Depressed mood and its functional correlates in institutionalized schizophrenia patients

Nina Rieckmann, Abraham Reichenberg, Christopher R. Bowie, Michael Parrella, Leonard White, Joseph I. Friedman, Philip D. Harvey

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Objective: To determine the frequency of depressed mood in institutionalized schizophrenia patients and its association with illness-related and functional variables. Methods: Out of 657 institutionalized schizophrenia patients, patients with depressed mood were identified and compared to non-depressed patients, matching for potential confounders. Results: Forty-eight (7.3%) patients had moderate to severe depressed mood. They were younger, more educated and had fewer years since their first hospitalization than non-depressed patients. After matching for these variables, depressed patients showed more positive symptoms and exhibited better social and cognitive functioning. When controlling for negative symptoms, the differences in social and cognitive functioning between the depressed and non-depressed patients disappeared, and depressed patients showed more positive symptoms and more impaired impulse control. Conclusions: Unlike the negative impact of depressed mood in other populations, this study shows that symptoms of depressed mood may identify a subgroup of institutionalized schizophrenia patients who show better functioning across a variety of indicators. Future studies should determine differential treatment responses and long-term outcomes of these patients.

Original languageEnglish (US)
Pages (from-to)179-187
Number of pages9
JournalSchizophrenia Research
Volume77
Issue number2-3
DOIs
StatePublished - Sep 15 2005

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Keywords

  • Cognition
  • Depressed mood
  • Schizophrenia
  • Self-care functioning
  • Social functioning

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Behavioral Neuroscience
  • Biological Psychiatry
  • Neurology
  • Psychology(all)

Cite this

Rieckmann, N., Reichenberg, A., Bowie, C. R., Parrella, M., White, L., Friedman, J. I., & Harvey, P. D. (2005). Depressed mood and its functional correlates in institutionalized schizophrenia patients. Schizophrenia Research, 77(2-3), 179-187. https://doi.org/10.1016/j.schres.2005.04.007