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Precision-medicine findings from the FACE-SZ cohort to develop motivation-enhancing programs in real-world schizophrenia
KORCHIA, Theo
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
TASTEVIN, Maud
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
SUNHARY DE VERVILLE, Pierre-Louis
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
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Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
KORCHIA, Theo
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
TASTEVIN, Maud
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
Fondation FondaMental [Créteil]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
SUNHARY DE VERVILLE, Pierre-Louis
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
Centre d'études et de recherche sur les services de santé et la qualité de vie [CEReSS]
AOUIZERATE, Bruno
Institut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
Fondation FondaMental [Créteil]
Nutrition et Neurobiologie intégrée [NutriNeuro]
Institut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
Fondation FondaMental [Créteil]
Nutrition et Neurobiologie intégrée [NutriNeuro]
MISDRAHI, David
Institut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
Fondation FondaMental [Créteil]
Nutrition et Neurobiologie intégrée [NutriNeuro]
< Leer menos
Institut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
Fondation FondaMental [Créteil]
Nutrition et Neurobiologie intégrée [NutriNeuro]
Idioma
EN
Article de revue
Este ítem está publicado en
World Journal of Biological Psychiatry. 2022
Resumen en inglés
Background: In people with schizophrenia, major areas of everyday life are impaired, including independent living, productive activities, social relationships and overall quality of life. Enhanced understanding of factors ...Leer más >
Background: In people with schizophrenia, major areas of everyday life are impaired, including independent living, productive activities, social relationships and overall quality of life. Enhanced understanding of factors that hinder real-life functioning is vital for treatments to translate into more positive outcomes. Aim: The goal of the present study was to identify factors associated with motivation deficits in real-life schizophrenia, and to assess its contribution to impaired functioning and quality of life. Methods: Based on previous literature and clinical experience, several factors were selected and grouped into factors potentially explaining motivation deficits. Some of these variables were never investigated before in relationship with motivation deficits. Results: In 561 patients with schizophrenia of the national FACE-SZ cohort living in the community, 235 (41.9%) reported severe motivation deficits. These deficits were found to be significantly associated with impaired socially useful activities, psychological and physical quality of life (in almost all domains), alcohol use disorder (aOR = 2.141, p = 0.021), severe nicotine dependence (aOR = 2.906, p < 0.001) independently of age and sex. No significant association was found for body mass index, metabolic syndrome or physical activity level. In the second model, we identified the following modifiable factors associated with motivation deficits: history of suicide attempt (aOR = 2.297, p = 0.001), positive symptoms (aOR = 1.052, p = 0.006), current major depressive episode (aOR = 2.627, p < 0.001), sleep disorders (aOR = 1.474, p = 0.024) and lower medication adherence (aOR = 0.836, p = 0.001) independently of gender, current alcohol use disorder, second-generation antipsychotics and akathisia. No significant association was found for negative symptoms, childhood trauma and inflammation. These results were maintained after removing patients with schizoaffective disorders or those with major depressive disorder. Interpretation: Motivation deficits are frequent and remain persistent unmet need in real-world schizophrenia that should be addressed in future guidelines. Based on our results, literature and clinical experience, we recommend to address in priority major depression, sleep, suicide, positive symptoms (when present and as early as possible) and medication adherence to improve motivation deficits of schizophrenia. © 2022 Informa UK Limited, trading as Taylor & Francis Group.< Leer menos
Palabras clave en inglés
Psychiatry
Mental health
Pchizophrenia
Mood disorders
Depressive disorders
quality of life
Proyecto ANR
Sorbonne Universités à Paris pour l'Enseignement et la Recherche - ANR-11-IDEX-0004
FondaMental-Cohortes
FondaMental-Cohortes