title: An ecologically valid performance-based social functioning assessment battery for schizophrenia.
abstract: Psychiatrists pay more attention to the social functioning outcome of schizophrenia nowadays. How to evaluate the real world function among schizophrenia is a challenging task due to culture difference, there is no such kind of instrument in terms of the Chinese setting. This study aimed to report the validation of an ecologically valid performance-based everyday functioning assessment for schizophrenia, namely the Beijing Performance-based Functional Ecological Test (BJ-PERFECT). Fifty community-dwelling adults with schizophrenia and 37 healthy controls were recruited. Fifteen of the healthy controls were re-tested one week later. All participants were administered the University of California, San Diego, Performance-based Skill Assessment-Brief version (UPSA-B) and the MATRICS Consensus Cognitive Battery (MCCB). The finalized assessment included three subdomains: transportation, financial management and work ability. The test-retest and inter-rater reliabilities were good. The total score significantly correlated with the UPSA-B. The performance of individuals with schizophrenia was significantly more impaired than healthy controls, especially in the domain of work ability. Among individuals with schizophrenia, functional outcome was influenced by premorbid functioning, negative symptoms and neurocognition such as processing speed, visual learning and attention/vigilance.
authors.affiliation: Neuropsychology and Applied Cognitive Neuroscience Laboratory, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, 16 Lincui Road, Beijing 100101, China; University of Chinese Academy of Sciences, Beijing, China; Institute of Mental Health, Peking University, 51 Hua Yuan Bei Road, Beijing 100191, China; Key Laboratory of Mental Health, Ministry of Health, Peking University, Beijing, China.
authors.forename: Chuan
authors.initials: C
authors.lastname: Shi
authors.forename: Yi
authors.initials: Y
authors.lastname: He
authors.forename: Eric F C
authors.initials: EF
authors.lastname: Cheung
authors.forename: Xin
authors.initials: X
authors.lastname: Yu
authors.forename: Raymond C K
authors.initials: RC
authors.lastname: Chan
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D044466:Asian People / Q000523:psychology; D001288:Attention; D016022:Case-Control Studies; D003072:Cognition Disorders / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D015203:Reproducibility of Results; D012559:Schizophrenia / Q000175:diagnosis / Q000503:physiopathology*; D012565:Schizophrenic Psychology; D012917:Social Adjustment; D012919:Social Behavior; D012931:Social Environment; D055815:Young Adult
keywords: Everyday functioning; Negative symptom; Neurocognition; Recovery; Schizophrenia