The Impact of Negative Symptoms on Social Functioning in Schizophrenia:Modeling the influence of experiential factor and expressive factor on social functioning Hiroki Okada 1 , Daisuke Hirano 2 , Takamichi Taniguchi 3 1Medical Corporation Nasukougen Hospital, Tochigi, Japan 2Department of Occupational Therapy, School of Health Science at Narita, International University of Health and Welfare 3Department of Occupational Therapy, School of Health Science, International University of Health and Welfare Keyword: 統合失調症 , schizophrenia , 社会機能 , social functioning , 陰性症状 , negative symptoms pp.1393-1401
Published Date 2020/10/15
DOI https://doi.org/10.11477/mf.1405206203
  • Abstract
  • Look Inside
  • Reference

 The purpose of this study was to evaluate the association between cognitive functioning, positive symptoms, and social functioning by covariance structure analysis after considering negative symptoms separately from experiential and expressive factors. The total sample included 83 patients with schizophrenia. The Social Functioning Scale was used to evaluate social functioning and the Brief Negative Symptom Scale to evaluate negative symptoms. Results suggest that cognitive functioning and experiential and expressive factors show a dual pathway model that affects social functioning. Indeed, the path from expressive to experiential factors affects social functioning independently from cognitive functioning. Thus, supporting emotional expression may increase social motivation. Besides, results suggest that social functioning may be improved by separately performing interventions to compensate for vulnerabilities in cognitive functions and to improve motivation.

Copyright © 2020, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院