Accuracy of self-assessment of real-life functioning in schizophrenia
Abstract A consensus has not yet been reached regarding the accuracy of people with schizophrenia in self-reporting their real-life functioning. In a large (n = 618) cohort of stable, community-dwelling schizophrenia patients we sought to: (1) examine the concordance of patients’ reports of their re...
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Nature Portfolio
2021
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oai:doaj.org-article:2948c4ccb8024d72b5dffb6aa44121a92021-12-02T14:21:41ZAccuracy of self-assessment of real-life functioning in schizophrenia10.1038/s41537-021-00140-92334-265Xhttps://doaj.org/article/2948c4ccb8024d72b5dffb6aa44121a92021-02-01T00:00:00Zhttps://doi.org/10.1038/s41537-021-00140-9https://doaj.org/toc/2334-265XAbstract A consensus has not yet been reached regarding the accuracy of people with schizophrenia in self-reporting their real-life functioning. In a large (n = 618) cohort of stable, community-dwelling schizophrenia patients we sought to: (1) examine the concordance of patients’ reports of their real-life functioning with the reports of their key caregiver; (2) identify which patient characteristics are associated to the differences between patients and informants. Patient-caregiver concordance of the ratings in three Specific Level of Functioning Scale (SLOF) domains (interpersonal relationships, everyday life skills, work skills) was evaluated with matched-pair t tests, the Lin’s concordance correlation, Somers’ D, and Bland–Altman plots with limits of agreement (LOA). Predictors of the patient-caregiver differences in SLOF ratings were assessed with a linear regression with multivariable fractional polynomials. Patients’ self-evaluation of functioning was higher than caregivers’ in all the evaluated domains of the SLOF and 17.6% of the patients exceeded the LOA, thus providing a self-evaluation discordant from their key caregivers. The strongest predictors of patient-caregiver discrepancies were caregivers’ ratings in each SLOF domain. In clinically stable outpatients with a moderate degree of functional impairment, self-evaluation with the SLOF scale can become a useful, informative and reliable clinical tool to design a tailored rehabilitation program.Paola RoccaClaudio BrassoCristiana MontemagniSilvio BellinoAlessandro RossiAlessandro BertolinoDino GibertoniEugenio AgugliaMario AmoreIleana AndriolaAntonello BellomoPaola BucciAntonino BuzzancaBernardo CarpinielloAlessandro CuomoLiliana Dell’OssoAngela FavaroGiulia Maria GiordanoCarlo MarchesiPalmiero MonteleoneLucio OldaniMaurizio PompiliRita RonconeRodolfo RossiAlberto SiracusanoAntonio VitaPatrizia ZeppegnoSilvana GalderisiMario Majthe Italian Network for Research on PsychosesNature PortfolioarticlePsychiatryRC435-571ENnpj Schizophrenia, Vol 7, Iss 1, Pp 1-10 (2021) |
| institution |
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| collection |
DOAJ |
| language |
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| topic |
Psychiatry RC435-571 |
| spellingShingle |
Psychiatry RC435-571 Paola Rocca Claudio Brasso Cristiana Montemagni Silvio Bellino Alessandro Rossi Alessandro Bertolino Dino Gibertoni Eugenio Aguglia Mario Amore Ileana Andriola Antonello Bellomo Paola Bucci Antonino Buzzanca Bernardo Carpiniello Alessandro Cuomo Liliana Dell’Osso Angela Favaro Giulia Maria Giordano Carlo Marchesi Palmiero Monteleone Lucio Oldani Maurizio Pompili Rita Roncone Rodolfo Rossi Alberto Siracusano Antonio Vita Patrizia Zeppegno Silvana Galderisi Mario Maj the Italian Network for Research on Psychoses Accuracy of self-assessment of real-life functioning in schizophrenia |
| description |
Abstract A consensus has not yet been reached regarding the accuracy of people with schizophrenia in self-reporting their real-life functioning. In a large (n = 618) cohort of stable, community-dwelling schizophrenia patients we sought to: (1) examine the concordance of patients’ reports of their real-life functioning with the reports of their key caregiver; (2) identify which patient characteristics are associated to the differences between patients and informants. Patient-caregiver concordance of the ratings in three Specific Level of Functioning Scale (SLOF) domains (interpersonal relationships, everyday life skills, work skills) was evaluated with matched-pair t tests, the Lin’s concordance correlation, Somers’ D, and Bland–Altman plots with limits of agreement (LOA). Predictors of the patient-caregiver differences in SLOF ratings were assessed with a linear regression with multivariable fractional polynomials. Patients’ self-evaluation of functioning was higher than caregivers’ in all the evaluated domains of the SLOF and 17.6% of the patients exceeded the LOA, thus providing a self-evaluation discordant from their key caregivers. The strongest predictors of patient-caregiver discrepancies were caregivers’ ratings in each SLOF domain. In clinically stable outpatients with a moderate degree of functional impairment, self-evaluation with the SLOF scale can become a useful, informative and reliable clinical tool to design a tailored rehabilitation program. |
| format |
article |
| author |
Paola Rocca Claudio Brasso Cristiana Montemagni Silvio Bellino Alessandro Rossi Alessandro Bertolino Dino Gibertoni Eugenio Aguglia Mario Amore Ileana Andriola Antonello Bellomo Paola Bucci Antonino Buzzanca Bernardo Carpiniello Alessandro Cuomo Liliana Dell’Osso Angela Favaro Giulia Maria Giordano Carlo Marchesi Palmiero Monteleone Lucio Oldani Maurizio Pompili Rita Roncone Rodolfo Rossi Alberto Siracusano Antonio Vita Patrizia Zeppegno Silvana Galderisi Mario Maj the Italian Network for Research on Psychoses |
| author_facet |
Paola Rocca Claudio Brasso Cristiana Montemagni Silvio Bellino Alessandro Rossi Alessandro Bertolino Dino Gibertoni Eugenio Aguglia Mario Amore Ileana Andriola Antonello Bellomo Paola Bucci Antonino Buzzanca Bernardo Carpiniello Alessandro Cuomo Liliana Dell’Osso Angela Favaro Giulia Maria Giordano Carlo Marchesi Palmiero Monteleone Lucio Oldani Maurizio Pompili Rita Roncone Rodolfo Rossi Alberto Siracusano Antonio Vita Patrizia Zeppegno Silvana Galderisi Mario Maj the Italian Network for Research on Psychoses |
| author_sort |
Paola Rocca |
| title |
Accuracy of self-assessment of real-life functioning in schizophrenia |
| title_short |
Accuracy of self-assessment of real-life functioning in schizophrenia |
| title_full |
Accuracy of self-assessment of real-life functioning in schizophrenia |
| title_fullStr |
Accuracy of self-assessment of real-life functioning in schizophrenia |
| title_full_unstemmed |
Accuracy of self-assessment of real-life functioning in schizophrenia |
| title_sort |
accuracy of self-assessment of real-life functioning in schizophrenia |
| publisher |
Nature Portfolio |
| publishDate |
2021 |
| url |
https://doaj.org/article/2948c4ccb8024d72b5dffb6aa44121a9 |
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