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The survey materials were independently translated and supervised by at least two native speakers. https://doi.org/10.1371/journal.pone.0217936, Editor: Eduardo Fonseca-Pedrero, University of La Rioja, SPAIN, Received: January 26, 2019; Accepted: May 21, 2019; Published: June 6, 2019. Personal factors, such as resilience [36,37], premorbid cognitive skills [38], premorbid social skills [39], personal history and biography [40], premorbid drug use and lifestyle [41], and premorbid personality [42] have been considered to influence how people with schizophrenia cope with their illness. Schizophrenia - Psychology bibliographies - in Harvard style . 1. Conceptualization, In addition, I shall briefly describe the theoretical underpinnings of general Russian/Soviet approaches to the treatment of the mentally ill. The disorder is characterized by the presence of delusions, hallucinations, disorganized thinking, abnormal motor behavior (including catatonia), and negative symptoms[3]. No, Is the Subject Area "Psychological and psychosocial issues" applicable to this article? Writing – original draft, Affiliations A multidisciplinary approach to both assessment and clinical intervention is essential to support individuals with this health condition. No, Is the Subject Area "Global health" applicable to this article? The purpose is to achieve consensus from a panel of individuals with knowledge of the topic of interest (hereinafter, experts). Citation: Nuño L, Guilera G, Coenen M, Rojo E, Gómez-Benito J, Barrios M (2019) Functioning in schizophrenia from the perspective of psychologists: A worldwide study. 2b Psychosis as a State of Aberrant Salience: A Framework Linking Biology, Phenomenology, and Pharmacology in Schizophrenia Click through the PLOS taxonomy to find articles in your field. Clinical Institute of Neurosciences (ICN), Hospital Clinic, Barcelona, Spain, Volume 59, Issue 1. In P. B. Bradley & S. R. Hirsch (Eds), The Psychopharmacology and … The ICF-CSs for schizophrenia can be used as a standard set of ICF categories to facilitate the assessment of functioning in real-life clinical practice by using the ICF qualifiers, which are codes used to record the extent of functioning or disability in a domain or category, or the extent to which an environmental factor is a facilitator or barrier. No, Is the Subject Area "Clinical psychology" applicable to this article? The ICF-CSs for schizophrenia may also be used as a framework for analyzing the content of patient-reported outcome measures or to inform instrument developers about what needs to be included in tools designed to assess the functioning of persons with schizophrenia. Of the 1,555 health professionals who agreed to take part and who provided demographic and professional data, 223 were psychologists who met the eligibility criteria and who were therefore invited to begin round one of this study. Conceptualization, Twenty-nine categories from the Environmental factors component yielded agreement of at least 75%, and only one of them (e135 Products and technology for employment) is not included in the ICF-CS for schizophrenia. Most Cited Schizophrenia Research Articles. Given that an ICF-CS needs to be as short as possible, this domain may already be sufficiently covered by these four categories. Validation, Although no category from the Body structures component is currently included in the ICF-CS for schizophrenia, 90% of the psychologists agreed that brain structure (s110 Structure of brain) is an essential aspect to consider when treating individuals with schizophrenia. Related Journal of Schizophrenia Disorder. The Journal of Forensic Psychiatry: Vol. Journal of Clinical Psychology. The most cited articles published since 2017, extracted from Scopus . Related Journals of Schizophrenia. Concerning the Personal factors component, we drew up a proposed list of 33 personal factors, 28 of which achieved consensus in the third Delphi round. It has a multifactorial etiology, with numerous individual variables interacting with several environmental factors [2]. (2018) [14]. All categories of the Activities and Participation component for which consensus was reached are listed in the ICF-CS for schizophrenia. Resolution and remission in schizophrenia: getting well and staying well. Schizophrenia Schizophrenia Hemsley, D. R. 1993-02-01 00:00:00 BPS DIVISION OF CLINICAL PSYCHOLOGY Reference Library on Clinical Practice Schizophrenia D. R. Hemsley* Department o Psychology, Institute o Psychiatty, DeCrespky Park, London SE5 8 A F , UK f f Hirsch, S. R. (1986). Schizophrenia can be tricky to diagnose, because its symptoms sometimes masquerade as other diseases. Although psychologists from all over the world took part, the Eastern Mediterranean, Western Pacific, and African WHO regions were under-represented, and this may limit the external validity of our results. here. In order to facilitate comparison with previous studies that use the kappa index, we also calculated this statistic and its 95% CI [22]. Yes In the third round, consensus (i.e., agreement of at least 75%) was reached for 76 ICF categories and 28 Personal factors. Paranoid schizophrenia journal articles pdf is a mental illness that involves false beliefs of being persecuted or plotted aga... Schizophrenia Bulletin | Oxford Academic - Oxford Journals. Specifically, 52% of invited experts who did not respond had less than five years’ experience in the treatment of individuals with schizophrenia, while this was the case for only 20% of the experts who did take part in the first round. Agreement of 75% or higher was reached for 75.3% of the categories included in the Comprehensive ICF-CS for schizophrenia and for all the categories in the Brief version. This is consistent with the more biomedical perspective of psychiatrists. The grants financed the preparation of the materials in the five languages in which it was applied, the Qualtrics platform through which the data were collected, and the linguistic revision of the manuscript. Personal traits that constitute a premorbid predisposition of individuals and which affect how they cope with their illness were considered as Personal factors, whereas personality traits that are altered due to the illness were coded under category b126 of Body functions. ICF Research Branch, a cooperation partner within the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Munich, Germany, Affiliations From the experts’ answers in round one, a total of 7,526 concepts were extracted and linked to 412 ICF categories (219 second-level, 189 third-level, and 4 fourth-level). Better and more targeted treatment of these areas would help to decrease the stigma that surrounds this illness and empower patients to improve their quality of life [5]. Clinical treatment of schizophrenia. Schizophrenia is currently classified as a psychotic disorder. A basic requirement for the implementation of these ICF-CSs in clinical practice is their validation from different perspectives. There is also evidence that psychological interventions produce changes in brain structure and its functioning [31], with this being the goal of interventions such as cognitive remediation. Having a basic set of categories that addresses a particular patient population at different stages of an illness and that helps both to improve communication within multi-professional teams and to guide the management and treatment of patients by different health professionals is important for ensuring optimal care [47]. Table 1 shows participants’ demographic and professional characteristics. Group on Measurement Invariance and Analysis of Change (GEIMAC), Institute of Neurosciences, University of Barcelona, Barcelona, Spain, Roles All components of the ICF, except Personal factors, are organized hierarchically in an exhaustive list of categories (see Fig 3). At the 54th World Health Assembly on 22 May 2001 the International Classification of Functioning, Disability and Health (ICF) was officially endorsed (resolution WHA 54.21) by all 191 member states of the World Health Organization (WHO) as the international standard to describe and measure health and disability [11]. This category belongs to chapter e1 Products and Technology, and it should be noted that the ICF-CS for schizophrenia already contains four categories from the same chapter (i.e., e110 Products or substances for personal consumption, e125 Products and technology for communication, e130 Products and technology for education and e165 Assets). Volume 77, Issue 1. All categories included in the Brief ICF-CS for schizophrenia were selected by 75% or more of participating experts, thus supporting the relevance of the categories that form this ICF-CS. Most of the categories that psychologists regarded as important coincide with those identified in the validation study from the perspective of psychiatrists [14], suggesting that the proposed list of Personal factors captures the aspects that merit particular consideration in this population. 1, pp. Impact Factor. Supervision, Conceptualization, Copyright: © 2019 Nuño et al. 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