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(4) Recovery: - Maintenance phase (24 months): Patient is in functional remission (remission and not dissatisfied with life) and social functioning is adequate (i.e. no work impairment, independent accommodation and at least 4 social activities in the previous 4 weeks OR with a partner (live-in or not live-in)).
Yet social functioning is a different matter.
Recovery of social functioning is a largely unattained goal in schizophrenia rehabilitation.
The results indicate that poor social functioning is associated with metacognitive difficulties and higher levels of delusions and Conceptual Disorganization.
"As his indecisiveness has had negative impacts on others in his life as well as his relationships, we can infer that his social functioning is impaired, or at the very least that he experiences significant distress," explains Dr. Kathleen Payne, a clinical psychologist who works regularly with PTSD patients.
Impact on overall social functioning is assessed with the Social Functioning Scale (SFS - [ 61]).
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Results show that areas of the brain involved in reward, motivation, emotion, and social functioning are involved.
Current depressive mood and sociodemographic factors that might affect social functioning were controlled.
Furthermore, social functioning was found to mediate the relationship between maltreatment and psychosis.
Results indicated that changes in social functioning were not related to changes in plasma oxytocin.
In WS, more normal social functioning was related to higher autonomic arousal to facial expressions.
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