The Relationship between Social Cognition, Communicative Behavior in Family and Social Functioning in Schizophrenia Patients
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Abstract
Abstract
Objective: To examine the relationship among social cognition, family communication behavior, and social functioning in schizophrenic patients
Method: The analytical study with predictive correlational design. Study samples were 62 schizophrenic patients who came to receive service at the inpatient and outpatient departments of two psychiatric hospitals in the northeastern region. Data collection tools include personal demographic record, Brief Psychiatric Rating Scale (BPRS), Social Cognition Screening Questionnaire (SCSQ), The Face Test, Family Communication Behaviour Assessment, and Living Skills Assessment (LSD 30). The data were analysed using descriptive statistics, Pearson correlation, Biserial correlation and multiple regression.
Results: The majority of samples were male (69.4%) with average age of 42.2 years. Most of them demonstrated deficits in every aspect of social cognition. Schematic inference (b = 3.770, p < 0.01) and severity of psychiatric symptoms (b =-1.004, p < 0.01) were jointly predicted 37.2% variance of the psychiatric patients’ social functioning scores. This study, however, did not find the significant relationship between social cognition and family communication behaviour (r = .033, p = 0.796). The only demographic variable found to be significantly related to the social functioning was the occupation (r = 252, p < 0.05).
Conclusion: Severity of symptoms and social cognition, schematic inference dimension of social cognition to be specific, together can predict the social functioning score of the psychiatric patients who have mild to moderate psychiatric symptoms. Also, the ability to engage in occupations is significantly related to the social functioning score. The therapeutic care of this group of patients should focus on the training of symptom management and schematic inference skills in order to decrease the likelihood of disability and increase the chance of building social relationships and living the life as part of the community.
Keywords: Social cognition, Family communication behavior, Social functioning
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