Subjective perspectives contributing to recovery include individual resilience, satisfaction with quality of life (with social inclusion and the social situation in general), personal confidence and hope, empowerment, the presence of self-stigmatization by mental illness, etc 4.ĭue to the variability of functioning over time, the interaction of both approaches mentioned above and the additional influence of an individual’s social environment, it is difficult to define and assess the level of recovery 5, 6, 7. ![]() ![]() Objective domain comprises symptoms’ severity and a level of patients’ functioning. Objective and subjective domains of recovery may influence one another 4. According to a review of Vita et al., recovery can be assessed objectively and also from a subjective personal point of view. Recovery is a long-term multidimensional individually variable process, which is difficult to clearly define. The principal aim of schizophrenia treatment is to achieve recovery. Only around 10–20% of patients work full- or part-time, which shows severe social functioning impairment 3. Patients with schizophrenia have difficulties obtaining and maintaining jobs and struggle to live independently and have relationships outside of the scope of family or caregivers. Its treatment and consequences pose a burden to healthcare and social systems 1, 2. Schizophrenia can profoundly influence the real-life functioning of affected persons and can also harm their relatives and caregivers. Schizophrenia is a severe long-term psychiatric disorder characterized by diverse psychopathology and individual disease course. The presence of cognitive deficits and negative symptoms in our sample of schizophrenia patients significantly influences the level of their psychosocial functioning, a key factor in remission and recovery. The direct effect of the MCCB ( β = 0.09) on the PSP was suppressed by the strong effect of the negative symptoms ( β = −0.64). One of these models analyzed influence of cognitive functioning (MCCB) and negative schizophrenia symptoms (PANSS selected items reflecting expressive and experiential deficits) as predictors and NART/CRT and disease length as confounders. ![]() The path analysis using three regression models was used to analyse variables influencing psychosocial functioning (PSP). The level of psychosocial functioning was measured with the Personal and Social Performance Scale (PSP). ![]() Schizophrenia patients ( n = 211) were tested for the presence of cognitive impairment using the NIMH-MATRICS: Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Cattery (MCCB MATRICS Consensus Cognitive Battery) and the extent of negative symptoms using the PANSS (PANSS Positive and Negative Syndrome Scale-selected items). Our study focused on the impact of cognitive deficit and severity of negative symptoms (i.e., the experiential domain (avolition, asociality, and anhedonia) and the expressive domain (blunted affect and alogia)) to explore psychosocial functioning in schizophrenia. There are several factors inherent to the disease course affecting the level of psychosocial functioning. Schizophrenia has a profound influence on the real-life functioning of patients.
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