Functioning in schizophrenia: Recommendations of an expert panel.

Fecha de publicación: 01/08/2024 Fecha Ahead of Print: 03/07/2024

Autores de IIS La Fe

• 

  Pilar Sierra San Miguel

  Autor

Participantes ajenos a IIS La Fe

• Corripio I
• Fraguas D
• García-Portilla MP
• Olivares JM
• Sánchez P

Grupos

• Investigación en Salud Mental

  

  Leader

  Ana Cristina García Blanco

Abstract

Functioning is a fundamental dimension across all aspects of life, frequently compromised or reduced in individuals with schizophrenia. However, the lack of a commonly agreed definition of functioning in schizophrenia makes it difficult to apply this concept in clinical practice. In this document, we make a detailed analysis of the literature to identify and define functioning and describe how it can be used in clinical practice today. We performed a preliminary literature search in the MEDLINE database (via PubMed) for articles discussing functioning in schizophrenia. The articles retrieved were then read and discussed by a panel of psychiatrists specialising in schizophrenia. The conclusions reached in this meeting formed the basis for a new exhaustive literature search for the purpose of synthesising the evidence published in the past 5 years. In this article, we show the importance a comprehensive, modern, homogeneous definition of functioning in schizophrenia, propose a definition of functioning, and put forward a series of recommendations for assessing functioning in clinical practice. We also review current unmet needs and highlight the need for a standardised tool for evaluating functioning.

Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.

Keywords

• Functioning; Occupational performance; Scales; Schizophrenia