TY - JOUR
T1 - Accuracy of self-assessment of real-life functioning in schizophrenia
AU - the Italian Network for Research on Psychoses
AU - Rocca, Paola
AU - Brasso, Claudio
AU - Montemagni, Cristiana
AU - Bellino, Silvio
AU - Rossi, Alessandro
AU - Bertolino, Alessandro
AU - Gibertoni, Dino
AU - Aguglia, Eugenio
AU - Amore, Mario
AU - Andriola, Ileana
AU - Bellomo, Antonello
AU - Bucci, Paola
AU - Buzzanca, Antonino
AU - Carpiniello, Bernardo
AU - Cuomo, Alessandro
AU - Dell’Osso, Liliana
AU - Favaro, Angela
AU - Giordano, Giulia Maria
AU - Marchesi, Carlo
AU - Monteleone, Palmiero
AU - Oldani, Lucio
AU - Pompili, Maurizio
AU - Roncone, Rita
AU - Rossi, Rodolfo
AU - Siracusano, Alberto
AU - Vita, Antonio
AU - Zeppegno, Patrizia
AU - Galderisi, Silvana
AU - Maj, Mario
AU - Bozzatello, Paola
AU - Badino, Cristina
AU - Giordano, Benedetta
AU - Di Palo, Piergiuseppe
AU - Calia, Vitalba
AU - Papalino, Marco
AU - Barlati, Stefano
AU - Deste, Giacomo
AU - Ceraso, Anna
AU - Pinna, Federica
AU - Olivieri, Benedetta
AU - Manca, Daniela
AU - Piegari, Giuseppe
AU - Brando, Francesco
AU - Giuliani, Luigi
AU - Aiello, Carmen
AU - Poli, Laura Fusar
AU - Concerto, Carmen
AU - Surace, Teresa
AU - Altamura, Mario
AU - Gramaglia, Carla
N1 - Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85101482645&partnerID=8YFLogxK
U2 - 10.1038/s41537-021-00140-9
DO - 10.1038/s41537-021-00140-9
M3 - Article
SN - 2334-265X
VL - 7
JO - npj Schizophrenia
JF - npj Schizophrenia
IS - 1
M1 - 11
ER -