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Does motivation and effort predict improvement on psychosocial functioning in schizophrenia (SZ)?

Published online by Cambridge University Press:  26 August 2025

X. Ansorena ,
E. Rosado ,
J. Chato ,
A. Zarzuela ,
A. Ballesteros ,
J. I. Arrarás ,
F. Gorriz ,
A. M. Sánchez-Torres  and
M. J. Cuesta
X. Ansorena*
Affiliation:
Instituto de Investigación Sanitaria de Navarra (IDISNA)
E. Rosado
Affiliation:
Instituto de Investigación Sanitaria de Navarra (IDISNA)
J. Chato
Affiliation:
Instituto de Investigación Sanitaria de Navarra (IDISNA)
A. Zarzuela
Affiliation:
Clínica de Rehabilitación de Salud Mental, Hospital Universitario de Navarra
A. Ballesteros
Affiliation:
Clínica de Rehabilitación de Salud Mental, Hospital Universitario de Navarra
J. I. Arrarás
Affiliation:
Clínica de Rehabilitación de Salud Mental, Hospital Universitario de Navarra
F. Gorriz
Affiliation:
Clínica de Rehabilitación de Salud Mental, Hospital Universitario de Navarra
A. M. Sánchez-Torres
Affiliation:
Departamento de Ciencias de la Salud, Universidad Pública de Navarra
M. J. Cuesta
Affiliation:
Servicio de Psiquiatría, Hospital Universitario de Navarra, Pamplona, Spain
*
*Corresponding author.

Abstract

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Introduction

Previous research suggests that motivational factors relate to psychosocial functioning in SZ, both concurrently (Tobe et al. Compr Psychiat 2016; 65 103-109) and at follow-up (Fervaha et al. Acta Psychiat Scand 2014; 130 290-299). Importantly, no study has examined the influence of baseline motivation on the rate of change in response to rehabilitation

Objectives

  1. 1. To study the relationship between baseline measures of motivation/ effort with psychosocial functioning at follow-up

  2. 2. To examine if motivation/ effort predict individual change in psychosocial functioning

Methods

Participants

Table 1 summarizes the sample characteristics

Results

Figures 1 and 2 show individuals slopes for PSP and FAST, with a thick red line representing the average group slopes. For both PSP and FAST, models with only time as the independent variable and random intercepts indicated that time was a significant predictor (PSP: t=10.65, p<.0001; FAST: t =-6.13, p<.0001).

Baseline motivation/ effort → follow-up psychosocial functioning

No significant correlations were found for neither PSP scores (QLS: ρ=-.018, S=2343.3, p=.93, IMI: P=.23, t=1.09, p=.28, effort: ρ=.001, S=2297.3, p=.99) nor FAST scores (QLS: ρ=-.16, S=2674.9, p=.45, IMI: P=-.02, t=-0.09, p=.92, effort: ρ=.07, S=2128, p=.72).

Motivation → change in psychosocial functioning

For PSP, the interaction model (Table 2) shows that the interaction of effort and timepoint significantly predicts PSP scores

VariableFrequencyMean/ percentageStandard deviation
Age3040.9712.9
Gender30
Male1963%
Female1137%
Years of Education2411.423.06
Diagnosis30
… Schizophrenia2373%
… Schizoaffective disorder723%

Figure 1. Individual slopes for PSP scores

Figure 2. Individual slopes for FAST scores

Image:

Image 2:

Image 3:

Conclusions

Patients showed an improvement after rehabilitation. Effort can explain this trend. Finally, unlike previous studies, basal motivation did not predict follow-up psychosocial functioning

Disclosure of Interest

None Declared

Information

Type
Abstract
Information
European Psychiatry , Volume 68 , Special Issue S1: Abstracts of the 33rd European Congress of Psychiatry , April 2025 , pp. S1007 - S1008
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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