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From neurocognition to community participation in serious mental illness: the intermediary role of dysfunctional attitudes and motivation.
Thomas, E C; Luther, L; Zullo, L; Beck, A T; Grant, P M.
Afiliação
  • Thomas EC; Department of Rehabilitation Sciences,College of Public Health,Temple University,Philadelphia,PA,USA.
  • Luther L; Department of Psychology,School of Science,Indiana University-Purdue University Indianapolis,Indianapolis,IN,USA.
  • Zullo L; Department of Psychology,University of Texas Southwestern Medical Center,Dallas,TX,USA.
  • Beck AT; Department of Psychiatry,Perelman School of Medicine,University of Pennsylvania,Philadelphia,PA,USA.
  • Grant PM; Department of Psychiatry,Perelman School of Medicine,University of Pennsylvania,Philadelphia,PA,USA.
Psychol Med ; 47(5): 822-836, 2017 Apr.
Article em En | MEDLINE | ID: mdl-27884217
ABSTRACT

BACKGROUND:

Evidence for a relationship between neurocognition and functional outcome in important areas of community living is robust in serious mental illness research. Dysfunctional attitudes (defeatist performance beliefs and asocial beliefs) have been identified as intervening variables in this causal chain. This study seeks to expand upon previous research by longitudinally testing the link between neurocognition and community participation (i.e. time in community-based activity) through dysfunctional attitudes and motivation.

METHOD:

Adult outpatients with serious mental illness (N = 175) participated, completing follow-up assessments approximately 6 months after initial assessment. Path analysis tested relationships between baseline neurocognition, emotion perception, functional skills, dysfunctional attitudes, motivation, and outcome (i.e. community participation) at baseline and follow-up.

RESULTS:

Path models demonstrated two pathways to community participation. The first linked neurocognition and community participation through functional skills, defeatist performance beliefs, and motivation. A second pathway linked asocial beliefs and community participation, via a direct path passing through motivation. Model fit was excellent for models predicting overall community participation at baseline and, importantly, at follow-up.

CONCLUSIONS:

The existence of multiple pathways to community participation in a longitudinal model supports the utility of multi-modal interventions for serious mental illness (i.e. treatment packages that build upon individuals' strengths while addressing the array of obstacles to recovery) that feature dysfunctional attitudes and motivation as treatment targets.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atitude / Participação da Comunidade / Transtornos Mentais / Motivação Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Psychol Med Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atitude / Participação da Comunidade / Transtornos Mentais / Motivação Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Psychol Med Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos