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Keywords:

  • activities of daily living;
  • early intervention;
  • occupational status;
  • psychotic disorder;
  • social interaction

Abstract

Aim: The study aims to determine the predictive value of negative symptoms, depression, short-term verbal learning and gender on three areas of social functioning – social life, vocational functioning and independent living skills – in a sample of 88 individuals with early psychosis.

Methods: Participants were recruited from Early Psychosis Intervention programmes and community mental health clinics in British Columbia, Canada, and completed the following measures: Client's Assessment of Strengths, Interests, and Goals, Brief Psychiatric Rating Scale, Beck Depression Inventory and California Verbal Learning Task.

Results: Multiple linear regressions revealed that: more negative symptoms and higher depression predicted a less active social life; more negative symptoms and poorer short-term verbal learning ability predicted lower vocational functioning; and more negative symptoms and male gender predicted lower independent living skills.

Conclusion: Results suggest that negative symptoms are predictive of all three areas of functioning but that specific variables add significant unique variance to individual areas of social functioning. Although a global social functioning score can be considered useful, greater precision can be gained by the use of domain-specific measures.