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Life engagement in people living with schizophrenia : Predictors and correlates of patient life engagement in a large sample of people living in the community
Vita, Antonio Barlati, Stefano Deste, Giacomo Nibbio, Gabriele Penn, David L. Pinkham, Amy E. McIntyre, Roger S. Harvey, Philip D.
Vita, Antonio
Barlati, Stefano
Deste, Giacomo
Nibbio, Gabriele
Penn, David L.
Pinkham, Amy E.
McIntyre, Roger S.
Harvey, Philip D.
Abstract
Background
Life engagement represents a holistic concept that encompasses outcomes reflecting life-fulfilment, well-being and participation in valued and meaningful activities, which is recently gaining attention and scientific interest. Despite its conceptual importance and its relevance, life engagement represents a largely unexplored domain in schizophrenia. The aims of the present study were to independently assess correlates and predictors of patient life engagement in a large and well-characterized sample of schizophrenia patients.
Methods
To assess the impact of different demographic, clinical, cognitive and functional parameters on life engagement in a large sample of patients with schizophrenia, data from the social cognition psychometric evaluation project were analyzed.
Results
Overall schizophrenia and depressive symptom severity, premorbid IQ, neurocognitive performance, social cognition performance both in the emotion processing and theory of mind domains, functional capacity, social skills performance and real-world functioning in different areas all emerged as correlates of patient life engagement. Greater symptom severity and greater impairment in real-world interpersonal relationships, social skills, functional capacity and work outcomes emerged as individual predictors of greater limitations in life engagement.
Conclusions
Life engagement in people living with schizophrenia represents a holistic and complex construct, with several different clinical, cognitive and functional correlates. These features represent potential treatment targets to improve the clinical condition and also facilitate the process of recovery and the overall well-being of people living with schizophrenia.
Keywords
integrated intervention, life engagement, patient-reported outcome, psychosocial functioning, recovery, schizophrenia, wellness
Date
2023
Type
Journal article
Journal
Psychological Medicine
Book
Volume
53
Issue
16
Page Range
7943-7952
Article Number
ACU Department
School of Behavioural and Health Sciences
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open
Notes
© The Author(s), 2023. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.