TY - JOUR
T1 - Demographic, clinical, and neurocognitive correlates of everyday functional impairment in severe mental illness
AU - Schretlen, David
AU - Jayaram, Geetha
AU - Maki, Pauline
AU - Park, Karen
AU - Abebe, Solomé
AU - DiCarlo, Margaret
PY - 2000/2
Y1 - 2000/2
N2 - Although cognitive deficits often accompany severe mental illness, their implications for everyday functioning remain poorly understood. In this study, an occupational therapist (OT) rated the everyday functioning of 105 adult psychiatric patients. Using demographic, clinical, and cognitive variables, the authors tested alternative models to account for the observed variability in OT ratings. Although age, education, and the presence of schizophrenia each contributed to a model that accounted for 27% of the variation in functional independence, adding terms for auditory divided attention and verbal learning increased the proportion of explained variance to 45% and decreased the beta weights for age and education - but not schizophrenia - to nonsignificant levels. These findings demonstrate the relevance of cognitive performance to everyday functioning in severe mental illness. They are discussed with respect to hypothesized determinants of psychiatric disability.
AB - Although cognitive deficits often accompany severe mental illness, their implications for everyday functioning remain poorly understood. In this study, an occupational therapist (OT) rated the everyday functioning of 105 adult psychiatric patients. Using demographic, clinical, and cognitive variables, the authors tested alternative models to account for the observed variability in OT ratings. Although age, education, and the presence of schizophrenia each contributed to a model that accounted for 27% of the variation in functional independence, adding terms for auditory divided attention and verbal learning increased the proportion of explained variance to 45% and decreased the beta weights for age and education - but not schizophrenia - to nonsignificant levels. These findings demonstrate the relevance of cognitive performance to everyday functioning in severe mental illness. They are discussed with respect to hypothesized determinants of psychiatric disability.
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U2 - 10.1037/0021-843X.109.1.134
DO - 10.1037/0021-843X.109.1.134
M3 - Article
C2 - 10740944
AN - SCOPUS:0034060488
SN - 0021-843X
VL - 109
SP - 134
EP - 138
JO - Journal of Abnormal Psychology
JF - Journal of Abnormal Psychology
IS - 1
ER -