Abstract
Objective: The aim of the present study is to explore clinical factors associated with basic ability of social life in schizophrenia inpatients. Methods: The subjects were 50 inpatients with schizophrenia (DSM-IV). Their mean age was 53.08 (SD = 12.08) years. Social life functioning was evaluated using the Rehabilitation Evaluation of Hall and Baker (REHAB). Cognitive function was assessed with the Brief Assessment of Cognition in Schizophrenia (BACS) and clinical symptoms with the Positive and Negative Syndrome Scale (PANSS), the Calgary Depression Scale for Schizophrenia and the Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS). Results: The REHAB deviant behavior score showed a significant correlation with the PANSS positive syndrome score (r = 0.55, p < 0.01) and the REHAB general behavior score had significant correlations with the PANSS positive syndrome score (r = 0.28, p < 0.05), the PANSS negative syndrome score (r = 0.53, p < 0.01), and the DIEPSS score (r = 0.43, p < 0.01). However, there was no significant correlation between the scores of the REHAB and the BACS. Conclusion: These results suggest that negative and drug-induced extrapyramidal symptoms are much more important factors related to lowered basic ability of social life of schizophrenia inpatients than cognitive function.
Highlights
To date, researchers have reported several clinical factors deteriorating social functioning of schizophrenia patients such as positive, negative and depressive symptoms [1]-[3]
The purpose of the present study is to explore clinical factors associated with basic ability of social life in schizophrenia inpatients
The Rehabilitation Evaluation of Hall and Baker (REHAB) deviant behavior score showed a significant correlation with the Positive and Negative Syndrome Scale (PANSS) positive syndrome score (r = 0.55, p < 0.01), and the REHAB general behavior score showed significant correlations with the PANSS positive syndrome score (r = 0.28, p < 0.01), the PANSS negative syndrome score (r = 0.53, p < 0.01) and the Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) score (r = 0.43, p < 0.01)
Summary
Researchers have reported several clinical factors deteriorating social functioning of schizophrenia patients such as positive, negative and depressive symptoms [1]-[3]. Previous studies have revealed [4] that cognitive dysfunction could explain 20% - 60% of factors of social dysfunction, and dysfunction in some cognitive domains such as attention, memory and executive function has been reported to be cause of patients’ poor social functioning [5]. From these findings, it seems to be clear that psychiatric symptoms and cognitive function significantly influences patients’ social life activity. In the treatment of schizophrenia, early discharge from psychiatry hospital is recommended to restart patients’ life in the community smoothly For this purpose, inpatients are required to have basic ability of social life. To assess basic ability of social life, the Rehabilitation Evaluation of Hall and Baker (REHAB) [6] has been frequently used so far, and the scale is considered as one of the most useful indices for judging the possibility of discharge from hospital
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