Life engagement in people living with schizophrenia : predictors and correlates of patient life engagement in a large sample of people living in the community

BACKGROUND: Life engagement represents a holistic concept that encompasses outcomes reflecting life-fulfilment, well-being and participation in valued and meaningful activities, which is recently gaining attention and scientific interest. Despite its conceptual importance and its relevance, life engagement represents a largely unexplored domain in schizophrenia. The aims of the present study were to independently assess correlates and predictors of patient life engagement in a large and well-characterized sample of schizophrenia patients.

METHODS: To assess the impact of different demographic, clinical, cognitive and functional parameters on life engagement in a large sample of patients with schizophrenia, data from the social cognition psychometric evaluation project were analyzed.

RESULTS: Overall schizophrenia and depressive symptom severity, premorbid IQ, neurocognitive performance, social cognition performance both in the emotion processing and theory of mind domains, functional capacity, social skills performance and real-world functioning in different areas all emerged as correlates of patient life engagement. Greater symptom severity and greater impairment in real-world interpersonal relationships, social skills, functional capacity and work outcomes emerged as individual predictors of greater limitations in life engagement.

CONCLUSIONS: Life engagement in people living with schizophrenia represents a holistic and complex construct, with several different clinical, cognitive and functional correlates. These features represent potential treatment targets to improve the clinical condition and also facilitate the process of recovery and the overall well-being of people living with schizophrenia.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:53

Enthalten in:

Psychological medicine - 53(2023), 16 vom: 12. Dez., Seite 7943-7952

Sprache:

Englisch

Beteiligte Personen:

Vita, Antonio [VerfasserIn]
Barlati, Stefano [VerfasserIn]
Deste, Giacomo [VerfasserIn]
Nibbio, Gabriele [VerfasserIn]
Penn, David L [VerfasserIn]
Pinkham, Amy E [VerfasserIn]
McIntyre, Roger S [VerfasserIn]
Harvey, Philip D [VerfasserIn]

Links:

Volltext

Themen:

Integrated intervention
Journal Article
Life engagement
Patient-reported outcome
Psychosocial functioning
Recovery
Schizophrenia
Wellness

Anmerkungen:

Date Completed 29.12.2023

Date Revised 02.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1017/S0033291723002106

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360223680