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KMID : 1177220070100010062
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Korean Journal of Schizophrenia Research
2007 Volume.10 No. 1 p.62 ~ p.70
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Characteristics of Patients with Schizophrenia for Problem-Solving Function in Social Situations Evaluated by a Virtual Reality Program
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Chun Jae-Young
Kim Jae-Jin
Jang Hee-Jeong
Kim So-Young
Kim Chan-Hyung
Kim Jae-Hun
Kim Kwang-Uk
Ku Jeong-Hun
Kim In-Young
Kim Sun-Il
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Abstract
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Objectives：We developed an easily applicable tool for an assessment of problem solving function in various social situations using the virtual reality technique. The aim of this study was to investigate characteristics of patients with schizophrenia for problem-solving in the social situations.
Methods：Participants were 30 patients of schizophrenia and 30 normal controls who carried out four virtual reality tasks including decision-making after the situational change, getting on an appropriate bus, making judgment against an inadequate request, and coping in the negatively emotional situation. Performances were compared between two groups, and were correlated with various clinical variables.
Results：The patients with schizophrenia considered that mother’s asking was less important than meeting with a friend (p<.05), and selected a deviated choice rather than a flexible solving (p<.01). The patients with schizophrenia made significantly less appropriate choices in the task of getting on the bus (p<.01). The patient with schizophrenia felt more intense negative emotion than the control group on the task of copying in the negatively emotional situation (p<.05).
Conclusion：These results indicate that the patients with schizophrenia have a deficit of problem-solving function in the social situations. Concreteness attributed to cognitive inflexibility seems to be an important factor for the deficits.
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KEYWORD
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Schizophrenia, Virtual reality, Problem-solving function, Social skill
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