Intrinsic motivation, neurocognition and psychosocial functioning in schizophrenia: testing mediator and moderator effects

Schizophrenia Research
E NakagamiJ S Brekke

Abstract

This study examined the nature of the relationships among neurocognition, intrinsic motivation, and psychosocial functioning for persons with schizophrenia. Hypotheses concerning both mediator and moderator mechanisms were tested. 120 individuals diagnosed with schizophrenia were recruited as they entered outpatient psychosocial rehabilitation programs. Measures of psychosocial functioning and intrinsic motivation were administered at baseline. Measures of neurocognition were administered at baseline by testers blind to scores on other study variables. Data were analyzed using latent construct modeling to test for mediator and moderator effects. There were strong bivariate relationships between neurocognition, intrinsic motivation, and psychosocial functioning. The results demonstrated that intrinsic motivation strongly mediated the relationship between neurocognition and psychosocial functioning. This mediation was evidenced by: (i) the direct path from neurocognition to functional outcome no longer being statistically significant after the introduction of motivation into the model, (ii) the statistical significance of the indirect path from neurocognition through motivation to functional outcome. There was no support for the ...Continue Reading

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Citations

Apr 24, 2009·Schizophrenia Bulletin·Jimmy ChoiAlice Medalia
Sep 1, 2011·Schizophrenia Bulletin·Alice Medalia, Alice Saperstein
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