Social functioning and social cognition in bipolar disorder: Is there a connection?

2016 ◽  
Vol 33 (S1) ◽  
pp. S336-S336
Author(s):  
V. Maria Iulia ◽  
R.C. Delphine ◽  
H. Audrey ◽  
K. Arthur
Keyword(s):  
Bipolar Disorder ◽  
Social Cognition ◽  
Social Functioning ◽  
Social Cognitive ◽  
Situational Factors ◽  
Global Functioning ◽  
Literature Searches ◽  
The Social ◽  
Competing Interest ◽  
Bipolar Patients

IntroductionThe research interest in social cognition in bipolar disorder has increased in a significant way in the last decade showing major impairments, especially in mental state reasoning, even during euthymia (Samamé et al., 2012; Samamé et al., 2015). Social cognitive processes in humans describe the ways individuals draw inferences about other people's beliefs and the ways they weigh social situational factors in making these inferences (Green et al., 2008). A causal relationship between social cognition deficits and global functioning has been already established in schizophrenic populations (Green et al., 2015). But there is still little information regarding the relation between social cognition and social functioning in bipolar disorder.AimsTo review the relationship between general/social functioning and social cognitive impairments in bipolar patients.MethodsA systematic review of literature was conducted. Relevant articles were identified through literature searches in PubMed/Medline, EBSCOHost and Google Scholar databases dating from 2000 to 2015 using the keywords “bipolar”, “social cognition”, “theory of mind”, “mentalizing”, “emotion recognition”, “emotion processing”, “functioning” and “quality of life”.ResultsThe findings of the review will be discussed, regarding the specificity of the thymic state of the patients and the social cognition instruments used.ConclusionsTo the best of our knowledge, the present review is the first to explore specifically the relation between the social cognition deficits and the general/social functioning of bipolar patients. This exploration is of interest for a better comprehension of this disorder to improve the outcome of the patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Social-Cognitive Bias and Depressive Symptoms in Outpatients with Bipolar Disorder

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Guillermo Lahera ◽  
Adolfo Benito ◽  
Ana González-Barroso ◽  
Rocío Guardiola ◽  
Sara Herrera ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Depressive Symptoms ◽  
Social Cognition ◽  
Functional Outcome ◽  
Cognitive Bias ◽  
Social Cognitive ◽  
Matched Control ◽  
Statistical Significance ◽  
Global Functioning ◽  
Bipolar Patients

A deficit of social cognition in bipolar disorder has been shown, even when patients are stable. This study compares the attribution of intentions (social-cognitive bias) in a group of 37 outpatients with bipolar disorder with 32 matched control subjects. Bipolar patients scored significantly higher in the Ambiguous Intentions Hostility Questionnaire, showing an angry and intentionality bias (P=.001,P=.02). Differences in blame scale and hostility bias did not reach statistical significance, but a trend was found (P=.06). Bipolar patients with depressive symptoms presented a higher score in the angry bias scale (P=.03) and aggressivity bias scale (P=.004). The global functioning (GAF) correlates significantly with intentionality (P=.005), angry (P=.027), and aggressivity (P=.020) biases. Bipolar patients show a social-cognitive bias that may play a role in their functional outcome.

Thought overactivation as a marker of bipolar disorder

2016 ◽  
Vol 33 (S1) ◽  
pp. s222-s223 ◽  
Author(s):  
M. Ferrari ◽  
P. Ossola ◽  
V. Lucarini ◽  
V. Accardi ◽  
C. De Panfilis ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Mood Disorders ◽  
Subjective Experience ◽  
Small Sample Size ◽  
Mental States ◽  
Small Sample ◽  
Bipolar Spectrum ◽  
Global Functioning ◽  
Competing Interest ◽  
Bipolar Patients

IntroductionRecent studies have underlined the importance of considering the form of thoughts, beyond their content, in order to achieve a better phenomenological comprehension of mental states in mood disorders. The subjective experience of thought overactivation is an important feature of mood disorders that could help in identifying, among patients with a depressive episode, those who belong to the bipolar spectrum.ObjectivesPatients with a diagnosis of bipolar disorder (BD) were compared with matched healthy controls (HC) on a scale that evaluates thought overactivation.AimsValidate the Italian version of a scale for thought overactivation (i.e. STOQ) in a sample of bipolar patients.MethodsThirty euthymic BD and 30 HC completed the Subjective Thought Overactivation Questionnaire (STOQ), the Ruminative Responses Scale (RRS), the Beck Depression Inventory-II (BDI-II) and global functioning (VGF).ResultsThe 9-items version of the STOQ has been back translated and its internal consistency in this sample was satisfactory (alpha = .91). Both the brooding subscore of RRS (b-RRS) (r = .706; P < .001) and STOQ (r = .664; P < .001) correlate significantly with depressive symptoms whereas only the first correlate with VGF (r = –.801; P < .001). The two groups did not differed in the b-RRS (HC = 8.41 vs BD = 9.72; P = .21), whereas BD where significantly higher in the STOQ total score (HC = 6.62 vs. BD = 14.9; P = .007).ConclusionOur results, although limited by the small sample size, confirm the validity of the STOQ and suggest that this scale could grasp a feature characteristic of BD, independently from their tendency to ruminate. The latter seems to impact more on global functioning.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Functional outcome and social cognition in bipolar disorder: Is there a connection?

2018 ◽  
Vol 52 ◽  
pp. 116-125 ◽  
Author(s):  
Maria Vlad ◽  
Delphine Raucher-Chéné ◽  
Audrey Henry ◽  
Arthur Kaladjian
Keyword(s):  
Bipolar Disorder ◽  
Social Cognition ◽  
Functional Outcome ◽  
Social Functioning ◽  
Emotion Processing ◽  
Exclusion Criteria ◽  
Literature Searches ◽  
Attribution Bias ◽  
The Relationship ◽  
Improve Patient

AbstractBackground:Interest in social cognition in bipolar disorder (BD) has increased considerably over the past decade, with studies highlighting major impairments, especially in mental state reasoning, even during euthymia. A causal relationship between social cognition deficits and social functioning has already been established in individuals with schizophrenia, but there is still little information about links between social cognition and social functioning in BD. Our aim was therefore to review the relationship between functional outcome and social cognition in patients with BD.Methods:We conducted a systematic review of the literature. Relevant articles were identified through literature searches in the MEDLINE/PubMed, EBSCOHost and Google Scholar databases for the years 2000–2017, using the keywordsbipolar, social cognition, theory of mind, mentalizing, emotion recognition, emotion processing, andfunctioning.A total of 20 studies met our inclusion/exclusion criteria.Results:We found that functioning was significantly correlated with three domains of social cognition (ToM, emotion processing, and attribution bias). Twelve of 13 studies reported a correlation with emotion processing, but a correlation with ToM was only found in three of the 11 studies that assessed it. Six studies found an effect of depressive symptoms on emotion processing and no significant association was found with manic symptomatology.Conclusions:To the best of our knowledge, the present review is the first to specifically explore the relationship between social cognition and social functioning in patients with BD. This exploration is of interest, as it enhances current understanding of this disorder and, by so doing, should improve patient outcomes.

Emotional intelligence in bipolar disorder

2016 ◽  
Vol 33 (S1) ◽  
pp. S330-S330
Author(s):  
E. Chapela ◽  
J. Quintero ◽  
M. Félix-Alcántara ◽  
I. Morales ◽  
C. Javier ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Emotional Intelligence ◽  
Mental Disorders ◽  
Social Cognitive ◽  
Type I ◽  
Severe Mental Disorders ◽  
Factors Affecting ◽  
Principal Factors ◽  
Competing Interest ◽  
Bipolar Patients

IntroductionEmotional intelligence is defined as the ability to process, understand and manage emotions. In bipolar disorder seem to be more conserved, with less functional impairment than other severe mental disorders as schizophrenia. So far, there are few studies analyzing emotional intelligence in bipolar disorder.ObjectiveThe objective of this research is to better understand the different characteristics and the factors affecting these social-cognitive dysfunctions in bipolar disorder.AimsTo explore possible factors related to emotional intelligence in these severe mental disorders: symptoms, cognitive functioning, quality of life and psychosocial function.Material and methodsTwenty-six adults bipolar type I patients were examined using MSCEIT (the most validated test for emotional intelligence), BPRS, YMRS, HDRS, WAIS-IV, TMT and Rey Figure in order to determine the level of emotional intelligence and factors relate.ResultsBipolar patients show lack of emotional intelligence when compared with general population. Cognitive impairment and age are the principal factors related.DiscussionResults are discussed and compared with recent literature.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Social cognition in first-degree relatives of bipolar disorder: Theory of Mind and nonverbal sensitivity

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0246908
Author(s):  
Usue Espinós ◽  
Enrique G. Fernández-Abascal ◽  
Mercedes Ovejero ◽  
Guillermo Lahera
Keyword(s):  
Bipolar Disorder ◽  
Social Cognition ◽  
Theory Of Mind ◽  
Social Cognitive ◽  
Control Group ◽  
Type I ◽  
Nonverbal Sensitivity ◽  
First Degree Relatives ◽  
Significant Impairment ◽  
Bipolar Patients

Social cognition might be impaired in first degree relatives (FDR) of BD but existing research shows controversial results about social cognitive impairments in this population. The aim of this study was to assess Theory of Mind (ToM) and nonverbal sensitivity in FDR of BD and compare the results with those of two groups of persons with remitted bipolar disorder (BD), type I and II, and a control group. Social cognitive ability was examined in first degree relatives of BD, with a biological parent, offspring or sibling diagnosed with the disorder. For this study, 37 FDRs of bipolar patients, 37 BD I, 40 BD II and 40 control participants were recruited. Social cognition was explored by means of the Reading the Mind in the Eyes Test and the MiniPONS. Results showed a significant impairment in FDR of BD in the ToM task, but not in nonverbal sensitivity. Performance of FDRs in social cognition is better than that of BDs (either type I or type II) but worse when compared with that of healthy individuals without a family history of psychiatric disorders. Nevertheless, no differences were found between BD I and BD II groups. Males and older participants showed a worse performance in all groups. Group family therapy with FDRs of BD might include training in the recognition of nonverbal cues, which might increase the understanding of their familiars with BD, in order to modify communication abilities.

Disorganization and Social Cognition: Data from the Italian Network of Research on Psychoses

2017 ◽  
Vol 41 (S1) ◽  
pp. S39-S40
Author(s):  
P. Rocca
Keyword(s):  
Social Cognition ◽  
Social Functioning ◽  
Cognitive Processes ◽  
Indirect Effects ◽  
Negative Symptoms ◽  
Social Cognitive ◽  
The Core ◽  
Competing Interest ◽  
Socially Relevant ◽  
Multi Center Study

Social cognition (SC) refers broadly to the domains of cognitive functions that are employed in socially relevant situations. These disturbances have been found to be strongly related to disorganized and negative symptoms in schizophrenia. Each of the disorganization symptoms suggests a diminishment or absence of organization. There seems to be a loss of the ability to be directed toward or committed to a particular focal topic or goal. Such conditions are likely to impact patients’ drives or motivations to initiate goal-directed activities that could yield pleasurable opportunities. Moreover, it has been suggested that disorganized symptoms are an integral link in cognitive pathways, with connections between cognitive processes weakening as disorganized symptoms increase. Thus, it seems that when disorganized symptoms are present, people with schizophrenia are no longer able to effectively utilize the neurocognitive abilities necessary for performing social cognitive or metacognitive tasks. It is also in line with models of disorganization in schizophrenia (Bleuler, 1911) that a “loosening of associations”—similar to current conceptualizations of disorganized symptoms—is at the core of these cognitive disruptions. Previous research has linked disorganization to cognition (neurocognition and SC) and cognition to social functioning, although in separate studies. The present study was conducted to explore a model, where disorganization predicted social functioning both directly both through indirect effects on other determinants (neurocognition, SC and negative symptoms) in a large, and well-characterized sample of patients with schizophrenia recruited in the context of a multi-center study of the Italian Network for Research on Psychoses (NIRP).Disclosure of interestThe author declares that he has no competing interest.

scholarly journals Examining the association between social cognition and functioning in individuals at ultra-high risk for psychosis

2016 ◽  
Vol 51 (1) ◽  
pp. 83-92 ◽  
Author(s):  
Jack Cotter ◽  
Cali Bartholomeusz ◽  
Alicia Papas ◽  
Kelly Allott ◽  
Barnaby Nelson ◽  
...  
Keyword(s):  
Social Cognition ◽  
High Risk ◽  
Theory Of Mind ◽  
Cognitive Abilities ◽  
Social Cognitive ◽  
Role Functioning ◽  
Global Functioning ◽  
The Social ◽  
Ultra High Risk ◽  
Risk Patients

Objective: Social and role functioning are compromised for the majority of individuals at ultra-high risk of psychosis, and it is important to identify factors that contribute to this functional decline. This study aimed to investigate social cognitive abilities, which have previously been linked to functioning in schizophrenia, as potential factors that impact social, role and global functioning in ultra-high risk patients. Method: A total of 30 ultra-high risk patients were recruited from an established at-risk clinical service in Melbourne, Australia, and completed a battery of social cognitive, neurocognitive, clinical and functioning measures. We examined the relationships between all four core domains of social cognition (emotion recognition, theory of mind, social perception and attributional style), neurocognitive, clinical and demographic variables with three measures of functioning (the Global Functioning Social and Role scales and the Social and Occupational Functioning Assessment Scale) using correlational and multiple regression analyses. Results: Performance on a visual theory of mind task (visual jokes task) was significantly correlated with both concurrent role ( r = 0.425, p = 0.019) and global functioning ( r = 0.540, p = 0.002). In multivariate analyses, it also accounted for unique variance in global, but not role functioning after adjusting for negative symptoms and stress. Social functioning was not associated with performance on any of the social cognition tasks. Conclusion: Among specific social cognitive abilities, only a test of theory of mind was associated with functioning in our ultra-high risk sample. Further longitudinal research is needed to examine the impact of social cognitive deficits on long-term functional outcome in the ultra-high risk group. Identifying social cognitive abilities that significantly impact functioning is important to inform the development of targeted intervention programmes for ultra-high risk individuals.

scholarly journals Social Cognition, Language, and Social Behavior in 7-Year-Old Children at Familial High-Risk of Developing Schizophrenia or Bipolar Disorder: The Danish High Risk and Resilience Study VIA 7—A Population-Based Cohort Study

2019 ◽  
Vol 45 (6) ◽  
pp. 1218-1230 ◽  
Author(s):  
Camilla Jerlang Christiani ◽  
Jens R M Jepsen ◽  
Anne Thorup ◽  
Nicoline Hemager ◽  
Ditte Ellersgaard ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Social Cognition ◽  
Social Behavior ◽  
High Risk ◽  
Social Functioning ◽  
Population Based ◽  
Social Responsiveness ◽  
Developmental Phase ◽  
Bonferroni Correction ◽  
Familial High Risk

Abstract Objective To characterize social cognition, language, and social behavior as potentially shared vulnerability markers in children at familial high-risk of schizophrenia (FHR-SZ) and bipolar disorder (FHR-BP). Methods The Danish High-Risk and Resilience Study VIA7 is a multisite population-based cohort of 522 7-year-old children extracted from the Danish registries. The population-based controls were matched to the FHR-SZ children on age, sex, and municipality. The FHR-BP group followed same inclusion criteria. Data were collected blinded to familial high-risk status. Outcomes were social cognition, language, and social behavior. Results The analysis included 202 FHR-SZ children (girls: 46%), 120 FHR-BP children (girls: 46.7%), and 200 controls (girls: 46.5%). FHR-SZ children displayed significant deficits in language (receptive: d = −0.27, P = .006; pragmatic: d = −0.51, P < .001), social responsiveness (d = −0.54, P < .001), and adaptive social functioning (d = −0.47, P < .001) compared to controls after Bonferroni correction. Compared to FHR-BP children, FHR-SZ children performed significantly poorer on adaptive social functioning (d = −0.29, P = .007) after Bonferroni correction. FHR-BP and FHR-SZ children showed no significant social cognitive impairments compared to controls after Bonferroni correction. Conclusion Language, social responsiveness, and adaptive social functioning deficits seem associated with FHR-SZ but not FHR-BP in this developmental phase. The pattern of results suggests adaptive social functioning impairments may not be shared between FHR-BP and FHR-SZ in this developmental phase and thus not reflective of the shared risk factors for schizophrenia and bipolar disorder.

scholarly journals Are There Gender Differences in Social Cognition in First-Episode Psychosis?

Women ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 204-211
Author(s):  
Marina Verdaguer-Rodríguez ◽  
Raquel López-Carrilero ◽  
Marta Ferrer-Quintero ◽  
Helena García-Mieres ◽  
Luciana Díaz-Cutraro ◽  
...  
Keyword(s):  
Gender Differences ◽  
Social Cognition ◽  
Attributional Style ◽  
Social Cognitive ◽  
First Episode Psychosis ◽  
Test Theory ◽  
First Episode ◽  
Cognitive Domains ◽  
Episode Psychosis ◽  
The Social

The aim of this study was to explore gender differences in social cognition in a sample of first-episode psychosis (FEP). An observational descriptive study was performed with 191 individuals with FEP. Emotion perception was assessed using the Faces Test, theory of mind was assessed using the Hinting Task, and attributional style was assessed using the Internal, Personal and Situational Attributions Questionnaire. No gender differences were found in any of the social cognitive domains. Our results suggest that men and women with FEP achieve similar performances in social cognition. Therefore, targeting specific needs in social cognition regarding gender may not be required in early interventions for psychosis.

The emotional intelligence in severe mental disorders: A comparative study in schizophrenia and bipolar disorder

2016 ◽  
Vol 33 (S1) ◽  
pp. S330-S331
Author(s):  
E. Chapela ◽  
M. Félix-Alcántara ◽  
J. Quintero ◽  
I. Morales ◽  
J. Gómez-Arnau ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Emotional Intelligence ◽  
Mental Disorders ◽  
Clinical Care ◽  
Descriptive Analysis ◽  
Assessment Tools ◽  
Severe Mental Disorders ◽  
Assessment Protocol ◽  
Competing Interest ◽  
Bipolar Patients

IntroductionSevere mental disorders have deficits in different aspects of social cognition, which seem to be more pronounced in patients with schizophrenia compared to those with bipolar disorder. Emotional intelligence, defined as the ability to process, understand and manage emotions, is one of the main components of the sociocognition. Both in schizophrenia and bipolar disorder have been described changes in emotional intelligence, but only few studies compare both disorders.ObjectivesThe objective of this research is to increase knowledge about the differences between schizophrenia and bipolar disorder.AimsTo compare emotional intelligence in patients with schizophrenia versus bipolar patients.MethodsSeventy-five adult patients with schizophrenia and bipolar disorder were evaluate.The assessment protocol consisted of a questionnaire on socio-demographic and clinical-care data, and a battery of assessment scales (BPRS, PANSS, SCID-I-RV, YMRS, HDRS, CGI-S, EEAG, MSCEIT). Among the assessment tools of emotional intelligence, we select MSCEIT as the most validated.Statistical analysis was performed using SPSS 23 version. After the descriptive analysis of the data, we compare the results of the scales.ResultsBoth disorders show a deterioration of emotional intelligence compared to the general population. There were no statistically significant differences in the comparison of emotional intelligence between schizophrenia and bipolar disorder.ConclusionSchizophrenia and bipolar disorder have deficits in emotional intelligence, while it is difficult to show differences between them. These changes in emotional intelligence are part of a set of cognitive, social and non-social skills, which are altered in these severe mental disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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