中国科学院心理健康重点实验室知识库

Psychiatrists pay more attention to the social functioning outcome of schizophrenia nowadays. How to evaluate the real world function among schizophrenia is a challenging task due to culture difference, there is no such kind of instrument in terms of the Chinese setting. This study aimed to report the validation of an ecologically valid performance-based everyday functioning assessment for schizophrenia, namely the Beijing Performance-based Functional Ecological Test (BJ-PERFECT). Fifty community-dwelling adults with schizophrenia and 37 healthy controls were recruited. Fifteen of the healthy controls were re-tested one week later. All participants were administered the University of California, San Diego, Performance-based Skill Assessment-Brief version (UPSA-B) and the MATRICS Consensus Cognitive Battery (MCCB). The finalized assessment included three subdomains: transportation, financial management and work ability. The test-retest and inter-rater reliabilities were good. The total score significantly correlated with the UPSA-B. The performance of individuals with schizophrenia was significantly more impaired than healthy controls, especially in the domain of work ability. Among individuals with schizophrenia, functional outcome was influenced by premorbid functioning, negative symptoms and neurocognition such as processing speed, visual learning and attention/vigilance. (c) 2013 Elsevier Ireland Ltd. All rights reserved.

This study was supported by grants from the Strategic Priority Research Programme (B) of the Chinese Academy of Sciences (XDB02030002), the National Science Fund China (81088001 and 91132701), a grant from the Knowledge Innovation Project of the Chinese Academy of Sciences (KSCX2-EW-J-8), and the National Key Project of Scientific and Technical Supporting Programs Funded by Ministry of Science & Technology of China (No. 2007BAI17B04).