Impact of supervised residential settings on schizophrenia: a cognitive and functional study
DOI:
https://doi.org/10.24310/escpsi.17.2.2024.18104Keywords:
Schizophrenia, cognitive functions, autonomy, activities of daily living, sheltered housingAbstract
Schizophrenia is one of the severe mental disorders affecting 1 in 300 people worldwide. It significantly affects cognitive states, which in turn impacts autonomy in performing activities of daily living. Sheltered flats emerge as supervised spaces that promote a balance between support and self-management for these people. This study explores how cognitive status influences autonomy in activities of daily living and assesses the impact of sheltered accommodation on autonomy in performing activities of daily living. We worked with 57 users of the ALUME Saúde Mental centre in Lugo, with an average age of 51.23 years and 28% residing in sheltered accommodation. A statistically significant moderate correlation was found between cognitive status scores and activities of daily living, i.e. the higher the cognitive capacity, the better the performance in activities of daily living and vice versa. No significant differences in cognitive status were observed between residents of sheltered housing and other settings. However, a two-sample test showed significant differences in autonomy in activities of daily living, being better in those living in sheltered accommodation.
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References
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM- 5. Washington, DC: Author DOI: https://doi.org/10.1176/appi.books.9780890425596
Bourgin, J., Tebeka, S., Mallet, J., Mazer, N., Dubertret, C., & Le Strat, Y. (2020). Prevalence and correlates of psychotic-like experiences in the general population. Schizophrenia Research, 215, 371–377. https://doi.org/10.1016/j.schres.2019.08.024 DOI: https://doi.org/10.1016/j.schres.2019.08.024
Correll, C. U., & Schooler, N. R. (2020). Negative symptoms in schizophrenia: A review and clinical guide for recognition, assessment, and treatment. Neuropsychiatric Disease and Treatment, 16, 519–534. https://doi.org/10.2147/ndt.s225643 DOI: https://doi.org/10.2147/NDT.S225643
Departamento de I+D de Pearson Clinical y Talent Assessment (2013). Adaptación española del Test Breve para la Evaluación del Estado Cognitivo (BCSE). Pearson Educación.
DeVylder, J. E., Lehmann, M., & Chen, F.-P. (2015). Social and clinical correlates of the persistence of psychotic experiences in the general population. Schizophrenia Research, 169(1–3), 286–291. https://doi.org/10.1016/j.schres.2015.08.039 DOI: https://doi.org/10.1016/j.schres.2015.08.039
Dixon, L.B., Holoshitz, Y. & Nossel, I. (2016), Treatment engagement of individuals experiencing mental illness: review and update. World Psychiatry, 15. 13-20. https://doi.org/10.1002/wps.20306 DOI: https://doi.org/10.1002/wps.20306
Fusar-Poli, P., Papanastasiou, E., Stahl, D., Rocchetti, M., Carpenter, W., Shergill, S., & McGuire, P. (2015). Treatments of negative symptoms in schizophrenia: Meta-analysis of 168 randomized placebo-controlled trials. Schizophrenia Bulletin, 41(4), 892–899. https://doi.org/10.1093/schbul/sbu170 DOI: https://doi.org/10.1093/schbul/sbu170
Gómez, A. M. G., Queralt, G., Martínez, M., Novillo, L., Salcedo, N., & Vilella, E. (2020). Relación entre funcionamiento cognitivo y el perfil sintomático con la calidad de vida de pacientes con trastornos del espectro de la esquizofrenia. Medicina UPB, 39(1), 31-41. https://doi.org/10.18566/medpub.v39n1.a06 DOI: https://doi.org/10.18566/medupb.v39n1.a06
Green, M. F., Horan, W. P., & Lee, J. (2019). Nonsocial and social cognition in schizophrenia: current evidence and future directions. World Psychiatry, 18(2), 146-161. https://doi.org/10.1002/wps.20624 DOI: https://doi.org/10.1002/wps.20624
Green, M. F. (2016). Impact of cognitive and social cognitive impairment on functional outcomes in patients with schizophrenia. The Journal of Clinical Psychiatry, 77 Suppl 2(Suppl 2), 8–11. https://doi.org/10.4088/JCP.14074su1c.02 DOI: https://doi.org/10.4088/JCP.14074su1c.02
Haro, J. M., Altamura, C., Corral, R., Elkis, H., Evans, J., Krebs, M.-O., Zink, M., Malla, A., Méndez, J. I., Bernasconi, C., Lalonde, J., & Nordstroem, A.-L. (2018). Understanding the course of persistent symptoms in schizophrenia: Longitudinal findings from the pattern study. Psychiatry Research, 267, 56–62. https://doi.org/10.1016/j.psychres.2018.04.005 DOI: https://doi.org/10.1016/j.psychres.2018.04.005
Jose, A.L., Harrison, M., Roy, A.S., Fitzpatrick, L.I. & Forsyth, K. (2021). The level of formal support received by people with severe mental illness living in supported accommodation and participation: A systematic review. The International Journal of Social Psychiatry, 67(7), pp. 854–866. https://doi.org/10.1177/0020764020988576 DOI: https://doi.org/10.1177/0020764020988576
Karow, A., Wittmann, L., Schöttle, D., Schäfer, I., & Lambert, M. (2014). The assessment of quality of life in clinical practice in patients with schizophrenia. Dialogues in Clinical Neuroscience, 16(2), 185–195. https://doi.org/10.31887/dcns.2014.16.2/akarow DOI: https://doi.org/10.31887/DCNS.2014.16.2/akarow
Kida, H., Niimura, H., Nemoto, T., Ryu, Y., Sakuma, K., Mimura, M., & Mizuno, M. (2020). Community transition at younger ages contributes to good cognitive function outcomes in long‐term hospitalized patients with schizophrenia spectrum disorder: A 15‐year follow‐up study with group‐based trajectory modeling. Psychiatry and Clinical Neurosciences, 74(2), 105-111. https://doi.org/10.1111/pcn.12941 DOI: https://doi.org/10.1111/pcn.12941
Lascorz Fierro, D., Serrats Alabau, E., Ruiz, B., Córdoba, M., & Vegué Grilló, J. (2014). Las residencias para personas con Trastorno Mental Grave como un recurso Terapéutico-Rehabilitador. Revista de la Asociación Española de Neuropsiquiatría, 34(123), 521-538. https://dx.doi.org/10.4321/S0211-57352014000300006 DOI: https://doi.org/10.4321/S0211-57352014000300006
Lawton, M.P., & Brody, E.M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 3, 179-186. DOI: https://doi.org/10.1093/geront/9.3_Part_1.179
Lincoln, T. M., & Peters, E. (2019). A systematic review and discussion of symptom specific cognitive behavioural approaches to delusions and hallucinations. Schizophrenia Research, 203, 66–79. https://doi.org/10.1016/j.schres.2017.12.014 DOI: https://doi.org/10.1016/j.schres.2017.12.014
McCleery, A., & Nuechterlein, K. H. (2022). Cognitive impairment in psychotic illness: prevalence, profile of impairment, developmental course, and treatment considerations. Dialogues in Clinical Neuroscience, 21 (3) 239-248. https://doi.org/10.31887/DCNS.2019.21.3/amccleery DOI: https://doi.org/10.31887/DCNS.2019.21.3/amccleery
Medalia, A., & Saperstein, A. M. (2013). Does cognitive remediation for schizophrenia improve functional outcomes?. Current Opinion in Psychiatry, 26(2), 151-157. https://doi.org/10.1097/YCO.0b013e32835dcbd4 DOI: https://doi.org/10.1097/YCO.0b013e32835dcbd4
Mihaljević-Peleš, A., Bajs Janović, M., Šagud, M., Živković, M., Janović, Š., & Jevtović, S. (2019). Cognitive deficit in schizophrenia: an overview. Psychiatria Danubina, 31(suppl 2), 139-142.
Miret, S., Fatjó-Vilas, M., Peralta, V., & Fañanás, L. (2016). Síntomas básicos en la esquizofrenia, su estudio clínico y relevancia en investigación. Revista de psiquiatria y salud mental, 9(2), 111–122. https://doi.org/10.1016/j.rpsm.2015.10.007 DOI: https://doi.org/10.1016/j.rpsm.2015.10.007
Nguyen, T. T., Eyler, L. T., & Jeste, D. V. (2018). Systemic biomarkers of accelerated aging in schizophrenia: A critical review and future directions. Schizophrenia Bulletin, 44(2), 398–408. https://doi.org/10.1093/schbul/sbx069 DOI: https://doi.org/10.1093/schbul/sbx069
Nowak, I., Sabariego, C., Świtaj, P., & Anczewska, M. (2016). Disability and recovery in schizophrenia: a systematic review of cognitive behavioral therapy interventions. BMC Psychiatry, 16(1). https://doi.org/10.1186/s12888-016-0912-8 DOI: https://doi.org/10.1186/s12888-016-0912-8
Organización Mundial de la Salud. (2002). Esquizofrenia. https://www.who.int/es/news-room/fact-sheets/detail/schizophrenia
Pérez-Álvarez, M. (2017). Repensar la esquizofrenia: a propósito de Locura y modernismo. Revista de la Asociación Española de Neuropsiquiatría, 37(132), 595-600. https://dx.doi.org/10.4321/S0211-57352017000200015
Piñón, A., Álvarez, M. D. C., Torres, T., Vázquez, P., & Otero, F. (2018). Perfil neuropsicológico de pacientes con diagnóstico de trastorno del espectro de la esquizofrenia. Revista de Discapacidad, Clínica y Neurociencias: (RDCN), 5(1), 1-14. https://doi.org/10.14198/DCN.2018.5.1.01 DOI: https://doi.org/10.14198/DCN.2018.5.1.01
Reichenberg, A. (2010). The assessment of neuropsychological functioning in schizophrenia. Dialogues in Clinical Neuroscience, 12(3), 383–392. https://doi.org/10.31887/dcns.2010.12.3/areichenberg DOI: https://doi.org/10.31887/DCNS.2010.12.3/areichenberg
Rovira-García, A. & Da Cuña-Carrera, I. (2022). Efectos de la fisioterapia mediante ejercicio terapéutico en pacientes con esquizofrenia: Una revisión sistemática. Revista Española de Salud Pública, (96), 83. https://ojs.sanidad.gob.es/index.php/resp/article/view/346
Samuel, R., Thomas, E., & Jacob, K. S. (2018). Instrumental activities of daily living dysfunction among people with schizophrenia. Indian Journal of Psychological Medicine, 40(2), 134–138. https://doi.org/10.4103/IJPSYM.IJPSYM_308_17 DOI: https://doi.org/10.4103/IJPSYM.IJPSYM_308_17
Schaefer, J., Giangrande, E., Weinberger, D. R., & Dickinson, D. (2013). The global cognitive impairment in schizophrenia: consistent over decades and around the world. Schizophrenia Research, 150(1), 42-50. https://doi.org/10.1016/j.schres.2013.07.009 DOI: https://doi.org/10.1016/j.schres.2013.07.009
Toro, R., Benavides, Z., Nicol, J., & Ahumada Cabello, R. (2012). Proceso de rehabilitación de pacientes psiquiátricos en hogares protegidos forenses (Doctoral dissertation, Universidad Academia de Humanismo Cristiano). http://bibliotecadigital.academia.cl/xmlui/handle/123456789/704
Van Eck, R. M., Burger, T. J., Vellinga, A., Schirmbeck, F., & de Haan, L. (2018). The relationship between clinical and personal recovery in patients with schizophrenia spectrum disorders: A systematic review and meta-analysis. Schizophrenia Bulletin, 44(3), 631–642. https://doi.org/10.1093/schbul/sbx088 DOI: https://doi.org/10.1093/schbul/sbx088
van de Leemput, J., Hess, J. L., Glatt, S. J., & Tsuang, M. T. (2016). Genetics of Schizophrenia: Historical Insights and Prevailing Evidence. Advances in genetics, 96, 99–141. https://doi.org/10.1016/bs.adgen.2016.08.001 DOI: https://doi.org/10.1016/bs.adgen.2016.08.001
Vergara, I., Bilbao, A., Orive, M., Garcia-Gutierrez, S., Navarro, G., & Quintana, J. M. (2012). Validation of the Spanish version of the Lawton IADL Scale for its application in elderly people. Health and Quality of Life Outcomes, 10, 130. https://doi.org/10.1186/1477-7525-10-130 DOI: https://doi.org/10.1186/1477-7525-10-130
Vita, A., & Barlati, S. (2018). Recovery from schizophrenia: Is it possible? Current Opinion in Psychiatry, 31(3), 246–255. https://doi.org/10.1097/yco.0000000000000407 DOI: https://doi.org/10.1097/YCO.0000000000000407
Wechsler, D. (1945). A Standardized Memory Scale for Clinical Use. The Journal of Psychology: Interdisciplinary and Applied, 19(1), 87-95. DOI: https://doi.org/10.1080/00223980.1945.9917223
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