Harris Molly, Blanco Emily, Howie Hunter, Rempfer Melisa
Department of Psychology, University of Missouri-Kansas City, Kansas City, MO 64110-2499, USA.
Department of Psychology, University of Kansas, Lawrence, KS 66045, USA.
Behav Sci (Basel). 2023 Dec 30;14(1):30. doi: 10.3390/bs14010030.
An important aspect of recovery in schizophrenia relates to one's subjective, lived experience. Self-report is a subjective measurement method with yet-uncertain utility in the assessment of functioning among individuals diagnosed with schizophrenia-spectrum disorder. No review to date has comprehensively synthesized existing research to evaluate the degree of correspondence, or lack thereof, between subjective and objective assessments of cognitive and everyday functioning, nor how extant data can inform the use of self-reported information in treatment and research.
A systematic review was completed to provide a broad perspective of the literature on this topic. Relevant manuscripts were identified via a search strategy using key terms in PubMed and PsycINFO and a review of manuscript bibliographies. Twenty-six studies met the inclusion criteria.
These studies show minimal to modest associations between subjective assessments of cognition and everyday functioning and objective assessments of these domains, including informant reports and neuropsychological and behavioral measures. Individuals with schizophrenia appear to overestimate their functioning when compared to objective measures. Depression and greater cognitive ability tend to predict greater correspondence between subjective and objective assessments of cognition and everyday functioning.
This review discusses how we might understand the low correspondence between subjective and objective measures of functioning and provides recommendations for using and eliciting self-reported information in the pursuit of recovery-centered practices.
精神分裂症康复的一个重要方面与个体的主观生活体验有关。自我报告是一种主观测量方法，在评估精神分裂症谱系障碍患者的功能方面，其效用尚不确定。迄今为止，尚无综述全面综合现有研究，以评估认知和日常功能的主观评估与客观评估之间的相符程度（或缺乏相符性），也未探讨现有数据如何为治疗和研究中自我报告信息的使用提供参考。
完成了一项系统综述，以全面了解关于该主题的文献。通过在PubMed和PsycINFO中使用关键词的检索策略以及对手稿参考文献的回顾来识别相关手稿。26项研究符合纳入标准。
这些研究表明，认知和日常功能的主观评估与这些领域的客观评估（包括 informant 报告以及神经心理学和行为测量）之间的关联极小至中等。与客观测量相比，精神分裂症患者似乎高估了自己的功能。抑郁和较高的认知能力往往预示着认知和日常功能的主观评估与客观评估之间具有更高的相符性。
本综述讨论了我们如何理解功能的主观测量与客观测量之间的低相符性，并为在以康复为中心的实践中使用和获取自我报告信息提供了建议。
