Social Functioning Among Older Community-Dwelling Patients With Schizophrenia：A Review

• 2010
• 社會功能定義：the ability of individuals to meet society defined roles and their satisfaction with their ability to meet these roles. 
• 社會功能領域：
1. Social roles, involving relationships, employment, and residential status as outcome milestone.
2. Social support, as a major environmental factor.
3. Social skills, discerning competence and real-world performance.
• 回顧發現各研究使用不同的評估工具，因為每種量表可以評估到社會功能的哪個面向並不確定。
• 自陳評估/觀察評估呈現很不同的結果。自陳評估會因病識感或認知損傷而缺乏信、效度，因此需要相對較客觀的事實ex.有幾個親密的朋友；觀察評估可能是鵬辜者的主觀感受。
→評估須結合病患自陳及評估。
• 評估認知能力的影響或臨床範疇可能都只是社會功能的一部份而已，社會支持的品質或可取得性應被考慮。

Reference

• Meesters, P. D., Stek, M. L., Comijs, H. C., de Haan, L., Patterson, T. L., Eikelenboom, P., & Beekman, A. T. (2010). Social functioning among older community-dwelling patients with schizophrenia: a review. The American journal of geriatric psychiatry, 18(10), 862-878. doi: 10.1097/JGP.0b013e3181e446ff