[ES-1-2] Functional disability self-assessment and negative self-beliefs in people with schizophrenia
Background: Metacognition is a core mediator between the symptoms and objectively measured outcomes of schizophrenia. However, no research has examined the relationship between individuals’ self-assessment of functional disability and their negative self-beliefs, which are the core components of metacognition. In this study, I explored this relationship by considering the factors that contribute to community participation. Method: I examined the functional disability of 100 people diagnosed with schizophrenia, establishing three groups: individuals who accurately self-evaluate their functional disability, those who underestimate it, and those who overestimate it. The impact of negative self-beliefs on community participation in each group was examined using correlation and multiple regression analyses. This study was approved by the Institutional Review Board of the A University and B hospital. Results: The multiple regression analysis showed that negative self-beliefs significantly predicted social participation in the accurate estimators group but not in the groups whose members’ estimates of functional disability were high or low. I will report on the detailed data at the presentation.
Conclusion: In this study, we used a stratified analysis to examine, in-depth, the relationship between the ability to accurately understand dysfunction, negative self-beliefs, and real-world outcomes in individuals with schizophrenia. Among groups, the results showed that negative self-beliefs most influenced social participation in the group that was able to accurately estimate their functional disability, and not in the groups whose members overestimated or underestimated their functional disability. Therefore, Individuals with a good ability to objectively understand their functional disability are likely to have lower negative self-beliefs and a higher amount of community participation. Negative selfbeliefs must be improved to promote social participation among those who can objectively understand their disability. Changing the target and intervention strategy based on differences in disability selfawareness may be crucial
Conclusion: In this study, we used a stratified analysis to examine, in-depth, the relationship between the ability to accurately understand dysfunction, negative self-beliefs, and real-world outcomes in individuals with schizophrenia. Among groups, the results showed that negative self-beliefs most influenced social participation in the group that was able to accurately estimate their functional disability, and not in the groups whose members overestimated or underestimated their functional disability. Therefore, Individuals with a good ability to objectively understand their functional disability are likely to have lower negative self-beliefs and a higher amount of community participation. Negative selfbeliefs must be improved to promote social participation among those who can objectively understand their disability. Changing the target and intervention strategy based on differences in disability selfawareness may be crucial