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dc.contributor.authorMenendez-Miranda, I.
dc.contributor.authorGarcia-Portilla, M. P.
dc.contributor.authorGarcia-Alvarez, L.
dc.contributor.authorArrojo Romero, Manuel 
dc.contributor.authorSanchez, P.
dc.contributor.authorSarramea, F.
dc.contributor.authorGomar, J.
dc.contributor.authorBobes-Bascaran, M. T.
dc.contributor.authorSierra, P.
dc.contributor.authorSaiz, P. A.
dc.contributor.authorBobes, J.
dc.date.accessioned2017-06-07T06:52:12Z
dc.date.available2017-06-07T06:52:12Z
dc.date.issued2015
dc.identifier.issn0924-9338
dc.identifier.urihttp://hdl.handle.net/20.500.11940/69
dc.description.abstractPURPOSE: This study was performed to identify the predictive factors of functional capacity assessed by the Spanish University of California Performance Skills Assessment (Sp-UPSA) and real-world functioning assessed by the Spanish Personal and Social Performance scale (PSP) in outpatients with schizophrenia. METHODS: Naturalistic, 6-month follow-up, multicentre, validation study. Here, we report data on 139 patients with schizophrenia at their baseline visit. ASSESSMENT: Positive and Negative Syndrome Scale (PANSS), Clinical Global Impression-Severity (CGI-S), Sp-UPSA and PSP. STATISTICS: Pearson's correlation coefficient (r) was used to determine the relationships between variables, and multivariable stepwise linear regression analyses to identify predictive variables of Sp-UPSA and PSP total scores. RESULTS: Functional capacity: scores on the PSP and PANSS-GP entered first and second at P<0.0001 and accounted for 21% of variance (R(2)=0.208, model df=2, F=15.724, P<0.0001). Real-world functioning: scores on the CGI-S (B=-5.406), PANSS-N (B=-0.657) and Sp-UPSA (B=0.230) entered first, second and third, and accounted for 51% of variance (model df=3, F=37.741, P<0.0001). CONCLUSION: In patients with schizophrenia, functional capacity and real-world functioning are two related but different constructs. Each one predicts the other along with other factors; general psychopathology for functional capacity, and severity of the illness and negative symptoms for real-world functioning. These findings have important clinical implications: (1) both types of functioning should be assessed in patients with schizophrenia and (2) strategies for improving them should be different.
dc.language.isoeng
dc.subject.meshActivities of Daily Living
dc.subject.meshAdaptation, Psychological
dc.subject.meshAdult
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPsychometrics
dc.subject.meshRegression Analysis
dc.subject.meshSchizophrenia
dc.subject.meshSchizophrenic Psychology
dc.subject.meshSocial Adjustment
dc.subject.meshTask Performance and Analysis
dc.subject.meshFunctional capacity
dc.subject.meshPredictive factors
dc.subject.meshReal-world functioning
dc.subject.meshSchizophrenia
dc.titlePredictive factors of functional capacity and real-world functioning in patients with schizophrenia
dc.typeArtigoes
dc.authorsophosMenendez-Miranda, I.
dc.authorsophosGarcia-Portilla, M. P.
dc.authorsophosGarcia-Alvarez, L.
dc.authorsophosArrojo, M.
dc.authorsophosSanchez, P.
dc.authorsophosSarramea, F.
dc.authorsophosGomar, J.
dc.authorsophosBobes-Bascaran, M. T.
dc.authorsophosSierra, P.
dc.authorsophosSaiz, P. A.
dc.authorsophosBobes, J.
dc.identifier.doi10.1016/j.eurpsy.2014.12.011
dc.identifier.isi356054700011
dc.identifier.pmid25681175
dc.identifier.sophos18666
dc.issue.number5
dc.journal.titleEUROPEAN PSYCHIATRY
dc.organizationServizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de Santiago - Complexo Hospitalario Universitario de Santiago::Psiquiatría
dc.organizationServizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de Santiago::IDIS.- Instituto de investigaciones sanitarias de Santiago
dc.page.initial622
dc.page.final7
dc.rights.accessRightsopenAccess
dc.subject.decsActividades Cotidianas
dc.subject.decsAdaptación Psicológica 
dc.subject.decsAdulto 
dc.subject.decsAjuste Social
dc.subject.decsAnálisis de Regresión 
dc.subject.decsAnálisis y Desempeño de Tareas
dc.subject.decsEsquizofrenia 
dc.subject.decsFemenino
dc.subject.decsHumanos 
dc.subject.decsMasculino
dc.subject.decsPersona de Mediana Edad
dc.subject.decsPsicología del Esquizofrénico 
dc.subject.decsPsicometría 
dc.typesophosArtículo Original
dc.volume.number30


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