Association of demographic characteristics, symptomatology, retrospective and prospective memory, executive functioning and intelligence with social functioning in schizophrenia

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Title Association of demographic characteristics, symptomatology, retrospective and prospective memory, executive functioning and intelligence with social functioning in schizophrenia
Author Xiang, Yu-Tao; Shum, David; Chiu, Helen F. K.; Tang, Wai-Kwong; Ungvari, Gabor S.
Journal Name Australian and New Zealand Journal of Psychiatry
Year Published 2010
Place of publication United Kingdom
Publisher Informa Healthcare
Abstract Objective: The objective of this study was to explore the infl uence of socio-demographic and clinical factors and neurocognitive variables (i.e. prospective and retrospective memory, executive functioning, and intelligence) on social functioning in Chinese schizophrenia patients. Methods: The study sample comprised 110 Chinese schizophrenia patients. Their clinical condition and social functioning were evaluated with the Brief Psychiatric Rating Scale (BPRS) and the Functional Needs Assessment (FNA), respectively. Three prospective memory (PM) tasks (time-, event-, and activity-based), three tests of executive functioning (the Design Fluency Test [DFT], Tower of London [TOL], and Wisconsin Card Sorting Test [WCST]), one test of intelligence (Raven ' s Progressive Matrices), and two retrospective memory (RM) tasks (the immediate and delayed recall conditions of the Logical Memory subtest of the Wechsler Memory Scales-Revised [WMS-R]) were administered to all patients. Results: In correlation analyses higher education and better performance on the WCST (categories completed) and the Logical Memory subtests (delayed and immediate) of the WMS-R are signifi cantly correlated with better social functioning, whereas a lower WCST score (perseverative errors) and more severe negative symptoms are associated with poorer social functioning. Multiple linear regression analysis revealed that higher education and a lower WCST score (perseverative errors) independently contribute to better social functioning. Conclusions: Unexpectedly, most socio-demographic and clinical factors do not seem to have a signifi cant impact on social functioning of Chinese schizophrenia patients living in a Chinese society. Negative symptoms and certain cognitive defi cits were the main predictors of social functioning and they should be the main targets for antipsychotic treatment and psychosocial interventions to improve social adjustment in Chinese schizophrenia patients.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.3109/00048674.2010.514854
Volume 44
Issue Number 12
Page from 1112
Page to 1117
ISSN 0004-8674
Date Accessioned 2010-11-13
Date Available 2010-12-08T08:53:03Z
Language en_AU
Research Centre Behavioural Basis of Health; Griffith Health Institute
Faculty Griffith Health Faculty
Subject Biological Psychology (Neuropsychology, Psychopharmacology, Physiological Psychology)
URI http://hdl.handle.net/10072/35287
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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