Functional outcomes and subjective recovery of jumping to conclusions in schizophrenia

Abstract

This study investigated the effects of the bias known as jumping to conclusions (JTC) on objective functional outcomes as well as subjective assessments of quality of life (QoL) and personal recovery among a sample of patients diagnosed with schizophrenia. Specifically, this study assessed the variables of JTC, psychiatric symptoms, neurocognitive functioning, objective interpersonal and daily activities, vocational domains, subjective QoL, and personal recovery among 94 participants. Results showed that those in the JTC group had significantly lower neurocognitive and functional outcomes (moderate effect sizes); however, subjective measures such as QoL and personal recovery did not differ significantly according to JTC (small effect sizes). After adjusting for attributes, there were no statistically significant differences, but the JTC group demonstrated lower overall functional outcomes and higher individual recovery, each with a moderate effect size. This ‘trade-off’ is not evidence-guaranteed, and further research is recommended to examine the relationship between social functioning and personal recovery in people with JTC bias.

Social functioning mediates the relationship between psychiatric symptoms and recovery among veteran and community service users with serious mental illness.

“…Analysis of 213 people with SMI in Spain found that, “the effects of social and cognitive functioning, although they may have had some degree of interaction, were relatively independent” in predicting gaining employment, which is frequently conceptualized as part of the purpose construct of recovery (Saavedra et al, 2016, p. 855). In a sample of people in Japan with schizophrenia Watanabe et al (2021) examined three components of social functioning (interpersonal functioning, employment, and daily life) and found that interpersonal functioning had a significant effect on assessment of personal recovery.…”