Schizophrenia Research
Volume 69, Issue 1 , Pages 67-73, 1 July 2004

Neurocognition and long-term prediction of quality of life in outpatients with severe and persistent mental illness

  • Daryl E. Fujii

      Affiliations

    • Corresponding Author InformationCorresponding author. Tel.: +1-808-236-8493; fax: +1-808-247-7335.
    • Department of Psychology, Hawaii State Hospital, 45-710 Keaahala Road, Kaneohe, HI 96744, USA
  • ,
  • A.Michael Wylie

      Affiliations

    • Department of Psychology, University of Hawaii, 2430 Campus Road, Honolulu, HI 96822, USA
  • ,
  • Jeffrey H. Nathan

      Affiliations

    • Department of Psychology, University of Hawaii, 2430 Campus Road, Honolulu, HI 96822, USA

Received 29 October 2002; received in revised form 26 March 2003; accepted 30 March 2003.

Abstract 

The present study examined the predictive validity of neuropsychological measures to quality of life (QOL) indicators in 30 outpatients with severe and persistent mental illness (SPMI), an average of 15 years post-testing. Outcome measures included subscale scores on the Brief Quality of Life Inventory (BQOLI). Results of several stepwise multiple regressions revealed that memory was predictive of income, satisfaction with daily activities, and general health. Executive functioning was predictive of contact with family and financial support. Motor skills were predictive of satisfaction with family contact, and working memory was predictive of victimization and satisfaction with social contacts. Discussion focused on neurocognition as a predictor of QOL, clinical implications, and the potential for improving QOL through cognitive interventions.

Keywords:  Neurocognition, Severe persistent mental illness, Schizophrenia, Quality of life, Long-term predictive validity

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PII: S0920-9964(03)00122-1

doi:10.1016/S0920-9964(03)00122-1

Schizophrenia Research
Volume 69, Issue 1 , Pages 67-73, 1 July 2004