Watanabe Seiichi, Taniguchi Takamichi, Sugihara Motoko
Medical Corporation Nasukougen Hospital, Japan.
Graduate School of Health and Welfare Sciences, International University of Health and Welfare, Chiba, Japan.
Hong Kong J Occup Ther. 2025 May 15:15691861251333089. doi: 10.1177/15691861251333089.
Achieving both the social functioning and personal recovery as treatment outcomes for individuals with schizophrenia remains challenging, despite their recognition as key treatment goals beyond symptom reduction. These interrelated constructs require precise examination to inform effective rehabilitation strategies including occupational therapy. This study explores the relationships between subdomains of social functioning and personal recovery.
This cross-sectional study included 98 outpatients with schizophrenia. Social functioning was assessed using the Japanese version of the Specific Levels of Functioning Scale (SLOF), and personal recovery with the Japanese version of the Recovery Assessment Scale (RAS). Correlational and hierarchical multiple regression analyses examined their associations.
The Interpersonal Relationships domain of social functioning correlated significantly with the RAS subdomains Trust in Others (r = 0.34, < .01) and Willingness to Ask for Help (r = 0.26, < .01). Hierarchical multiple regression analysis identified Interpersonal Relationships as a significant predictor of Trust in Others, but not Willingness to Ask for Help.
These findings highlight the crucial role of interpersonal relationships in fostering trust, a key aspect of personal recovery. The results support integrated interventions addressing both social functioning and personal recovery to help reduce loneliness in individuals with schizophrenia.
尽管将社会功能和个人康复作为精神分裂症患者的治疗结果,在症状减轻之外被视为关键治疗目标,但要实现这些目标仍具有挑战性。这些相互关联的概念需要精确审视,以为包括职业治疗在内的有效康复策略提供依据。本研究探讨社会功能子领域与个人康复之间的关系。
这项横断面研究纳入了98名精神分裂症门诊患者。使用日语版的特定功能水平量表(SLOF)评估社会功能,使用日语版的康复评估量表(RAS)评估个人康复。采用相关性分析和分层多元回归分析来检验它们之间的关联。
社会功能的人际关系领域与RAS子领域“对他人的信任”(r = 0.34,p <.01)和“求助意愿”(r = 0.26,p <.01)显著相关。分层多元回归分析确定人际关系是“对他人的信任”的显著预测因素,但不是“求助意愿”的显著预测因素。
这些发现凸显了人际关系在培养信任方面的关键作用,而信任是个人康复的一个关键方面。研究结果支持针对社会功能和个人康复的综合干预措施,以帮助减少精神分裂症患者的孤独感。