Social functioning in schizophrenia: Comparing laboratory-based assessment with real-world measures

被引:15
作者
Abel, Danielle B. [1 ]
Minor, Kyle S. [1 ]
机构
[1] Indiana Univ Purdue Univ, Dept Psychol, LD 124,402 N Blackford St, Indianapolis, IN 46202 USA
基金
美国国家卫生研究院;
关键词
Schizophrenia; Social functioning; Ecological momentary assessment; Mobile sensing; Ambulatory ecological assessment; ELECTRONICALLY ACTIVATED RECORDER; ECOLOGICAL MOMENTARY ASSESSMENT; NATURALISTIC OBSERVATION; SELF-ASSESSMENT; GLOBAL ASSESSMENT; VALIDITY; FEASIBILITY; PEOPLE; SCALE; APPRAISALS;
D O I
10.1016/j.jpsychires.2021.04.039
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Researchers have measured social functioning in schizophrenia using many different strategies. Recent technological advances have made it possible to passively measure behaviors in real-world social situations-allowing for more objective, ecologically valid assessments. Yet, research testing the convergent validity among real-world and laboratory-based social functioning assessment is sparse. The purpose of this study was to test the convergent validity among four social functioning measures: two interview-based rating scales, a self-reported ecological momentary assessment (EMA), and a passive, ambulatory ecological assessment. Data was collected from 36 people with schizophrenia and 33 control participants. Across the entire sample, relationships between interview-based ratings and real-world measures of social functioning only demonstrated small correlations (r's = 0.17-0.19), whereas real-world measures exhibited moderate correlations with one another (r = 0.36). Within groups, real-world measures showed moderate, significant relationships in the control group (r = 0.44) but not in the schizophrenia group (r = 0.27). For those with schizophrenia, the interview-based measures of social functioning were moderately associated with ambulatory ecological assessment (r's = 0.38 and 0.47), but only small associations were observed with self-reported EMA (r's = 0.15 and 0.17). Results suggest social functioning assessments are not highly convergent and likely target different aspects of social functioning. Laboratory-based measures offer global impressions of social functioning whereas real-world measures represent a more nuanced approach. Moreover, ambulatory ecological assessment may most accurately gauge frequency of daily social interactions for those with schizophrenia as it circumvents common pitfalls of self-report and offers a less-biased, in-depth evaluation of social behavior.
引用
收藏
页码:500 / 506
页数:7
相关论文
共 53 条
[1]  
Abel D.B., 2021, PSYCHIAT RES
[2]   Feasibility of using smartphones to capture speech during social interactions in schizophrenia [J].
Abplanalp, Samuel J. ;
Gold, Alisa ;
Gonzalez, Rachel ;
Doshi, Samarth ;
Campos-Mendez, Yasmin ;
Gard, David E. ;
Fulford, Daniel .
SCHIZOPHRENIA RESEARCH, 2021, 228 :51-52
[3]   Assessing validity of retrospective recall of physical activity in individuals with psychosis-like experiences [J].
Andorko, Nicole D. ;
Rakhshan-Rouhalchtar, Pamela ;
Hinkle, Caroline ;
Mittal, Vijay A. ;
McAllister, Maureen ;
DeVylder, Jordan ;
Schiffman, Jason .
PSYCHIATRY RESEARCH, 2019, 273 :211-217
[4]  
Auther A., 2006, Global Functioning: Social Scale (GF: Social)
[5]   Assessment of community functioning in people with schizophrenia and other severe mental illnesses: A white paper based on an NIMH-sponsored workshop [J].
Bellack, Alan S. ;
Green, Michael F. ;
Cook, Judith A. ;
Fenton, Wayne ;
Harvey, Philip D. ;
Heaton, Robert K. ;
Laughren, Thomas ;
Leon, Andrew C. ;
Mayo, Donna J. ;
Patrick, Donald L. ;
Patterson, Thomas L. ;
Rose, Andrew ;
Stover, Ellen ;
Wykes, Til .
SCHIZOPHRENIA BULLETIN, 2007, 33 (03) :805-822
[6]   Mobile Behavioral Sensing for Outpatients and Inpatients With Schizophrenia [J].
Ben-Zeev, Dror ;
Wang, Rui ;
Abdullah, Saeed ;
Brian, Rachel ;
Scherer, Emily A. ;
Mistler, Lisa A. ;
Hauser, Marta ;
Kane, John M. ;
Campbell, Andrew ;
Choudhury, Tanzeem .
PSYCHIATRIC SERVICES, 2016, 67 (05) :558-561
[7]   Next-Generation Psychiatric Assessment: Using Smartphone Sensors to Monitor Behavior and Mental Health [J].
Ben-Zeev, Dror ;
Scherer, Emily A. ;
Wang, Rui ;
Xie, Haiyi ;
Campbell, Andrew T. .
PSYCHIATRIC REHABILITATION JOURNAL, 2015, 38 (03) :218-226
[8]   THE SOCIAL FUNCTIONING SCALE - THE DEVELOPMENT AND VALIDATION OF A NEW SCALE OF SOCIAL-ADJUSTMENT FOR USE IN FAMILY INTERVENTION PROGRAMS WITH SCHIZOPHRENIC-PATIENTS [J].
BIRCHWOOD, M ;
SMITH, J ;
COCHRANE, R ;
WETTON, S ;
COPESTAKE, S .
BRITISH JOURNAL OF PSYCHIATRY, 1990, 157 :853-859
[9]   Self-assessment of functional status in schizophrenia [J].
Bowie, Christopher R. ;
Twamley, Elizabeth W. ;
Anderson, Hannah ;
Halpern, Brooke ;
Patterson, Thomas L. ;
Harvey, Philip D. .
JOURNAL OF PSYCHIATRIC RESEARCH, 2007, 41 (12) :1012-1018
[10]   Relationships between smartphone social behavior and relapse in schizophrenia: A preliminary report [J].
Buck, Benjamin ;
Scherer, Emily ;
Brian, Rachel ;
Wang, Rui ;
Wang, Weichen ;
Campbell, Andrew ;
Choudhury, Tanzeem ;
Hauser, Marta ;
Kane, John M. ;
Ben-Zeev, Dror .
SCHIZOPHRENIA RESEARCH, 2019, 208 :167-172