TY - JOUR A2 - Mackenzie, Lynette AU - Kaneko, Fumiko AU - Okamura, Hitoshi PY - 2019 DA - 2019/11/03 TI - Discrepancies between Self- and Clinical Staff Members’ Perception of Cognitive Functioning among Patients with Schizophrenia Undergoing Long-Term Hospitalization SP - 6547096 VL - 2019 AB - In Japan, long-term hospitalization of patients with schizophrenia is still prevalent, even though the focus of psychiatric care is shifting from hospitals to the community. Difficulties in discharge planning often arise because clinical staff members’ functional assessment differs from that of patients’ self-assessment. Therefore, we attempted to identify characteristics related to these perceptual differences to promote the development of more effective approaches toward the discharge and societal reintegration of patients with schizophrenia undergoing prolonged hospitalization. Forty-eight long-term inpatients (23 men and 25 women with a mean age of 60.72 years) with schizophrenia were examined using the Schizophrenia Cognition Rating Scale Japanese version (SCoRS-J), Life Skills Profile (LSP), and Profile of Mood States- (POMS-) Brief Form. Differences between patients’ self-ratings and clinical staff members’ ratings on the SCoRS-J were used to divide patients into overestimators, underestimators, and accurate raters. These groups were then comparatively analyzed. Accordingly, overestimators displayed significantly severe cognitive dysfunction on the SCoRS-J objective ratings ( p = .001 ），并且在SCORS-J主观等级上的难度明显较小（ p = .002 ）与低估者相比。高估者在交流中的得分也明显降低（ p = .012 ）和责任（ p = .021 ）LSP分量表与低估者相比，与准确的评估者相比，高估者的总LSP得分显着降低（ p = .036 ）和低估者（ p = .009 ）。但是，低估者在名义POMS量表上表现出明显更高的混淆（与高估者相比 p = .021 ）。这些发现表明，在这三个组中，高估者得分最低，用于客观额定功能。相反，低估的功能最高。但是，他们也感到困惑。临床人员应研究患者的自我认知如何偏离员工的看法，并考虑到本研究结果揭示的患者特征，并实施适当的方法。SN -0966-7903 UR -https：//doi.org/10.1155/2019/6547096做 - 10.1155/2019/2019/6547096 JF​​-职业治疗 - 职业疗法国际PB- hindawi kw -er -er -er-