The impact of neuromotor signs and neuropsychological performance on social functioning in schizophrenia.
Item
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Title
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The impact of neuromotor signs and neuropsychological performance on social functioning in schizophrenia.
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Identifier
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AAI9946137
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identifier
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9946137
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Creator
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Basile-Szulc, Rosemarie Ann.
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Contributor
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Adviser: Judith Jaeger
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Date
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1999
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Language
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English
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Publisher
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City University of New York.
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Subject
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Psychology, Cognitive | Psychology, Social | Psychology, Clinical
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Abstract
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This study examined the relationship between neuromotor abnormalities, neuropsychological performance and social functioning among schizophrenic and schizoaffective patients following an acute exacerbation of their illness. One hundred twenty-seven patients, aged 18--54, were recruited after discharge from an inpatient or partial hospitalization at Hillside Hospital or an affiliated hospital. Up to six months after discharge, patients were assessed on neuropsychological, neuromotor, social functioning, social likability, and psychopathological measures. Social likability was rated on the basis of a three minute videotaped role-play and on a videostill. Nineteen groups of raters, composed of approximately ten raters per group, made social likability ratings while uninformed about the disability status of the patients. The following hypotheses were tested: (1) Neuromotor abnormalities will be associated with lower social and occupational functioning (SOF) and lower social likability, (2) Subjects with orofacial tardive dyskinesia (TD) will demonstrate greater impairment in SOF and have lower ratings of social likability than subjects with limbotruncal TD, (3) Subjects with movement disorders will show greater impairment on measures of memory and attention than patients without movement disorders. (4) Subjects with limbotruncal TD will have greater neuropsychological (NP) impairment than subjects with orofacial TD.;Exploratory analyses according to diagnostic subgroup and neuroleptic (NL) type were conducted on the relationship between neuromotor abnormalities and SOF, with psychopathology and attention and memory as covariates. A significant relationship was obtained only for the subgroup of subjects on atypical neuroleptic medication. Likability ratings indicated that increased severity of gestural and expressive stigmata severity (GESS) and parkinsonism. were associated with lower ratings of social likability during the dynamic, but not the static presentations.;The relationship between neuromotor and neuropsychological measures demonstrated that parkinsonism and GESS were associated with poor performance on verbal learning and visuomotor attention, with patients' age, duration of illness and psychopathology as covariates. Exploratory analyses of the influence of diagnostic group was not significant. Exploratory analyses on influence of NL medication, was significant only among subjects on atypical NL's and indicated that limbotruncal TD was associated with impairment on measures of verbal memory and visual attention.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.
