with Schizophrenia

Ospina

Wall

Jarskog

et al. 2019

J Psychiatry Brain Sci

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“…Finally, the use of a self-report scale of living skills was potentially problematic given that completion is reliant on functional memory and introspection. Capacity-based functional measures (e.g., UCSD Performance-Based Skills Assessment), which are more strongly correlated with cognition, may be more sensitive to potential far-transfer (Elliott & Fiszdon, 2014;Harvey, Velligan, & Bellack, 2007). In retrospect, the ILSS-SR may have been more suitable in an intervention targeting psychiatric symptoms given recently reported relationships between the ILSS-SR and emotional distress (Elliott & Fiszdon, 2014).…”

Section: Limitationsmentioning

confidence: 99%

Neurocognitive and Self-efficacy Benefits of Cognitive Remediation in Schizophrenia: A Randomized Controlled Trial

Bryce

Rossell

Lee

et al. 2018

J Int Neuropsychol Soc

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Computer-assisted drill-and-strategy CR in schizophrenia improved cognitive test performance, while participation in both CR and CG playing promoted enhancements in everyday self-efficacy. Changes in independent living skills did not appear to result from CR, however. Adjunctive psychosocial rehabilitation is likely necessary for improvements in real-world community functioning to be achieved. (JINS, 2018, 24, 549-562).

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“…Only one study assessed the correlation between the two scales [83], reporting a value of 0.47. The full UPSA and the Independent Living Skills Survey (ILSS) were jointly evaluated in two studies [46, 47]. One study reported a correlation between the two scales of 0.13 ( p =0.24) and concluded that the UPSA did not correlate well with the ILSS [46].…”

Section: Resultsmentioning

confidence: 99%

“…The full UPSA and the Independent Living Skills Survey (ILSS) were jointly evaluated in two studies [46, 47]. One study reported a correlation between the two scales of 0.13 ( p =0.24) and concluded that the UPSA did not correlate well with the ILSS [46]. The other study reported a correlation of 0.16 ( p =0.28) [47].…”

Section: Resultsmentioning

confidence: 99%

Assessing the Relationship between Performance on the University of California Performance Skills Assessment (UPSA) and Outcomes in Schizophrenia: A Systematic Review and Evidence Synthesis

Szabo¹,

Merikle

Lozano‐Ortega³

et al. 2018

Schizophrenia Research and Treatment

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Objective To perform a systematic review of the published literature to evaluate how functional capacity, as measured by the University of California at San Diego (UCSD) Performance-based Skills Assessment (UPSA), relates to other functional measures and real-world outcomes among individuals with schizophrenia. Methods The MEDLINE® and Embase® databases were searched to identify joint evaluations with UPSA and key functional outcomes (functional scale measures; generic or disease-specific, health-related quality of life [HRQoL]; or real-world outcomes [residential status; employment status]) in patients with schizophrenia. Pearson correlations were estimated between UPSA scores, HRQoL, other functional scale measures, and real-world outcomes, for outcomes described in at least six studies. Results The synthesis included 76 studies that provided 73 unique data sets. Quantitative assessment between the Specific Level of Function (SLOF) (n=18) scores and UPSA scores demonstrated a moderate borderline-significant correlation (0.45, p=0.06). Quantitative analysis of the relationship between the Global Assessment of Functioning (GAF) (n=11) and the Multidimensional Scale of Independent Functioning (MSIF) (n=6) scales revealed moderate and small nonsignificant Pearson correlations of -0.34 (p=0.31) and 0.12 (p=0.83), respectively. There was a small borderline-significant correlation between UPSA score and residential status (n=36; 0.31; p=0.08), while no correlation was found between UPSA score and employment status (n=19; 0.04; p=0.88). Conclusion The SLOF was the most often used functional measure and had the strongest observed correlation with the UPSA. Although knowledge gaps remain, evidence from this review indicates that there is a quantitative relationship between functional capacity and real-world outcomes in individuals with schizophrenia.

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Comparison of self-report and performance-based measures of everyday functioning in individuals with schizophrenia: implications for measure selection

Cited by 16 publications

References 31 publications

Improving Cognition via Exercise (ICE): Study Protocol for a Multi-Site, Parallel-Group, Single-Blind, Randomized Clinical Trial Examining the Efficacy of Aerobic Exercise to Improve Neurocognition, Daily Functioning, and Biomarkers of Cognitive Change in Individuals with Schizophrenia

Improving Cognition via Exercise (ICE): Study Protocol for a Multi-Site, Parallel-Group, Single-Blind, Randomized Clinical Trial Examining the Efficacy of Aerobic Exercise to Improve Neurocognition, Daily Functioning, and Biomarkers of Cognitive Change in Individuals with Schizophrenia

Neurocognitive and Self-efficacy Benefits of Cognitive Remediation in Schizophrenia: A Randomized Controlled Trial

Assessing the Relationship between Performance on the University of California Performance Skills Assessment (UPSA) and Outcomes in Schizophrenia: A Systematic Review and Evidence Synthesis

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