Author: Neal R. Swerdlow
Publisher: Springer; 2010 edition (August 19, 2010)
While the diagnosis of schizophrenia can reflect a considerable range in symptomatic presentation, it must include a loss of functioning in crucial psychosocial domains such as employment, independent living, and social functioning. Aside from its diagnostic significance, assessing functional domains has become crucial to a range of studies in schizophrenia. Accurately measuring functional outcomes is central to research on the course of the disorder, treatment responsiveness, rehabilitative outcomes, and the growing literature on biosocial factors in schizophrenia.
This chapter provides a brief overview of several recent and important discussions on the measurement of function and functional outcomes in schizophrenia. We will then elaborate three issues that have increasing relevance in this area (1) the degree to which our present functional constructs reflect the theoretical and conceptual breadth that is required, (2) environmental moderators in models that aim to predict functional outcomes, and (3) the degree to which we have confidence that our best measures reflect the everyday living of individuals diagnosed with schizophrenia.
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