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Cognitive functioning and functional ability in women with schizophrenia and homelessness
Jayakumar Menon1,2, Suvarna Jyothi Kantipudi1,3, Aruna Mani1
1Department of Psychiatry, SRMC & RI, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, India.
Schizophrenia Research. Cognition
|November 29, 2024
Summary
Women with schizophrenia experiencing homelessness in India show significantly poorer cognitive function and higher disability. This suggests cognitive dysfunction may predict homelessness in this vulnerable population.
Area of Science:
- Neuroscience
- Psychiatry
- Public Health
Background:
- Schizophrenia and homelessness research is scarce in India.
- Women with schizophrenia and homelessness are a particularly vulnerable group.
- Cognitive impairment significantly impacts schizophrenia outcomes.
Purpose of the Study:
- To examine cognitive functioning in women with schizophrenia and homelessness (WSH).
- To compare WSH cognitive function with age-matched women with schizophrenia living with family (WSF).
Main Methods:
- Evaluated 36 WSH and 32 WSF using psychopathology (SAPS/SANS), cognitive (MOCA/RUDAS, FAB), and disability (WHO-DAS) scales.
- Assessed psychosocial factors via a semi-structured proforma.
- Compared groups using t-tests and chi-square analyses.
Main Results:
- WSH demonstrated significantly lower cognitive functioning and markedly higher disability compared to WSF.
- Cognitive and disability differences were substantial (2-3 standard deviations).
- WSH had higher literacy and prior work experience, suggesting premorbid functioning isn't the sole differentiator.
Conclusions:
- Indian women with schizophrenia experiencing homelessness exhibit significantly higher cognitive dysfunction.
- Elevated cognitive dysfunction may be a predictor for homelessness in Indian women with schizophrenia.
Keywords:
Cognitive impairmentDisabilityExtreme phenotypeHomelessnessNegative symptomsPositive symptomsSchizophreniaMore Related Videos
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