Interventions for social cognitive deficits

2021 ◽  
pp. 83-88
Author(s):  
Bernhard T. Baune
Keyword(s):  
Theory Of Mind ◽  
Cognitive Deficits ◽  
Psychosocial Functioning ◽  
Social Cognitive ◽  
Antidepressant Medication ◽  
Facial Affect ◽  
Treatment Modalities ◽  
Affect Recognition ◽  
Facial Affect Recognition ◽  
Social Cognitive Deficits

Interventions for social cognitive deficits establishes the large impact these deficits exert on psychosocial functioning in major depressive disorder. The chapter reviews a variety of impairments of social cognition and how these may influence psychosocial functioning in the key domains of social performance, emotional/empathic performance, general cognitive functioning, and quality of life. It introduces multiple treatment modalities including antidepressant medication, psychotherapeutic approaches, and procedural interventions with potential treatment efficacy on facial affect recognition, interpretation of affective pictures, theory of mind performance, and prosody. It reviews evidence indicating that many current therapies are shown to have a normalizing effect on the accuracy of interpretation and the reduction of underlying negative interpretative bias. It concludes from evaluating the literature that certain antidepressants seem to correct facial affect recognition deficits, and several psychotherapeutic approaches appear well-suited for addressing impaired theory of mind or mood-congruent interpretive biases.

Social Cognitive Deficits: Impact on Psychosocial Function and Novel Treatment Opportunities in Major Depressive Disorder

2019 ◽  
pp. 269-280
Author(s):  
Michael Weightman ◽  
Bernhard T. Baune
Keyword(s):  
Major Depressive Disorder ◽  
Social Cognition ◽  
Theory Of Mind ◽  
Depressive Disorder ◽  
Psychosocial Functioning ◽  
Facial Affect ◽  
Affect Recognition ◽  
Facial Affect Recognition ◽  
Major Depressive ◽  
The Impact

This chapter examines current literature regarding the impact of social cognition on psychosocial functioning in major depressive disorder, as well as potential treatment opportunities. Impairments of social cognition influence psychosocial functioning in the key domains of social performance, emotional/empathic performance, general cognitive functioning, and quality of life. Multiple treatment modalities have been used to target these difficulties, including antidepressant medication, psychotherapeutic approaches, and procedural interventions. Studies assess treatment efficacy based on the impact on facial affect recognition, interpretation of affective pictures, theory of mind performance, and prosody. Many current therapies are shown to have a normalizing effect for accuracy of interpretation and reduction in underlying negative interpretative bias. In particular, certain antidepressants seem to correct facial affect recognition deficits, while several psychotherapeutic approaches appear well suited for addressing impaired theory of mind or mood-congruent interpretative biases.

scholarly journals Social cognition and major depressive disorder: impact on psychosocial function and therapeutic opportunities

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S300-S300
Author(s):  
Michael Weightman ◽  
Bernhard Baune
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Cognitive Deficits ◽  
Psychosocial Functioning ◽  
Social Cognitive ◽  
Major Depressive ◽  
Depressed Patients ◽  
The Social ◽  
Social Cognitive Deficits ◽  
The Impact

AimsThis poster aims to examine the impact of social cognitive deficits on psychosocial functioning in depressed patients, as well as summarise the utility of various evidence-based therapeutic interventions employed to target these deficits. The stated hypotheses were twofold: (1) that social cognitive impairment in major depressive disorder will correlate with poorer psychosocial functioning; and (2) that these deficits will respond to existing anti-depressant therapies.BackgroundSocial cognition is an important adaptive trait that incorporates the identification, perception and interpretation of socially relevant information from the external world. It is frequently affected in major depressive disorder such that depressed patienMethodA review of the existing literature was performed in order to test the stated hypotheses. Pertinent sources were identified via the MEDLINE, EMBASE, PsycINFO, PubMed, Scopus and Google Scholar databases. A total of 107 studies met inclusion criteria for review.ResultImpaired social cognitive performance in depressed patients correlated with poorer psychosocial functioning across the key domains of general cognitive functioning and quality of life. Many current anti-depressant therapies were found to have a normalising effect on the social cognitive abilities of depressed subjects, both at a neural and functional level. Anti-depressant medications, in particular citalopram and reboxetine, appeared to correct facial affect recognition deficits, while a psychotherapeutic approach demonstrated improvements in theory of mind and negative interpretive bias. Data relating to other common treatments, such as electroconvulsive therapy, are limited.ConclusionThe impact and treatment of social cognitive deficits in major depressive disorder is an important emerging field. The social cognitive deficits evident in depressed patients are sometimes subtle, but afford a significant functional impact. Additionally, it appears these impairments are at least partially reversible using anti-depressants or psychotherapy.

Community Integration in Traumatic Brain Injury: The Contributing Factor of Affect Recognition Deficits

2019 ◽  
Vol 25 (08) ◽  
pp. 890-895 ◽  
Author(s):  
Allison S. Binder ◽  
Katie Lancaster ◽  
Jean Lengenfelder ◽  
Nancy D. Chiaravalloti ◽  
Helen M. Genova
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Deficits ◽  
Social Cognitive ◽  
Community Integration ◽  
Well Being ◽  
Affect Recognition ◽  
Dynamic Task ◽  
Inference Test ◽  
Social Cognitive Deficits

AbstractObjective: Individuals with traumatic brain injury (TBI) can experience social isolation, which is damaging to well-being and counterproductive to successful rehabilitation. It has been proposed that social cognitive deficits that commonly result from TBI may contribute to weakened social integration. However, the consequences of specific social cognitive deficits in TBI are still being delineated. The current work sought to better characterize the relationship between community integration and facial affect recognition (FAR) in TBI. Participants and Methods: A total of 27 participants with moderate to severe TBI and 30 healthy controls (HCs) completed two tests of FAR, which employed either static photographic stimuli or dynamic video stimuli (The Awareness of Social Inference Test). The Community Integration Questionnaire was also administered to participants. Results: Participants with TBI were significantly impaired on both the static and dynamic FAR measures, yet the deficits were most pronounced within the dynamic task. Furthermore, participants with TBI reported lower community integration compared with HCs. FAR was positively associated with community integration in both groups, such that participants with proficient affect recognition skills were better integrated into their communities. Conclusions: FAR deficits may contribute to the lack of community integration often observed in TBI; thus, interventions designed to improve FAR may be beneficial to this population’s ability to successfully reintegrate into society.

scholarly journals Evidence for deficits in facial affect recognition and theory of mind in multiple sclerosis

2009 ◽  
Vol 15 (2) ◽  
pp. 277-285 ◽  
Author(s):  
JULIE D. HENRY ◽  
LOUISE H. PHILLIPS ◽  
WILLIAM W. BEATTY ◽  
SKYE MCDONALD ◽  
WENDY A. LONGLEY ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
White Matter ◽  
Theory Of Mind ◽  
Cognitive Functioning ◽  
Executive Dysfunction ◽  
Facial Affect ◽  
Emotion Understanding ◽  
Future Research ◽  
Affect Recognition ◽  
Facial Affect Recognition

AbstractMultiple sclerosis (MS) is a white matter disease associated with neurocognitive difficulties. More recently the potential for white matter pathology to also disrupt important aspects of emotion understanding has been recognized. However, no study to date has assessed whether capacity for facial affect recognition and theory of mind (ToM) is disrupted in MS, or whether any observed deficits are related to more general cognitive impairment. In the present study MS participants (n = 27) and nonclinical controls (n = 30) were administered measures of facial affect recognition, ToM, and cognitive functioning. MS participants were significantly impaired on the ToM task, and also presented with specific deficits decoding facial emotions of anger and fear. Performance on the measures of facial affect recognition and ToM were related to general cognitive functioning, and in particular, measures sensitive to executive dysfunction and information processing speed. These data highlight the need for future research to more fully delineate the extent and implications of emotion understanding difficulties in this population. (JINS, 2009, 15, 277–285.)

Social Cognition in Individuals with Progressive Multiple Sclerosis: A Pilot Study Using TASIT-S

2020 ◽  
Vol 26 (5) ◽  
pp. 539-544 ◽  
Author(s):  
Helen M. Genova ◽  
Skye McDonald
Keyword(s):  
Multiple Sclerosis ◽  
Social Cognition ◽  
Pilot Study ◽  
Cognitive Abilities ◽  
Social Cognitive ◽  
Short Form ◽  
Facial Affect ◽  
Affect Recognition ◽  
Facial Affect Recognition ◽  
Social Inference

AbstractObjective:Individuals with multiple sclerosis (MS) can have difficulty on tasks requiring social cognition, including Theory of Mind (ToM) and facial affect recognition. However, most research on social cognition in MS has focused on Relapsing–Remitting MS; less is known about deficits in individuals with progressive MS. This pilot study examined the social cognitive abilities of individuals with progressive MS on a dynamic social cognition task: The Awareness of Social Inference Test – Short Form (TASIT-S).Methods:Fifteen individuals with progressive MS and 17 healthy controls performed TASIT-S, which includes 3 subtests assessing facial affect recognition and ToM.Results:The MS group was impaired on all subtests of TASIT-S, including Emotion Evaluation, Social Inference – Minimal, and Social Inference – Enriched, which examine facial affect recognition and ToM. Deficits on TASIT-S were significantly correlated with several cognitive abilities including working memory, learning memory, and verbal IQ.Conclusions:Our findings suggest individuals with progressive MS were impaired across multiple social cognition domains as assessed by the TASIT-S. Furthermore, social cognitive abilities were related to cognitive abilities such as visuospatial memory and executive abilities. Results are discussed in terms of social cognition deficits in MS and how they relate to cognitive abilities.

Cognitive but Not Affective Theory of Mind Deficits in Progressive MS

2019 ◽  
Vol 25 (08) ◽  
pp. 896-900
Author(s):  
Katie Lancaster ◽  
Eric M. Stone ◽  
Helen M. Genova
Keyword(s):  
Theory Of Mind ◽  
Cognitive Ability ◽  
Cognitive Deficits ◽  
Social Cognitive ◽  
Assessment Tool ◽  
Poor Performance ◽  
Healthy Controls ◽  
General Cognitive Ability ◽  
Cognitive Component ◽  
Social Cognitive Deficits

AbstractObjective:Social cognitive deficits are an important consequence of multiple sclerosis (MS), yet our understanding of how these deficits manifest in progressive MS is currently limited. To this end, we examined theory of mind (ToM) ability in a sample of individuals with progressive MS using an ecologically valid virtual assessment tool that allows for delineation of cognitive ToM (inferring thoughts and intentions of others) from affective ToM (inferring emotions of others).Methods & Results:We compared 15 individuals with progressive MS and 15 healthy controls on their ToM ability using the Virtual Assessment of Mentalising Ability. We found that, relative to healthy controls, participants with progressive MS were impaired in cognitive ToM, but not in affective ToM. Furthermore, we found that the MS participants’ deficits in cognitive ToM were mediated by their general cognitive ability such that poor cognitive ToM ability in MS was explained by poor performance on tests of memory and processing speed.Conclusions:Our findings demonstrate that ToM deficits in progressive MS may be limited to cognitive ToM, while affective ToM is conserved. This could be attributable to the MS-related deficits in general cognitive ability, which appear to negatively affect only the cognitive component of ToM.

scholarly journals Computational methods for integrative evaluation of confidence, accuracy, and reaction time in facial affect recognition in schizophrenia

2021 ◽  
Vol 25 ◽  
pp. 100196
Author(s):  
Varsha D. Badal ◽  
Colin A. Depp ◽  
Peter F. Hitchcock ◽  
David L. Penn ◽  
Philip D. Harvey ◽  
...  
Keyword(s):  
Reaction Time ◽  
Computational Methods ◽  
Facial Affect ◽  
Affect Recognition ◽  
Facial Affect Recognition ◽  
Integrative Evaluation
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