Life engagement in people living with schizophrenia: predictors and correlates of patient life engagement in a large sample of people living in the community

Life engagement represents a holistic concept that encompasses outcomes reflecting life-fulfilment, well-being and participation in valued and meaningful activities, which is recently gaining attention and scientific interest. Despite its conceptual importance and its relevance, life engagement repr...

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Bibliographic Details
Published in:Psychological medicine 2023-12, Vol.53 (16), p.7943-7952
Main Authors: Vita, Antonio, Barlati, Stefano, Deste, Giacomo, Nibbio, Gabriele, Penn, David L., Pinkham, Amy E., McIntyre, Roger S., Harvey, Philip D.
Format: Article
Language:English
Subjects:
Clinical outcomes
Cognition
Cognition & reasoning
Cognitive ability
Fulfilment
Functional status
Humans
Intelligence tests
Interpersonal Relations
Mental depression
Mental disorders
Original Article
Patients
Premorbid
Psychiatric Status Rating Scales
Quantitative psychology
Rehabilitation
Schizophrenia
Social cognition
Social interactions
Social Skills
Theory of mind
Well being
Work capacity
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Summary:Life engagement represents a holistic concept that encompasses outcomes reflecting life-fulfilment, well-being and participation in valued and meaningful activities, which is recently gaining attention and scientific interest. Despite its conceptual importance and its relevance, life engagement represents a largely unexplored domain in schizophrenia. The aims of the present study were to independently assess correlates and predictors of patient life engagement in a large and well-characterized sample of schizophrenia patients. To assess the impact of different demographic, clinical, cognitive and functional parameters on life engagement in a large sample of patients with schizophrenia, data from the social cognition psychometric evaluation project were analyzed. Overall schizophrenia and depressive symptom severity, premorbid IQ, neurocognitive performance, social cognition performance both in the emotion processing and theory of mind domains, functional capacity, social skills performance and real-world functioning in different areas all emerged as correlates of patient life engagement. Greater symptom severity and greater impairment in real-world interpersonal relationships, social skills, functional capacity and work outcomes emerged as individual predictors of greater limitations in life engagement. Life engagement in people living with schizophrenia represents a holistic and complex construct, with several different clinical, cognitive and functional correlates. These features represent potential treatment targets to improve the clinical condition and also facilitate the process of recovery and the overall well-being of people living with schizophrenia.
ISSN:0033-2917
1469-8978
DOI:10.1017/S0033291723002106