Characteristic association of symbol coding test score with occupational function in Japanese patients with schizophrenia

Abstract Aim Studies showed that cognitive function affects occupational function in patients with schizophrenia. This study aimed to determine the effects of cognitive function on occupational function in Japanese patients with schizophrenia using the Brief Assessment of Cognition in Schizophrenia...

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Main Authors: Yukako Watanabe, Sho Kanata, Motomu Suga, Akiko Inagaki, Sayaka Sato, Naoki Hayashi, Hiroshi Kunugi, Emi Ikebuchi
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:Neuropsychopharmacology Reports
Subjects:
Online Access:https://doi.org/10.1002/npr2.12322
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author Yukako Watanabe
Sho Kanata
Motomu Suga
Akiko Inagaki
Sayaka Sato
Naoki Hayashi
Hiroshi Kunugi
Emi Ikebuchi
author_facet Yukako Watanabe
Sho Kanata
Motomu Suga
Akiko Inagaki
Sayaka Sato
Naoki Hayashi
Hiroshi Kunugi
Emi Ikebuchi
author_sort Yukako Watanabe
collection DOAJ
description Abstract Aim Studies showed that cognitive function affects occupational function in patients with schizophrenia. This study aimed to determine the effects of cognitive function on occupational function in Japanese patients with schizophrenia using the Brief Assessment of Cognition in Schizophrenia (BACS). Methods Participants were 198 outpatients with schizophrenia or schizoaffective disorder (66 females; mean age 34.5 ± 6.8 years). Occupational function was assessed using the work subscale of the Life Assessment Scale for Mental Ill (LASMI‐w). Multiple regression analysis was performed using the BACS as the independent variable and LASMI‐w as the dependent variable. Furthermore, we divided the LASMI‐w score into three groups, <11, 11–20, and >21, and performed a multinomial logistic regression analysis. Results Multiple regression analysis revealed that LASMI‐w score was negatively associated with BACS composite score (β = −0.20, p < 0.01). Among the sub‐items of the BACS, only the symbol‐coding score showed a significant negative association (β = −0.19, p < 0.05). Multinomial logistic analysis showed that the better the composite and symbol coding scores, the smaller the impairment of the occupational function (composite score: β = 2.39 between mild and moderate occupational impairments, p < 0.05; symbol coding score: β = 2.44 between mild and severe impairments, p < 0.05). Conclusion The occupational function of patients with schizophrenia was associated with overall cognitive function (composite score). In particular, the symbol coding score of the BACS was suggested to be related to work ability. These results might be useful in the assessment and training of cognitive rehabilitation aimed at employment support.
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spelling doaj.art-1e651a4e6ef8446c94183a793043c4152023-03-13T06:33:30ZengWileyNeuropsychopharmacology Reports2574-173X2023-03-0143114114510.1002/npr2.12322Characteristic association of symbol coding test score with occupational function in Japanese patients with schizophreniaYukako Watanabe0Sho Kanata1Motomu Suga2Akiko Inagaki3Sayaka Sato4Naoki Hayashi5Hiroshi Kunugi6Emi Ikebuchi7Department of Psychiatry Teikyo University School of Medicine Tokyo JapanDepartment of Psychiatry Teikyo University School of Medicine Tokyo JapanGraduate School of Clinical Psychology Teikyo Heisei University Toshima‐ku JapanDivision of Nursing, Faculty of Healthcare Tokyo Healthcare University Shinagawa‐ku JapanDepartment of Community Mental Health & Law National Institute of Mental Health Kodaira JapanNishigahara Hospital Kita‐ku JapanDepartment of Psychiatry Teikyo University School of Medicine Tokyo JapanGraduate School of Clinical Psychology Teikyo Heisei University Toshima‐ku JapanAbstract Aim Studies showed that cognitive function affects occupational function in patients with schizophrenia. This study aimed to determine the effects of cognitive function on occupational function in Japanese patients with schizophrenia using the Brief Assessment of Cognition in Schizophrenia (BACS). Methods Participants were 198 outpatients with schizophrenia or schizoaffective disorder (66 females; mean age 34.5 ± 6.8 years). Occupational function was assessed using the work subscale of the Life Assessment Scale for Mental Ill (LASMI‐w). Multiple regression analysis was performed using the BACS as the independent variable and LASMI‐w as the dependent variable. Furthermore, we divided the LASMI‐w score into three groups, <11, 11–20, and >21, and performed a multinomial logistic regression analysis. Results Multiple regression analysis revealed that LASMI‐w score was negatively associated with BACS composite score (β = −0.20, p < 0.01). Among the sub‐items of the BACS, only the symbol‐coding score showed a significant negative association (β = −0.19, p < 0.05). Multinomial logistic analysis showed that the better the composite and symbol coding scores, the smaller the impairment of the occupational function (composite score: β = 2.39 between mild and moderate occupational impairments, p < 0.05; symbol coding score: β = 2.44 between mild and severe impairments, p < 0.05). Conclusion The occupational function of patients with schizophrenia was associated with overall cognitive function (composite score). In particular, the symbol coding score of the BACS was suggested to be related to work ability. These results might be useful in the assessment and training of cognitive rehabilitation aimed at employment support.https://doi.org/10.1002/npr2.12322brief assessment of cognition in schizophreniacognitive functionlife assessment scale for mentally illoccupational functionschizophrenia
spellingShingle Yukako Watanabe
Sho Kanata
Motomu Suga
Akiko Inagaki
Sayaka Sato
Naoki Hayashi
Hiroshi Kunugi
Emi Ikebuchi
Characteristic association of symbol coding test score with occupational function in Japanese patients with schizophrenia
Neuropsychopharmacology Reports
brief assessment of cognition in schizophrenia
cognitive function
life assessment scale for mentally ill
occupational function
schizophrenia
title Characteristic association of symbol coding test score with occupational function in Japanese patients with schizophrenia
title_full Characteristic association of symbol coding test score with occupational function in Japanese patients with schizophrenia
title_fullStr Characteristic association of symbol coding test score with occupational function in Japanese patients with schizophrenia
title_full_unstemmed Characteristic association of symbol coding test score with occupational function in Japanese patients with schizophrenia
title_short Characteristic association of symbol coding test score with occupational function in Japanese patients with schizophrenia
title_sort characteristic association of symbol coding test score with occupational function in japanese patients with schizophrenia
topic brief assessment of cognition in schizophrenia
cognitive function
life assessment scale for mentally ill
occupational function
schizophrenia
url https://doi.org/10.1002/npr2.12322
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