INSIGHT AND WORK PERFORMANCE IN SCHIZOPHRENIA
Autor: | Paul H. Lysaker, Morris D. Bell, Gary Bryson |
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Rok vydání: | 2002 |
Předmět: |
Adult
Male medicine.medical_specialty Work behavior medicine.medical_treatment Schizoaffective disorder Multivariate analysis of variance medicine Humans Psychiatry Psychiatric Status Rating Scales Motivation Rehabilitation Cooperativeness Social environment Rehabilitation Vocational Cognition Awareness Middle Aged medicine.disease Psychiatry and Mental health Treatment Outcome Psychotic Disorders Schizophrenia Female Schizophrenic Psychology Psychology Follow-Up Studies |
Zdroj: | The Journal of Nervous and Mental Disease. 190:142-146 |
ISSN: | 0022-3018 |
Popis: | Research has linked impaired insight in schizophrenia to poorer medication compliance and poorer treatment outcome. The current study attempts to replicate previous findings that impaired insight is related to deficits in work function. To examine this question, 121 participants with schizophrenia or schizoaffective disorder enrolled in vocational rehabilitation were classified as having unimpaired (N = 65), or impaired (N = 56) insight. Next, participants were assigned a work placement and their work performance assessed on the third, fifth, and seventh weeks of work by using the Work Behavior Inventory. Among the 85 participants who completed these weeks of work, a multivariate analysis of variance and subsequent analysis of variance showed participants with impaired insight had significantly poorer ratings of work quality, work habits, cooperativeness, and personal presentation. When measures of global intelligence and executive function were entered as covariates in individual analysis of covariance, groups differed on measures of cooperativeness and personal presentation. Implications for rehabilitation are discussed. |
Databáze: | OpenAIRE |
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