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Key message: A variety of factors contribute to impairment in everyday functioning in patients with schizophrenia, including functional capacity, social cognition, symptoms, environmental factors, and health status.
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The figure on this slide shows a theoretical summary of the multiple potential influences on everyday functional disability identified across multiple research studies in people with schizophrenia.
Background
Impaired everyday functioning is a complex phenomenon, because many factors contribute to adequate outcomes. These factors include:
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The ability to perform functional skills.
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The motivation to perform the skills.
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Recognition of the situations where skilled performance is likely to be successful.
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Factors that interfere with ability, motivation, and the situation recognition required to optimize skills performance.
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These interfering factors include symptoms, health status (i.e. the status of physical health), and medication side effects.
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Further, there are environmental factors that directly and indirectly influence functioning in the real-world.
Reference:
Harvey PD, Strassnig M. World Psychiatry 2012; 11: 73–79.