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Cited by 58Schizophrenia research and treatmentMental Health and PsychiatryPsychiatric care and mental health services

Activities of daily living, social functioning and their determinants in persons with psychotic disorder

Viertiö, S., Tuulio-Henriksson, A., Perälä, J., Saarni, S.I., Koskinen, S., Sihvonen, M., Lönnqvist, J., Suvisaari, J.·2012·European Psychiatry
DOI 10.1016/j.eurpsy.2010.12.005
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Abstract

OBJECTIVE: The determinants of everyday functioning in persons with psychotic disorder have not been widely studied in community dwelling samples. Our aim was to investigate limitations in everyday functioning among subjects with psychotic disorders in a population-based study. METHOD: Everyday functioning was assessed in a nationally representative sample of 7112 persons aged 30+ using interviewer observations and self-reports, while verbal fluency and memory were also measured. Diagnostic assessment of DSM-IV psychotic disorders was based on SCID interview and case-note data. Lifetime-ever diagnoses of psychotic disorder were classified into schizophrenia (n=61), other non-affective psychotic disorders (ONAP) (n=79) and affective psychoses (n=45). RESULT: Non-affective psychotic disorder was significantly associated with limitations in everyday functioning, as well as with deficits in verbal fluency and memory. Negative symptoms, depression, age, gender, verbal memory deficits, and reduced visual acuity were predictors of limitations in everyday functioning even after controlling for sociodemographic factors and chronic medical conditions, and difficulties in social functioning were also related to expressive speech problems. CONCLUSION: Persons with schizophrenia and ONAP have significantly more problems in everyday functioning than the general population. One significant predictor of problems was reduced visual acuity, which at least in some situations could be easily corrected.

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  • It is possible that occupational therapists use psychosocial and psychoeducational interventions more frequently than other professionals, since social limitations are not only one of the most relevant symptoms of SMI but are also closely related to an impairment in daily life functioning.

    “Thus, it is possible that occupational therapists use psychosocial and psychoeducational interventions more frequently than other professionals, since social limitations are not only one of the most relevant symptoms of SMI but are also closely related to an impairment in daily life functioning.61”

    From Occupational therapy interventions for adults with severe mental illness: a scoping review (2021) · cites this paper as [61]

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References 32 · Cited by 58

Authors
Viertiö, S., Tuulio-Henriksson, A., Perälä, J., Saarni, S. I., Koskinen, S., Sihvonen, M., Lönnqvist, J., & Suvisaari, J.
Affiliations
  • Finnish Institute for Health and Welfare (FI)
  • University of Helsinki (FI)
Corresponding author
Viertiö, S.
ORCID
Venue
European Psychiatry
Publisher
Cambridge University Press (CUP)
Published
2012-08
Volume
27
Issue
6
Pages
409-415
ISSN
0924-9338 (ISSN-L)
DOI
10.1016/j.eurpsy.2010.12.005
OpenAlex
W1974673280
Cited by
58
References
32
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 2 · 2021: 6 · 2020: 5 · 2019: 1 · 2018: 1 · 2017: 4 · 2016: 4 · 2015: 7 · 2014: 6 · 2013: 9 · 2012: 3
FWCI
3.94
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • European Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
psychosis, activities of daily living, social functioning, daily functioning, schizophrenia, non-affective psychosis, affective psychosis, verbal fluency, verbal memory, negative symptoms, depression, visual acuity, community-dwelling adults
MeSH terms
Activities of Daily Living, Adult, Aged, Female, Humans, Male, Memory, Short-Term, Middle Aged, Neuropsychological Tests, Psychiatric Status Rating Scales, Psychotic Disorders, Surveys and Questionnaires, Severity of Illness Index, Social Adjustment, Self Report

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