Heterogeneity and the Longitudinal Recovery of Functioning During Inpatient Psychiatric Rehabilitation for Treatment-Refractory Severe Mental Illness

Liu, Nancy H.; Choi, Kee Hong; Reddy, Felice; Spaulding, William D.

doi:10.1080/15487768.2011.546293

Cited by 9 publications

(10 citation statements)

References 32 publications

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“…Here, adequate content validity might have made some questions more difficult than others, decreasing this statistic [ 115 , 116 ], which in our opinion is a worthwhile tradeoff. Furthermore, the alpha values observed for the mental state reasoning score are similar or superior to those derived from other ToM ability tests (e.g., [ 122 , 123 ]).…”

Section: Discussionsupporting

confidence: 68%

Using Fiction to Assess Mental State Understanding: A New Task for Assessing Theory of Mind in Adults

Dodell-Feder

Lincoln

Coulson³

et al. 2013

PLoS ONE

104

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Social functioning depends on the ability to attribute and reason about the mental states of others – an ability known as theory of mind (ToM). Research in this field is limited by the use of tasks in which ceiling effects are ubiquitous, rendering them insensitive to individual differences in ToM ability and instances of subtle ToM impairment. Here, we present data from a new ToM task – the Short Story Task (SST) - intended to improve upon many aspects of existing ToM measures. More specifically, the SST was designed to: (a) assess the full range of individual differences in ToM ability without suffering from ceiling effects; (b) incorporate a range of mental states of differing complexity, including epistemic states, affective states, and intentions to be inferred from a first- and second-order level; (c) use ToM stimuli representative of real-world social interactions; (d) require participants to utilize social context when making mental state inferences; (e) exhibit adequate psychometric properties; and (f) be quick and easy to administer and score. In the task, participants read a short story and were asked questions that assessed explicit mental state reasoning, spontaneous mental state inference, and comprehension of the non-mental aspects of the story. Responses were scored according to a rubric that assigned greater points for accurate mental state attributions that included multiple characters’ mental states. Results demonstrate that the SST is sensitive to variation in ToM ability, can be accurately scored by multiple raters, and exhibits concurrent validity with other social cognitive tasks. The results support the effectiveness of this new measure of ToM in the study of social cognition. The findings are also consistent with studies demonstrating significant relationships among narrative transportation, ToM, and the reading of fiction. Together, the data indicate that reading fiction may be an avenue for improving ToM ability.

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Section: Discussionsupporting

confidence: 68%

Using Fiction to Assess Mental State Understanding: A New Task for Assessing Theory of Mind in Adults

Dodell-Feder

Lincoln

Coulson³

et al. 2013

PLoS ONE

104

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“…Currently, mental illness is often managed primarily through medications, but many patients in psychiatric hospitals often prove treatment-resistant to pharmaceutical intervention [5]. However, individualized care in psychiatry is able to significantly improve outcomes in patients [6-7]. What must be further studied and remedied are the institutional and economic problems that in actual practice tend to prevent patients from receiving individualized care.…”

Section: Discussionmentioning

confidence: 99%

A Kyojo's Delirium: Insights into the Inner Mind of a Young Asian Female Patient

Curtis-Shanley¹

2019

Cureus

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A young Asian female in her early twenties suffered selective mutism, emotional lability, and delusions during a period of personal crisis. The patient experienced brief intermittent periods of clarity during her psychosis of unknown origin, and wrote “Please save me” on a piece of paper during her first meeting with the author of this report. Her confabulations and delusions are analyzed, along with the family and social circumstances that prevented her from receiving adequate treatment.

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“…Heterogeneity of outcome has long been established in mental health research, 15,[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][57][58][59] although few studies have used advanced longitudinal statistical techniques to assess heterogeneity among clients in ACT programs. 31 Our study suggests that over a 2-year period, clinical staff assessments of ACT clients showed a statistically significant improvement in functioning, as measured by ODPS, COSR, and COLF.…”

Section: Discussionmentioning

confidence: 99%

“…have long identified considerable heterogeneity in outcomes among people with SMI, [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] and although the clinical and theoretical importance of using advanced statistical methods to examine different longitudinal trajectories of psychiatric outcomes has been acknowledged, 16,19,20,27,[31][32][33][34] the studies using these techniques are limited. 20,27,[31][32][33][34] GMM techniques have been used to examine unobserved heterogeneity in individual growth trajectories, to identify the number and form of unobserved classes of growth trajectories, and to model predictors of class membership. [36][37][38] One recent Quebec study 31 examined 41 clients with schizophrenia, major depression, BD, and other disorders receiving services similar to ACT over a 1-year period, using growth curve modelling techniques.…”

Section: Researchersmentioning

confidence: 99%

Distinctive Trajectory Groups of Mental Health Functioning among Assertive Community Treatment Clients: An Application of Growth Mixture Modelling Analysis

et al. 2013

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Heterogeneity and the Longitudinal Recovery of Functioning During Inpatient Psychiatric Rehabilitation for Treatment-Refractory Severe Mental Illness

Cited by 9 publications

References 32 publications

Using Fiction to Assess Mental State Understanding: A New Task for Assessing Theory of Mind in Adults

Using Fiction to Assess Mental State Understanding: A New Task for Assessing Theory of Mind in Adults

A Kyojo's Delirium: Insights into the Inner Mind of a Young Asian Female Patient

Distinctive Trajectory Groups of Mental Health Functioning among Assertive Community Treatment Clients: An Application of Growth Mixture Modelling Analysis

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