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.
Rocca, P., Brasso, C., Montemagni, C., Bellino, S., Rossi, A., Bertolino, A., et al. (2021). Accuracy of self-assessment of real-life functioning in schizophrenia. NPJ SCHIZOPHRENIA, 7(1), 11.
|Tipologia:||Articolo su rivista|
|Citazione:||Rocca, P., Brasso, C., Montemagni, C., Bellino, S., Rossi, A., Bertolino, A., et al. (2021). Accuracy of self-assessment of real-life functioning in schizophrenia. NPJ SCHIZOPHRENIA, 7(1), 11.|
|Settore Scientifico Disciplinare:||Settore MED/25|
|Revisione (peer review):||Esperti anonimi|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1038/s41537-021-00140-9|
|Stato di pubblicazione:||Pubblicato|
|Data di pubblicazione:||15-feb-2021|
|Titolo:||Accuracy of self-assessment of real-life functioning in schizophrenia|
|Autori:||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, GM; Marchesi, C; Monteleone, P; Oldani, L; Pompili, M; Roncone, R; Rossi, R; Siracusano, A; Vita, A; Zeppegno, P; Galderisi, S; Maj, M; Di Lorenzo, G; Niolu, C; Ribolsi, M|
|Appare nelle tipologie:||01 - Articolo su rivista|