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Commissions and Omissions Are Dissociable Aspects of Everyday Action Impairment in Schizophrenia

Published online by Cambridge University Press:  30 July 2014

Kathryn N. Devlin
Affiliation:
Department of Psychology, Temple University, Philadelphia, Pennsylvania
Tania Giovannetti*
Affiliation:
Department of Psychology, Temple University, Philadelphia, Pennsylvania
Rachel K. Kessler
Affiliation:
Department of Psychology, Temple University, Philadelphia, Pennsylvania
Molly J. Fanning
Affiliation:
Department of Psychology, Temple University, Philadelphia, Pennsylvania
*
Correspondence and reprint requests to: Tania Giovannetti, Department of Psychology, Temple University, Weiss Hall, 1701 North 13th Street, Philadelphia, Pennsylvania 19122. E-mail: tgio@temple.edu.

Abstract

Prior research using performance-based assessment of functional impairment has informed a novel neuropsychological model of everyday action impairment in dementia in which omission errors (i.e., failure to complete task steps) dissociate from commission errors (i.e., inaccurate performance of task steps) and have unique neuropsychological correlates. However, this model has not been tested in other populations. The present study examined whether this model extends to schizophrenia. Fifty-four individuals with schizophrenia or schizoaffective disorder were administered a neuropsychological protocol and the Naturalistic Action Test (NAT), a performance-based measure of everyday action. A principal component analysis (PCA) was performed to examine the construct(s) comprising everyday action impairment, and correlations between the resultant component(s) and neuropsychological tests were examined. Results showed that omissions and a subset of commissions were distinct components of everyday action. However, results did not support unique associations between these components and specific neuropsychological measures. These findings extend the omission-commission model to schizophrenia and may have important implications for efficient assessment and effective rehabilitation of functional impairment, such as the potential efficacy of targeted interventions for the rehabilitation of omission and commission deficits in everyday functioning. Larger studies with prospective designs are needed to replicate the present preliminary findings. (JINS, 2014, 20, 1–10)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2014 

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References

Atkinson, M., Zibin, S., & Chuang, H. (1997). Characterizing quality of life among patients with chronic mental illness: A critical examination of the self-report methodology. American Journal of Psychiatry, 154(1), 99105.Google ScholarPubMed
Bailey, H.R., Kurby, C.A., Giovannetti, T., & Zacks, J.M. (2013). Action perception predicts action performance. Neuropsychologia, 51(11), 22942304.CrossRefGoogle ScholarPubMed
Bettcher, B.M., Giovannetti, T., Libon, D.J., Eppig, J., Wambach, D., & Klobusicky, E. (2011). Improving everyday error detection, one picture at a time: A performance-based study of everyday task training. Neuropsychology, 25(6), 771783.CrossRefGoogle Scholar
Bickerton, W.L., Humphreys, G.W., & Riddoch, J.M. (2006). The use of memorised verbal scripts in the rehabilitation of action disorganisation syndrome. Neuropsychological Rehabilitation, 16(2), 155177.CrossRefGoogle Scholar
Bilder, R.M., Goldman, R.S., Robinson, D., Reiter, G., Bell, L., Bates, J.A., & Lieberman, J.A. (2000). Neuropsychology of first-episode schizophrenia: Initial characterization and clinical correlates. The American Journal of Psychiatry, 157(4), 549559.CrossRefGoogle ScholarPubMed
Brennan, L., Giovannetti, T., Libon, D.J., Bettcher, B.M., & Duey, K. (2009). The impact of goal cues on everyday action performance in dementia. Neuropsychological Rehabilitation, 19(4), 562582.CrossRefGoogle Scholar
Buxbaum, L.J., Schwartz, M.F., & Montgomery, M.W. (1998). Ideational apraxia and naturalistic action. Cognitive Neuropsychology, 15(6-8), 617643.CrossRefGoogle ScholarPubMed
Delis, D.C., Kaplan, E., & Kramer, J.H. (2001). Delis–Kaplan Executive Function System. San Antonio, TX: Psychological Corporation.Google ScholarPubMed
Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189198.CrossRefGoogle ScholarPubMed
Giovannetti, T. (2006). Assessing everyday action in dementia: A response to de Jonghe (2006). Journal of the International Neuropsychological Society, 12(05), 756757.CrossRefGoogle Scholar
Giovannetti, T., Bettcher, B.M., Brennan, L., Libon, D.J., Kessler, R.K., & Duey, K. (2008). Coffee with jelly or unbuttered toast: Commissions and omissions are dissociable aspects of everyday action impairment in Alzheimer’s disease. Neuropsychology, 22(2), 235245.CrossRefGoogle ScholarPubMed
Giovannetti, T., Bettcher, B.M., Brennan, L., Libon, D.J., Wambach, D., & Seter, C. (2010). Target-related distractors disrupt object selection in everyday action: Evidence from participants with dementia. Journal of the International Neuropsychological Society, 16(3), 484494.CrossRefGoogle ScholarPubMed
Giovannetti, T., Bettcher, B.M., Libon, D.J., Brennan, L., Sestito, N., & Kessler, R.K. (2007). Environmental adaptations improve everyday action performance in Alzheimer’s disease: Empirical support from performance-based assessment. Neuropsychology, 21(4), 448457.CrossRefGoogle ScholarPubMed
Giovannetti, T., Britnell, P., Brennan, L., Siderowf, A., Grossman, M., Libon, D.J., & Seidel, G.A. (2012). Everyday action impairment in Parkinson’s disease dementia. Journal of the International Neuropsychological Society, 18(05), 787798.CrossRefGoogle ScholarPubMed
Giovannetti, T., Libon, D.J., Buxbaum, L.J., & Schwartz, M.F. (2002). Naturalistic action impairments in dementia. Neuropsychologia, 40(8), 12201232.CrossRefGoogle ScholarPubMed
Giovannetti, T., Sestito, N., Libon, D.J., Schmidt, K.S., Gallo, J.L., Gambino, M. Chrysikou, E.G. (2006). The influence of personal familiarity on object naming, knowledge, and use in dementia. Archives of Clinical Neuropsychology, 21(7), 607614.CrossRefGoogle ScholarPubMed
Green, M.F., Kern, R.S., Braff, D.L., & Mintz, J. (2000). Neurocognitive deficits and functional outcome in schizophrenia: Are we measuring the “right stuff”? Schizophrenia Bulletin, 26(1), 119136.CrossRefGoogle ScholarPubMed
Harvey, P.D., Helldin, L., Bowie, C.R., Heaton, R.K., Olsson, A.-K., Hjärthag, F.,& Patterson, T.L. (2009). Performance-based measurement of functional disability in schizophrenia: A cross-national study in the United States and Sweden. American Journal of Psychiatry, 166(7), 821827.CrossRefGoogle ScholarPubMed
Harvey, P.D., Raykov, T., Twamley, E.W., Vella, L., Heaton, R.K., & Patterson, T.L. (2013). Factor structure of neurocognition and functional capacity in schizophrenia: A multidimensional examination of temporal stability. Journal of the International Neuropsychological Society, 19(6), 656663.CrossRefGoogle ScholarPubMed
Harvey, P.D., Velligan, D.I., & Bellack, A.S. (2007). Performance-based measures of functional skills: Usefulness in clinical treatment studies. Schizophrenia Bulletin, 33(5), 11381148.CrossRefGoogle ScholarPubMed
Iampietro, M., Giovannetti, T., Drabick, D.A.G., & Kessler, R.K. (2012). Empirically defined patterns of executive function deficits in schizophrenia and their relation to everyday functioning: A person-centered approach. The Clinical Neuropsychologist, 26(7), 11661185.CrossRefGoogle ScholarPubMed
Kaufman, A.S., & Kaufman, N.L. (2004). Kaufman Brief Intelligence Test—Second edition. Circle Pines, MN: American Guidance Service.Google Scholar
Kessler, R.K., Giovannetti, T., & MacMullen, L.R. (2007). Everyday action in schizophrenia: Performance patterns and underlying cognitive mechanisms. Neuropsychology, 21(4), 439447.CrossRefGoogle ScholarPubMed
Klapow, J.C., Evans, J., Patterson, T.L., Heaton, R.K., Koch, W.L., & Jeste, D.V. (1997). Direct assessment of functional status in older patients with schizophrenia. American Journal of Psychiatry, 154(7), 10221024.Google ScholarPubMed
Levine, B., Robertson, I.H., Clare, L., Carter, G., Hong, J., Wilson, B.A., & Stuss, D.T. (2000). Rehabilitation of executive functioning: An experimental-clinical validation of goal management training. Journal of the International Neuropsychological Society, 6(3), 299312.CrossRefGoogle ScholarPubMed
Levine, B., Stuss, D.T., Winocur, G., Binns, M.A., Fahy, L., Mandic, M., & Robertson, I.H. (2007). Cognitive rehabilitation in the elderly: Effects on strategic behavior in relation to goal management. Journal of the International Neuropsychological Society, 13(1), 143152.CrossRefGoogle ScholarPubMed
McGurk, S., Twamley, E., Sitzer, D., McHugo, G., & Mueser, K. (2007). A meta-analysis of cognitive remediation in schizophrenia. American Journal of Psychiatry, 164(12), 17911802.CrossRefGoogle Scholar
Rempfer, M.V., Hamera, E.K., Brown, C.E., & Cromwell, R.L. (2003). The relations between cognition and the independent living skill of shopping in people with schizophrenia. Psychiatry Research, 117(2), 103112.CrossRefGoogle ScholarPubMed
Riddoch, M.J., & Humphreys, G.W. (1994). Cognitive neuropsychology and cognitive rehabilitation. Hove, UK: Lawrence Earlbaum Associates.Google Scholar
Robertson, I.H. (1996). Goal management training: A clinical manual. Cambridge, UK: PsyConsult.Google Scholar
Schwartz, M.F. (2006). The cognitive neuropsychology of everyday action and planning. Cognitive Neuropsychology, 23(1), 202221.CrossRefGoogle ScholarPubMed
Schwartz, M.F., Buxbaum, L.J., Ferraro, M., Veramonti, T., & Segal, M. (2003). The Naturalistic Action Test. Bury St. Edmunds, England: Thames Valley Test Company.Google Scholar
Schwartz, M.F., Buxbaum, L.J., Montgomery, M.W., Fitzpatrick-DeSalme, E., Hart, T., Ferraro, M., & Coslett, H.B. (1999). Naturalistic action production following right hemisphere stroke. Neuropsychologia, 37(1), 5166.CrossRefGoogle ScholarPubMed
Schwartz, M.F., Montgomery, M.W., Buxbaum, L.J., Lee, S.S., Carew, T.G., Coslett, H.B., & Mayer, N. (1998). Naturalistic action impairment in closed head injury. Neuropsychology, 12(1), 1328.CrossRefGoogle ScholarPubMed
Schwartz, M.F., Segal, M., Veramonti, T., Ferraro, M., & Buxbaum, L.J. (2002). The Naturalistic Action Test: A standardised assessment for everyday action impairment. Neuropsychological Rehabilitation, 12(4), 311339.CrossRefGoogle Scholar
Seidel, G.A., Giovannetti, T., Price, C.C., Tanner, J., Mitchell, S., Eppig, J. Libon, D.J. (2013). Neuroimaging correlates of everyday action in dementia. Journal of Clinical and Experimental Neuropsychology, 35(9), 9931005.CrossRefGoogle ScholarPubMed
Semkovska, M., Bédard, M.-A., Godbout, L., Limoge, F., & Stip, E. (2004). Assessment of executive dysfunction during activities of daily living in schizophrenia. Schizophrenia Research, 69(2-3), 289300.CrossRefGoogle Scholar
Sestito, N., Schmidt, K., Gallo, J., Giovannetti, T., & Libon, D. (2005). Using the Naturalistic Action Test (NAT) to assess everyday action in healthy older adults and patients with dementia. St. Louis, MO: International Neuropsychological Society.Google Scholar
Seter, C., Giovannetti, T., Kessler, R.K., & Worth, S. (2011). Everyday action planning in schizophrenia. Neuropsychological Rehabilitation, 21(2), 224249.CrossRefGoogle Scholar
Sohlberg, M.M., & Mateer, C.A. (2001). Cognitive rehabilitation: An integrative neuropsychological approach. New York: Guilford Press.Google Scholar
Wechsler, D. (1997). Wechsler Adult Intelligence Scale-III (WAIS-III). San Antonio, TX: The Psychological Corporation.Google Scholar
Wilson, B.A. (1999). Case studies in neuropsychological rehabilitation. New York: Oxford University Press.Google ScholarPubMed
Wilson, B.A., Alderman, N., Burgess, P.W., Emslie, H.C., & Evans, J.J. (1996). The behavioural assessment of the dysexecutive syndrome. Bury St. Edmunds, England: Thames Valley Test Company.Google Scholar
Wu, E.Q., Birnbaum, H.G., Shi, L., Ball, D.E., Kessler, R.C., Moulis, M. Aggarwal, J. (2005). The economic burden of schizophrenia in the United States in 2002. Journal of Clinical Psychiatry, 66(9), 11221129.CrossRefGoogle ScholarPubMed
Zanetti, O., Geroldi, C., Frisoni, G.B., Bianchetti, A., & Trabucchi, M. (1999). Contrasting results between caregiver’s report and direct assessment of activities of daily living in patients affected by mild and very mild dementia: The contribution of the caregiver's personal characteristics. Journal of the American Geriatrics Society, 47(2), 196202.CrossRefGoogle ScholarPubMed
Zayat, E., Rempfer, M., Gajewski, B., & Brown, C.E. (2011). Patterns of association between performance in a natural environment and measures of executive function in people with schizophrenia. Psychiatry Research, 187(1-2), 15.CrossRefGoogle Scholar
Zhu, C.W., Scarmeas, N., Torgan, R., Albert, M., Brandt, J., Blacker, D., & Stern, Y. (2006). Longitudinal study of effects of patient characteristics on direct costs in Alzheimer disease. Neurology, 67(6), 9981005.CrossRefGoogle ScholarPubMed
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