TY - JOUR
T1 - Social support-centered versus symptom- centered models in predicting functional outcomes for individuals with schizophrenia
AU - Pahwa, Rohini
AU - Smith, Melissa Edmondson
AU - McCullagh, Charlotte A.
AU - Hoe, Maanse
AU - Brekke, John S.
PY - 2016
Y1 - 2016
N2 - Objective: This study tests 2 competing models to explore the influence of symptomatology and social support on functioning for individuals with schizophrenia. The social support-centered model hypothesizes that symptoms have an indirect association with functioning through social support. The symptomcentered model hypothesizes that social support has an indirect association with functioning through symptoms. Method: These models were examined using 166 individuals with schizophrenia receiving community-based services. Results: For social functioning, the social support-centered model is an adequate fit to the data (χ2 = 0.316, df = 2, p =.854; CFI = 1.000, NFI =.990, AIC = 24.316, RMSEA =.000); however, the symptom-centered model is a poor fit to the data (χ2 = 15.597, df = 3, p =.001; CFI =.772, NFI =.718, AIC = 37.597, RMSEA =.160). For instrumental functioning, the symptom-centered model is an adequate fit to the data (χ2 = 2.265, df = 3, p =.519; CFI =.1.000, NFI =.959, AIC = 22.265, RMSEA =.000), but the social support-centered model is a poor fit to the data (χ2 = 21.585, df = 2, p =.000; CFI =.147, NFI =.345, AIC = 45.585, RMSEA =.244). Conclusions: Overall, the findings suggest that models for understanding functioning and interventions in schizophrenia need to be differentially focused, depending on the targeted outcome. Implications for social work practice and policy are discussed.
AB - Objective: This study tests 2 competing models to explore the influence of symptomatology and social support on functioning for individuals with schizophrenia. The social support-centered model hypothesizes that symptoms have an indirect association with functioning through social support. The symptomcentered model hypothesizes that social support has an indirect association with functioning through symptoms. Method: These models were examined using 166 individuals with schizophrenia receiving community-based services. Results: For social functioning, the social support-centered model is an adequate fit to the data (χ2 = 0.316, df = 2, p =.854; CFI = 1.000, NFI =.990, AIC = 24.316, RMSEA =.000); however, the symptom-centered model is a poor fit to the data (χ2 = 15.597, df = 3, p =.001; CFI =.772, NFI =.718, AIC = 37.597, RMSEA =.160). For instrumental functioning, the symptom-centered model is an adequate fit to the data (χ2 = 2.265, df = 3, p =.519; CFI =.1.000, NFI =.959, AIC = 22.265, RMSEA =.000), but the social support-centered model is a poor fit to the data (χ2 = 21.585, df = 2, p =.000; CFI =.147, NFI =.345, AIC = 45.585, RMSEA =.244). Conclusions: Overall, the findings suggest that models for understanding functioning and interventions in schizophrenia need to be differentially focused, depending on the targeted outcome. Implications for social work practice and policy are discussed.
KW - Psychosocial functioning
KW - Schizophrenia
KW - Severe mental illness
KW - Social support
KW - Symptoms
UR - http://www.scopus.com/inward/record.url?scp=85029780017&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85029780017&partnerID=8YFLogxK
U2 - 10.1086/686770
DO - 10.1086/686770
M3 - Article
AN - SCOPUS:85029780017
SN - 2334-2315
VL - 7
SP - 247
EP - 268
JO - Journal of the Society for Social Work and Research
JF - Journal of the Society for Social Work and Research
IS - 2
ER -