In:
Psychopathology, S. Karger AG, Vol. 45, No. 2 ( 2012), p. 109-116
Abstract:
〈 i 〉 Background: 〈 /i 〉 Patients with schizophrenia are often markedly impaired in their social functioning, partly independent of symptom severity. Few studies have examined patients’ self-reporting of their social functioning, how a patient’s self-perspective differs from third-party ratings, and whether or not the patients’ self-rating of social functioning is influenced by their awareness of illness. 〈 i 〉 Sampling and Methods: 〈 /i 〉 Based on the Personal and Social Performance (PSP) scale as a clinician-administered scale, a PSP self-rating scale for patients was developed. The study included 42 inpatients with schizophrenia. Instruments were the PSP scale, the PSP self-rating scale, the Clinical Global Impression-Severity Scale, and the Scale to Assess Unawareness of Mental Disorder. 〈 i 〉 Results: 〈 /i 〉 A significant correlation was found between PSP self- and clinician’s rating for ‘socially useful activities’, whereas the other PSP subdimensions as well as the total score were not significantly correlated. For patients with high insight, a significantly positive association emerged with ‘disturbing and aggressive behaviour’, while there was no significant correlation between PSP self- and clinician’s ratings for the patients with poor insight into their disorder. 〈 i 〉 Conclusions: 〈 /i 〉 Patients and clinicians only marginally converge on their judgments concerning the patients’ psychosocial functioning. Patients’ insight may have a moderating role on the approximation of agreement between self- and third-party ratings. Results are discussed in line with the present literature regarding the accuracy of self-awareness in schizophrenia.
Type of Medium:
Online Resource
ISSN:
0254-4962
,
1423-033X
Language:
English
Publisher:
S. Karger AG
Publication Date:
2012
detail.hit.zdb_id:
1483565-4
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