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Motivation and Its Relationship to Neuro-cognition and Functional Outcome in Schizophrenia



dr. AAAA Kusumawardhani, SpKJ(K), MPH

Motivational and cognitive deficits are core features of schizophrenia, both closely linked with functional outcomes. schizophrenia is a severe mental illness characterized by a constellation of signs and symptoms; including positive, negative, and cognitive symptoms. Cognitive impairments and negative symptoms are considered core features of schizophrenia that also represent key predictors of functional outcome. Cognitive capacity is one factor that impact the ability to learn, and the neuropsychological deficits is very prevalent in schizophrenia; this has been identified as a rate - limiting factor or treatment outcome in schizophrenia.
Motivation is a key determinant of psychosocial treatment outcome and thus  increasingly recognized as an important target for behavioral interventions. Research to date indicates that in learning context, motivation systems in schizophrenia are qualitatively similiar but quantitatively different from those of non - psychiatric populations. Research in schizophrenia samples indicates that intrinsic motivation to learn is malleable and like vocational training; the context - specific functions of motivation need to be appreciated.

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