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The illness and everyday living: close interplay of psychopathological syndromes and psychosocial functioning in chronic schizophrenia

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Abstract

The interaction of psychopathological states and psychosocial functioning determine the long-term course of schizophrenia and its treatment. To be able to achieve this interplay better, exact assessment of psychosocial functioning is needed besides measurement of psychopathology. Using the Personal and Social Performance (PSP) Scale, examination of the association between psychosocial functioning and psychopathology was conducted in a sample of 103 patients with chronic schizophrenia. Rating instruments were in addition Global Assessment of Functioning Scale and Social and Occupational Functioning Assessment Scale, as well as Positive and Negative Syndrome Scale (PANSS), Clinical Global Impression Scale, and Mini-ICF-APP-Rating for Mental Disorders (Mini-ICF-APP). Besides good psychometric properties for the PSP scale in this chronic sample, we found, as expected, significant associations between the two relevant outcome domains: results showed significant negative correlations between PSP and PANSS. Findings prove the close interplay between social functioning and psychopathology in the chronic course of schizophrenia.

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Acknowledgments

We thank the colleagues in the Center for Psychiatric Care and Rehabilitation, Dr. K. Fontheim’s Hospital for Mental Health, Liebenburg, the LWL Hospital Dortmund, Herten, and Bochum for cooperation in recruiting patients for participation.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. LWL University Hospital, Department of Psychiatry, Psychotherapy, Psychosomatics and Preventive Medicine, Ruhr University Bochum, Alexandrinenstr. 1, 44791, Bochum, Germany

    Daniela Schaub, Martin Brüne & Georg Juckel

  2. Center for Psychiatric Care and Rehabilitation, Dr. K. Fontheim’s Hospital for Mental Health, Lindenstraße 15, D-38704, Liebenburg, Germany

    Elisabeth Jaspen & Frank-Gerald Pajonk

  3. Department of Psychology, Ruhr University Bochum, Universitätsstr. 150, 44801, Bochum, Germany

    Hans-Werner Bierhoff

Authors
  1. Daniela Schaub
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  2. Martin Brüne
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  3. Elisabeth Jaspen
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  4. Frank-Gerald Pajonk
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  5. Hans-Werner Bierhoff
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  6. Georg Juckel
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Correspondence to Daniela Schaub.

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Schaub, D., Brüne, M., Jaspen, E. et al. The illness and everyday living: close interplay of psychopathological syndromes and psychosocial functioning in chronic schizophrenia. Eur Arch Psychiatry Clin Neurosci 261, 85–93 (2011). https://doi.org/10.1007/s00406-010-0122-1

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  • DOI: https://doi.org/10.1007/s00406-010-0122-1

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