Validation of a scale of autonomy in patients with schizophrenia in remissionстатья Тезисы

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Дата последнего поиска статьи во внешних источниках: 6 декабря 2018 г.

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[1] Morozova M., Rupchev G., Marchenko A. Validation of a scale of autonomy in patients with schizophrenia in remission // European Psychiatry. — 2018. — Vol. 48, no. S1. — P. 131–131. Introduction. During the last decades there’s a marked rise of interest towards the questions of social functioning of patients. The most relevant line of research is evaluation of schizophrenia patient’s conditions and ability of patients to independent existence (autonomy). The objective of this study was investigating of the construct validity a scale of autonomy. Method. A total of 200 patients, 112 men and 88 women (mean age = 39, 03) were assessed. New version of scale of autonomy (SA), comprising six items: activity, productive communication, social network, medical conventionality, care of themselves, social skills, PANSS, NSA, CGI, PSP, EQ-5D were administered. Results.The internal consistency: Cronbach’s alpha = 0.93. Correlations of all items of the scale with a total score were found(P < 0.001). Convergent validity was demonstrated by relatively high correlations between total score SA and related rating instruments, scales detecting the presence of negative symptoms: N4 (r =−.506**), PANSS Neg (r =−.573**), CGI Neg (r =−.573**) and four items of PSP: self-care(r =−0,545**); personal and social relationships (r =−0,526**), social useful activities (r =−0,492**), level of functioning (r = 0,492**). Weak or ratherweak correlations between AS and psychometric scales, assessing other constructs proved good discriminant validity of AS. Factor analysis separates distinct autonomy factor, comprised of all AS items plus several other variables. Discussion.SA has high internal consistency and good convergent and discriminant validity. SA has correlations with negative symptoms and several items of PSP scale and meets the basic psychodiagnostic requirements. SA is a new psychometric instrument for assessing one of the most important factors of social adjustment. [ DOI ]

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