Accuracy of self-assessment of real-life functioning in schizophrenia
- Creators
- Rocca P.
- Brasso C.
- Montemagni C.
- Bellino S.
- Rossi A.
- Bertolino A.
- Gibertoni D.
- Aguglia E.
- Amore M.
- Andriola I.
- Bellomo A.
- Bucci P.
- Buzzanca A.
- Carpiniello B.
- Cuomo A.
- Dell'Osso L.
- Favaro A.
- Giordano G. M.
- Marchesi C.
- Monteleone P.
- Oldani L.
- Pompili M.
- Roncone R.
- Rossi R.
- Siracusano A.
- Vita A.
- Zeppegno P.
- Galderisi S.
- Maj M.
- Bozzatello P.
- Badino C.
- Giordano B.
- Di Palo P.
- Calia V.
- Papalino M.
- Barlati S.
- Deste G.
- Ceraso A.
- Pinna F.
- Olivieri B.
- Manca D.
- Piegari G.
- Brando F.
- Giuliani L.
- Aiello C.
- Poli L. F.
- Concerto C.
- Surace T.
- Altamura M.
- Malerba S.
- Padalino F.
- Calcagno P.
- Murri M. B.
- Amerio A.
- Pacitti F.
- Socci V.
- Lucaselli A.
- Giusti L.
- Salza A.
- Ussorio D.
- Iasevoli F.
- Gramaglia C.
- Gambaro E.
- Gattoni E.
- Tenconi E.
- Collantoni E.
- Meneguzzo P.
- Ossola P.
- Tonna M.
- Gerra M. L.
- Carmassi C.
- Carpita B.
- Cremone I. M.
- Corrivetti G.
- Cascino G.
- Marciello F.
- Brugnoli R.
- Comparelli A.
- Corigliano V.
- Girardi N.
- Accinni T.
- Carlone L.
- Fagiolini A.
- Goracci A.
- Bolognesi S.
- Di Lorenzo G.
- Niolu C.
- Ribolsi M.
- Others:
- Rocca, P.
- Brasso, C.
- Montemagni, C.
- Bellino, S.
- Rossi, A.
- Bertolino, A.
- Gibertoni, D.
- Aguglia, E.
- Amore, M.
- Andriola, I.
- Bellomo, A.
- Bucci, P.
- Buzzanca, A.
- Carpiniello, B.
- Cuomo, A.
- Dell'Osso, L.
- Favaro, A.
- Giordano, G. M.
- Marchesi, C.
- Monteleone, P.
- Oldani, L.
- Pompili, M.
- Roncone, R.
- Rossi, R.
- Siracusano, A.
- Vita, A.
- Zeppegno, P.
- Galderisi, S.
- Maj, M.
- Bozzatello, P.
- Badino, C.
- Giordano, B.
- Di Palo, P.
- Calia, V.
- Papalino, M.
- Barlati, S.
- Deste, G.
- Ceraso, A.
- Pinna, F.
- Olivieri, B.
- Manca, D.
- Piegari, G.
- Brando, F.
- Giuliani, L.
- Aiello, C.
- Poli, L. F.
- Concerto, C.
- Surace, T.
- Altamura, M.
- Malerba, S.
- Padalino, F.
- Calcagno, P.
- Murri, M. B.
- Amerio, A.
- Pacitti, F.
- Socci, V.
- Lucaselli, A.
- Giusti, L.
- Salza, A.
- Ussorio, D.
- Iasevoli, F.
- Gramaglia, C.
- Gambaro, E.
- Gattoni, E.
- Tenconi, E.
- Collantoni, E.
- Meneguzzo, P.
- Ossola, P.
- Tonna, M.
- Gerra, M. L.
- Carmassi, C.
- Carpita, B.
- Cremone, I. M.
- Corrivetti, G.
- Cascino, G.
- Marciello, F.
- Brugnoli, R.
- Comparelli, A.
- Corigliano, V.
- Girardi, N.
- Accinni, T.
- Carlone, L.
- Fagiolini, A.
- Goracci, A.
- Bolognesi, S.
- Di Lorenzo, G.
- Niolu, C.
- Ribolsi, M.
Description
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.
Additional details
- URL
- http://hdl.handle.net/11567/1048317
- URN
- urn:oai:iris.unige.it:11567/1048317
- Origin repository
- UNIGE