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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.

  • 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:

  • The ability to perform functional skills.

  • The motivation to perform the skills.

  • Recognition of the situations where skilled performance is likely to be successful.

  • Factors that interfere with ability, motivation, and the situation recognition required to optimize skills performance.

  • These interfering factors include symptoms, health status (i.e. the status of physical health), and medication side effects.

  • 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.