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Different modalities of measuring life engagement in people living with schizophrenia spectrum disorders: A preliminary analysis

Published online by Cambridge University Press:  27 August 2024

C. Cerati ,
I. Calzavara-Pinton ,
G. Nibbio ,
A. Cicale ,
D. Zardini ,
M. Italia ,
L. Altieri ,
J. Lisoni ,
G. Deste  and
S. Barlati
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C. Cerati
Affiliation:
1Department of Biomedical Sciences and Translational Medicine, University of Brescia
I. Calzavara-Pinton*
Affiliation:
1Department of Biomedical Sciences and Translational Medicine, University of Brescia
G. Nibbio
Affiliation:
1Department of Biomedical Sciences and Translational Medicine, University of Brescia
A. Cicale
Affiliation:
1Department of Biomedical Sciences and Translational Medicine, University of Brescia
D. Zardini
Affiliation:
1Department of Biomedical Sciences and Translational Medicine, University of Brescia
M. Italia
Affiliation:
1Department of Biomedical Sciences and Translational Medicine, University of Brescia
L. Altieri
Affiliation:
1Department of Biomedical Sciences and Translational Medicine, University of Brescia
J. Lisoni
Affiliation:
2Department of Mental Health and Addictions, ASST Spedali Civili di Brescia, Brescia, Italy
G. Deste
Affiliation:
1Department of Biomedical Sciences and Translational Medicine, University of Brescia 2Department of Mental Health and Addictions, ASST Spedali Civili di Brescia, Brescia, Italy
S. Barlati
Affiliation:
1Department of Biomedical Sciences and Translational Medicine, University of Brescia 2Department of Mental Health and Addictions, ASST Spedali Civili di Brescia, Brescia, Italy
A. Vita
Affiliation:
1Department of Biomedical Sciences and Translational Medicine, University of Brescia 2Department of Mental Health and Addictions, ASST Spedali Civili di Brescia, Brescia, Italy
*
*Corresponding author.

Abstract

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Introduction

The concept of “life engagement” encompasses several aspects of one’s life, including personal well-being, contentment, purpose, and engagement in meaningful activities. In 2006, the group led by Scheier designed a 6-item scale to measure this concept in the general population: the Life Engagement Test (LET), however, this tool was never validated in clinical populations (Scheier et al. 2006 J Clin Psychiatry 2006; 29 291-298). In subjects living with schizophrenia life engagement can be measured through the Positive and Negative Syndrome Scale-Life Engagement (PANSS-LE), derived by isolating 11 items (i.e., N01, N02, N03, N04, N05, N06, G06, G07, G13, G15, G16) from the PANSS (Correll et al. 2022 J Clin Psychiatry 2022; 83-4) (Correll et al. 2022 J Clin Psychiatry 2022; 83-5).

Objectives

The aim of this study was to investigate the clinical and functional correlates of two different measures of life engagement in a cohort of individuals living with schizophrenia spectrum disorders (SSD).

Methods

Ninety-five subjects living with SSD recruited from the ASST Spedali Civili of Brescia (Italy) were included in the preliminary ad-interim analysis of the present study: for each patient information regarding the clinical presentation were measured with the Clinical Global Impression (CGI) scale, the Health of the Nation Outcome Scales (HoNOS), the Brief Negative Symptoms Scale (BNSS) and the PANSS; additionally, information related to the psychosocial functioning were collected through the Global Assessment of Functioning (GAF) scale; finally, life engagement was evaluated through the LET and the PANSS-LE. Spearman’s correlations were performed using SPSS v28 and p values < 0.05 were considered significant.

Results

Both the LET and the PANSS-LE were correlated with the CGI (p=0.002 and p<0.001 respectively), but only the PANSS-LE was found to be correlated with the GAF (p<0.001), the BNSS (p<0.001) and the HoNOS (p<0.001).

Conclusions

The concept of life engagement is of growing interest for healthcare professionals working in the mental health field, in line with the concept of reaching a full functional recovery and considering patient-reported outcomes. From our study it is evident that life engagement in individuals living with SSD is better characterized through the PANSS-LE rather than the LET, as the former is more specific to define the complexity of the SSD symptomatology.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 67 , Special Issue S1: Abstracts of the 32nd European Congress of Psychiatry , April 2024 , pp. S211 - S212
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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