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Social cognition and work performance of persons with schizophrenia in a Chinese population

Article type: Research Article

Authors: Lo, Panmi | Siu, Andrew M.H.

Affiliations: Castle Peak Hospital, Hospital Authority, Hong Kong, China | Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China

Note: [] Corresponding author: Dr. Andrew M. H. Siu, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China. Tel.: +852 27666753; Fax: +852 23308656; E-mail: [email protected]

Keywords: Emotion perception, theory-of-mind, attributional style, vocational

DOI: 10.3233/WOR-141828

Journal: Work, vol. 50, no. 4, pp. 629-636, 2015

Received 9 July 2013
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Accepted 9 October 2013
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Published: 2015
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Abstract

BACKGROUND: Social-cognitive deficits have a significant impact on the community and vocational functioning of persons with schizophrenia.

OBJECTIVE: This study aimed to explore the relationship between social-cognitive abilities and vocational functioning in a Chinese population.

METHOD: We recruited 30 outpatients with schizophrenia to participate. We administered the Chinese Social Cognition and Screening Questionnaire (C-SCSQ) to assess Theory of Mind (ToM), attributional bias, and neurocognition; the Facial Expression Identification Test (FEIT) to assess emotion perception (EP) ability, and the Chinese Work Personality Profile (CWPP) to assess work performance in a simulated work setting.

RESULTS: ToM showed a significant negative correlation with attributional bias. The neurocognitive measure displayed a significant positive correlation with ToM and EP. The structural equation model was a good fit to the data (CFI=0.91, RMSEA=0.12), and showed that social-cognitive abilities had a significant impact (−0.41) on work performance. Of the four social-cognitive domains, ToM and paranoid attributional style (PAS) contributed significantly to variations in work performance. These results support the theory that social-cognitive abilities have an impact on work performance. ToM has a positive impact whereas PAS has an adverse effect.

CONCLUSION: Persons with schizophrenia present specific deficits in their social-cognitive abilities, which have significant impact on their work performance and employability.

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