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Cadernos Brasileiros de Terapia Ocupacional

On-line version ISSN 2526-8910


MACEDO, Mônica; MARQUES, António; QUEIROS, Cristina  and  MARIOTTI, Milton Carlos. Schizophrenia, instrumental activities of daily living and executive functions: a qualitative multidimensional approach. Cad. Bras. Ter. Ocup. [online]. 2018, vol.26, n.2, pp.287-298. ISSN 2526-8910.


People with schizophrenia often present difficulties in social and occupational reintegration that may be associated with problems in performing daily activities. Executive dysfunction is one of the factors associated to these difficulties.


In this study we sought to know and analyze the potentialities and difficulties of people with schizophrenia regarding the Instrumental Activities of Daily Living, specifically the components related to executive dysfunction through the perception of people with schizophrenia, family members and professionals who participate in support associations in Brazil and In Portugal. Method: Data was obtained through 2 focus groups for each representation (users, family and professionals), with a mean of 6.7 participants per group (N=40). Data were analyzed through Interpretive Phenomenological Analysis.


We identified three main themes and their respective subtopics: The to (not) do in its essence - lack of meaning, dissatisfaction and lack of autonomy; Impediments - decreased volition, inflexibility and action and difficulty in planning routines and tasks; Environmental factors - family, association and professionals.


We conclude that the insufficiency in the occupational performance of people with schizophrenia in relation to IADL, directly related to executive dysfunction, reveals the importance of specific rehabilitation programs for this population, aiming at cognitive and occupational improvements.

Keywords : Schizophrenia; Executive Function; Daily Activities.

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