The impact of the different dimensions of social cognition on functional outcome in schizophrenia

2016 ◽  
Vol 33 (S1) ◽  
pp. S67-S68
Author(s):  
P. Rocca
Keyword(s):  
Social Cognition ◽  
Theory Of Mind ◽  
Attributional Style ◽  
Social Withdrawal ◽  
Real Life ◽  
Cluster Membership ◽  
Social Patterns ◽  
Life Functioning ◽  
Competing Interest ◽  
The Impact

Social cognition (SC) refers broadly to the domains of cognitive functions that are employed in socially relevant situations. These include three primary domains (i.e., emotion perception, Theory of Mind-TOM-, and attributional style), as well as more complex and developing concepts such as social metacognition.Patients with schizophrenia demonstrate significant deficits across multiple dimensions of SC and throughout all phases of the illness.The correlation between SC and real-life functioning ranged from small to large, mainly depending on the examined aspect of SC, with largest effects observed for TOM. Indeed, it has been suggested that TOM difficulties may lead to social misperceptions that influence how an individual reacts to others, which in turn may lead to maladaptive social patterns and/or social withdrawal, which both may influence real-life vocational outcome more than neurocognition (NC) abilities. Moreover, SC appears to act as a mediator between nonsocial basic NC and community functioning.The goals of this study are to analyze the pattern of SC variables in schizophrenia using cluster analysis, to examine the relationship of real-life functioning with cluster membership, and to identify cut-offs that best discriminate among clusters in a large sample of patients with schizophrenia recruited to the Italian Network for Research on Psychoses (NIRP). A full assessment of different aspects of SC was carried out, including emotional intelligence, recognition and theory of mind (TOM).Disclosure of interestThe author has not supplied his declaration of competing interest.

The social cognition individualized activities lab: Implementation of a new remediation intervention for social cognition

2016 ◽  
Vol 33 (S1) ◽  
pp. S567-S567
Author(s):  
D. Palumbo ◽  
A. Mucci ◽  
G. Piegari ◽  
M. Chieffi ◽  
A. Mazza ◽  
...  
Keyword(s):  
Social Skills ◽  
Social Cognition ◽  
Real Life ◽  
The Social ◽  
Study Results ◽  
Life Functioning ◽  
Individualized Training ◽  
Group Sessions ◽  
Individualized Activities ◽  
The Impact

IntroductionPeople with schizophrenia exhibit deficits in neurocognitive and social cognitive (SC) processes which limit their social reintegration. SC was found to mediate in part the impact of neurocognitive dysfunctions on real-life functioning.ObjectiveThe purpose of this study was to implement a new intervention for patients with schizophrenia, the Social Cognition Individualized Activities Lab (So.C.I.A.L.) which trains both social cognition and neurocognitive functions.AimsTo determine the efficacy of the So.C.I.A.L in improving SC by a comparison with a validated cognitive remediation (CR) intervention: the Social Skills And Neurocognitive Individualized Training (SSANIT).MethodsNine stabilized patients accepted to participate in this pilot study. Five were randomized to So.C.I.A.L. and 4 to SSANIT. The two programs were matched for the overall treatment duration (20 weeks), as well as frequency and duration of the sessions. Both interventions included individual sessions of neurocognitive individualized training; So.C.I.A.L included group sessions on Emotion Recognition and Theory of Mind, while SSANIT group sessions of Social Skills Individualized Training.ResultsNo group difference was found for changes in neurocognition, while a significant group effect was observed for changes in SC, due to improvement only in the So.C.I.A.L. group.ConclusionsThe study results showed a specific effect of the So.C.I.A.L. on SC, beyond the effect on neurocognition. Further studies are needed to assess the impact of So.C.I.A.L. on real-life functioning in a larger group of subjects.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Cognitive Dysfunctions in the Psychoses and their Impact on Patients’ Social Functioning

2017 ◽  
Vol 41 (S1) ◽  
pp. S48-S48
Author(s):  
A. Mucci ◽  
S. Galderisi
Keyword(s):  
Quality Of Life ◽  
Social Cognition ◽  
Theory Of Mind ◽  
Cognitive Deficits ◽  
Psychotic Disorders ◽  
Real Life ◽  
Advisory Board ◽  
Affect Recognition ◽  
Life Functioning

IntroductionImpairment of neurocognitive functions, such as attention, memory or executive functions, as well as of social cognition, particularly of affect recognition and theory of mind, are frequently observed in people with Schizophrenia or other psychotic disorders. These dysfunctions are associated with poor real-life functioning. Social cognition deficits mediate in part the impact of neurocognitive dysfunction on functional outcome.AimsTo review literature findings on prevalence, severity and association with functional outcome of neurocognitive and social cognitive deficits in schizophrenia and other psychotic disorders.MethodsWe searched PubMed for English/Italian or French full-text publications with the keywords.schizophr*/psychosis/psychot*/AND neurocognitive/cognitive/neuropsychological/memory/attention/”executive function”/learning/”social cognition”/”theory of mind”/”affect recognition”/”acial emotion recognition”/”emotional intelligence”/”emot* recognition”. Furthermore, we manually searched the reference lists of relevant papers, systematic reviews and meta-analyses.ResultsIn people with schizophrenia, schizoaffective disorder or bipolar disorder with psychotic features, neurocognitive and social cognition deficits were observed in all phases of the disorders, even after symptom remission. Some of these deficits were observed in subjects at high-risk to develop schizophrenia before psychotic onset. In all these subjects, cognitive deficits are associated with worse psychosocial functioning and poor quality of life. Pharmacological treatments do not alleviate cognitive deficits, which can also limit the benefit of other psychological or psychosocial interventions.ConclusionsNeurocognitive and social cognition deficits need to be targeted by specific interventions to improve real-life functioning and quality of life of people with schizophrenia or psychotic disorders.Disclosure of interestAM received honoraria or advisory board/consulting fees from the following companies: Janssen Pharmaceuticals, Otsuka, Pfizer and Pierre Fabre.SG received honoraria or advisory board/consulting fees from the following companies: Lundbeck, Janssen Pharmaceuticals, Hoffman-La Roche, Angelini-Acraf, Otsuka, Pierre Fabre and Gedeon-Richter.

scholarly journals Habilidades de Mindfulness y Cognición Social en la predicción de la sintomatología afectiva en Esquizofrenia, Trastorno Obsesivo-Compulsivo y controles sanos

2019 ◽  
Vol 24 (1) ◽  
Author(s):  
Manuel González-Panzano ◽  
Luis Borao ◽  
Paola Herrera-Mercadal ◽  
Daniel Campos ◽  
Yolanda López-del-Hoyo ◽  
...  
Keyword(s):  
Social Cognition ◽  
Theory Of Mind ◽  
Attributional Style ◽  
Short Form ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Five Facet Mindfulness Questionnaire ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Mindful Attention Awareness Scale

Abstract: Mindfulness and social cognition skills in the prediction of affective symptomatology in schizophrenia, obsessive-compulsive disorder and nonclinical participants. The aim of the study was to investigate significant predictors of affective symptomatology in schizophrenia, obsessive-compulsive disorder and healthy controls. The sample was of 91 participants who completed the following instruments: the Eye Test (emotional recognition), the Hinting Task (theory of mind), the Ambiguous Intentions and Hostility Questionnaire(AIHQ; attributional style), Interpersonal Reactivity Index (IRI; empathy), the Mindful Attention Awareness Scale (MAAS; mindfulness trait), the Five Facet Mindfulness Questionnaire-Short Form(FFMQ-SF), and the Hospital Anxiety and Depression Scale(HADS). Significant predictors of affective symptomatology were: mindfulness (dispositional or trait mindfulness, nonreactivity and nonjudgment), and social cognition (SC) (attributional style and theory of mind). Mediation analysis showed that theory of mind was the only significant mediator of affective symptomatology. This paper shows the role of mindfulness and SC skills in the prediction of affective symptomatology.Keywords: mindfulness, social cognition, theory of mind, affective symptomatology, schizophrenia, obsessive-compulsive disorder.Resumen:El objetivo del estudio fue investigar predictores significativos de sintomatología afectiva en Esquizofrenia (EZ), trastorno obsesivo compulsivo (TOC) y controles no clínicos. La muestra fue de 91 participantes que completaron los siguientes instrumentos: Eyes Test (reconocimiento emocional), Hinting Task (teoría de la mente), Ambiguous Intentions and Hostility Questionnaire (AIHQ; estilo atribucional), Índice de Reactividad Interpersonal (IRI; empatía), Mindful Attention Awareness Scale (MAAS;mindfulness rasgo), Five Facet Mindfulness Questionnaire-Short Form (FFMQ-SF), y Hospital Anxiety and Depression Scale (HADS).Los resultados mostraron que el mindfulness (mindfulness rasgo, no reactividad y no juicio) y la cognición social (estilo atribucional y teoría de la mente) fueron predictores significativos. Los análisis de mediación señalaron la variable de teoría de la mente, como único mediador significativo de la sintomatología afectiva.Los resultados de este estudio señalan el papel de las habilidades de mindfulness y cognición social en la predicción de sintomatología afectiva.Palabras clave: mindfulness, cognición social, teoría de la mente, sintomatología afectiva, esquizofrenia, trastorno obsesivo-compulsivo.

Percezione sociale e paranoia: una rassegna

2009 ◽  
pp. 123-141
Author(s):  
Dennis R. Combs ◽  
Dustin J: Chapman ◽  
Casey Reneau
Keyword(s):  
Social Cognition ◽  
Theory Of Mind ◽  
Attributional Style ◽  
Social Perception ◽  
Social Cognitive ◽  
Persecutory Delusions ◽  
Future Studies ◽  
Area Of Interest ◽  
Current State ◽  
Interest In Research

- There has been an increased interest in research on paranoia and persecutory delusions. This is partly based on the idea that paranoia exists on a continuum ranging from sub-clinical to clinical levels. One area of interest is in social cognition as it may provide methods to understand how persons with paranoia perceive, interpret, and understand their social world. Previous research has showed that social cognition directly influences or mediates social functioning. Paranoia can be ideally approached from a social cognitive perspective, which makes understanding these processes even more important. For this review, we will focus on the current state of knowledge for paranoia as it pertains to the three primary domains of social cognition: 1) emotion/social perception, 2) theory of mind, and 3) attributional style. Deficits in emotion/social perception appear to be found across the paranoia continuum. In contrast, deficits in theory of mind and attributional style are typically found in persons with clinical levels of paranoia. Future studies should focus on understanding the processes that might underlie the deficits.

Relationships between neurocognition, social cognition and functional outcome in schizophrenia

2016 ◽  
Vol 33 (S1) ◽  
pp. S67-S67 ◽  
Author(s):  
A. Mucci ◽  
S. Galderisi ◽  
A. Rossi ◽  
P. Rocca ◽  
A. Bertolino ◽  
...  
Keyword(s):  
Social Cognition ◽  
Functional Outcome ◽  
Functional Capacity ◽  
Indirect Effects ◽  
Structural Equation ◽  
Real Life ◽  
Equation Model ◽  
Direct And Indirect Effects ◽  
Neurocognitive Deficits ◽  
Life Functioning

IntroductionThe inter-relationships of neurocognition, social cognition, residual psychopathology and real-life functioning are poorly understood. A large multicenter study was carried out by the Italian Network for Research on Psychoses to model relationships between neurocognitive deficits, psychopathology and real-life functioning, taking into account the role of functional capacity and social cognition.MethodsA structural equation model was used to investigate direct and indirect effects of neurocognition and psychopathology on real-life functioning. Social cognition and functional capacity were modeled as mediators.ResultsIn 921 patients with schizophrenia, neurocognition had both direct and indirect effects, through functional capacity and social cognition, on real-life functioning. Neurocognition predicted to a large extent social cognition on which depression and disorganization had a modest effect. Social cognition showed a significant direct impact on real-life functioning.ConclusionOur results support a strong link between neurocognition and functional outcome, independent of psychopathology. Social cognition accounted for unique incremental variance in real-life functioning.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The impact of the narrative mindset on effectivity in social problem solving

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253729
Author(s):  
Jerzy Trzebiński ◽  
Jolanta Zuzanna Czarnecka ◽  
Maciej Cabański
Keyword(s):  
Social Cognition ◽  
Problem Solving ◽  
Social Problem ◽  
Social Information ◽  
Real Life ◽  
Experimental Manipulation ◽  
Social Problem Solving ◽  
Positive Real ◽  
Effective Instrument ◽  
The Impact

The narrative mindset is a tendency to interpret social information in the frame of stories. Two experiments were conducted to determine if and why the narrative mindset increases social problem-solving effectivity. The experiments consisted of two parts: the experimental manipulation (inducing the narrative mindset or control condition) and the observation of effects. In the second part, presented as a separate study, a participant was asked to advise other people facing interpersonal problems (experiment 1) or emotional problems (experiment 2). Three pairs of coders judged each piece of advice independently on three scales: Effectivity of the advice, empathy, and personalization (using their own experiences in providing the advice). The results indicate that the narrative mindset increases empathy, supported by the co-occurring increase in the problem’s personalization, which leads to higher effectivity. The results reveal the positive real-life implications of structuring social information within a story frame. It may encourage the introduction of the narrative mindset effects into an area of social cognition research. Finally, the experiments show that the narrative mindset may be activated experimentally, providing an effective instrument to test the impact of narrative knowledge on social cognition.

scholarly journals The Cerebellum Plays a Role in Cognitive, but Not Affective, Theory of Mind: A Voxel-Based Lesion Mapping Study

2021 ◽  
Author(s):  
pierre-aurélien beuriat ◽  
Shira Cohen-Zimerman ◽  
Gretchen Smith ◽  
Frank Krueger ◽  
Barry Gordon ◽  
...  
Keyword(s):  
Neural Networks ◽  
Social Cognition ◽  
Theory Of Mind ◽  
Social Cognitive ◽  
Cerebellar Injury ◽  
Lesion Symptom Mapping ◽  
Crus I ◽  
Neuropsychological Evidence ◽  
The Impact

Abstract Introduction: Theory of Mind (ToM) is a social-cognitive skill that allows the understanding of the intentions, beliefs, and desires of others. There is a distinction between affective and cognitive ToM, with evidence showing that these processes rely on partially distinct neural networks. The role of the cerebellum in social cognition has only been rarely explored. In this study, we tested whether the cerebellum is necessary for cognitive and affective ToM performance. Material and methods: We investigated adults with traumatic brain injury (n=193) and healthy controls (n=52) using voxel-based lesion-symptom mapping (VLSM) and by measuring the impact on functional connectivity. Results: First, we observed that damage to the cerebellum affected Cognitive but not Affective ToM processing. Further, we found a lateralization effect for the role of the cerebellum in cognitive ToM with participants with left cerebellar injury performing worse than those with right cerebellar injury. Both VLSM and standard statistical analysis provided evidence that left cerebellar Crus I and lobule VI contributed to ToM processing. Lastly, we found that disconnection of the left thalamic projection and the left fronto-striatal fasciculus was associated with poor cognitive ToM performance. Conclusions: Our study is the first to reveal direct causal neuropsychological evidence for a role of the cerebellum in cognitive, but not in affective, ToM, processing. It reinforces the idea that social cognition relies on a complex network functionally connected through white matter pathways that include the cerebellum. It supports evidence that the neural networks underpinning cognitive and affective ToM can be differentiated.

scholarly journals The Impact of Social Cognition on the Real-Life of People with Epilepsy

2021 ◽  
Vol 11 (7) ◽  
pp. 877
Author(s):  
Arminas Jasionis ◽  
Kristijonas Puteikis ◽  
Rūta Mameniškienė
Keyword(s):  
Social Cognition ◽  
Interpersonal Relationships ◽  
Real Life ◽  
Life Outcomes ◽  
Level Of Education ◽  
The Mind ◽  
Patients With Epilepsy ◽  
The Impact ◽  
Strange Stories Test

Background. Previous research has demonstrated the impairment of social cognition (SC) in people with epilepsy. It is associated with worse social functioning and quality of life; however, the influence on real-life outcomes is unknown. The purpose of this study was to investigate how SC is associated with epilepsy variables and real-life outcomes (education, employment and relationships) among patients with epilepsy (PWE). Methods. Eighty-one PWE completed tasks of theory of mind (ToM) (faux pas recognition (FPRT) and Happé Strange Stories test (HST)) and emotion recognition (ER) (Reading of the Mind in the Eyes (RMET)). Variables reflecting their education, employment and relationship status were treated as endpoints in search of association with SC. Data from a matched group (n = 30) of healthy controls (HCs) were used for comparison of ToM abilities. Results. ToM scores were lower among PWE as compared to HCs (U = 1816.0, p < 0.0001 (HST), U = 1564.5, p = 0.020 (FPRT)). All SC tests were associated with the level of education (OR = 1.22, 95% confidence interval (CI) = 1.09 to 1.36 (RMET), OR = 1.20, 95% CI = 1.02 to 1.40 (HST), OR = 0.93, 95% CI = 0.87 to 1.00 (FPRT)). The results of ToM and ER testing were not associated with employment (χ2 = 33.423, p < 0.0001) if adjusted for the level of education (B = 0.804, OR = 2.23 (95% CI = 1.33 to 3.76), p = 0.002). SC abilities did not differ between PWE who were single and those in a relationship (U = 858.5, p = 0.541 (HST)), t= −1.236, p = 0.220 (RMET), U = 909.5, p = 0.271 (FPRT)). Conclusion. Better social cognition skills are linked to a higher level of education among PWE. SC probably has less influence on professional achievements and interpersonal relationships.

scholarly journals M218. RELATIONSHIP BETWEEN JUMPING TO CONCLUSIONS AND OTHER COGNITIVE BIASES AND SOCIAL COGNITION IN PEOPLE WITH SCHIZOPHRENIA

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S218-S219
Author(s):  
Mar Garcia-Franco ◽  
Sonia Vilamala-Anton ◽  
Gemma Prat ◽  
Maria Jose EScandell ◽  
Jose Ramón Martínez ◽  
...  
Keyword(s):  
Social Cognition ◽  
Theory Of Mind ◽  
Attributional Style ◽  
Cognitive Biases ◽  
Psychotic Symptoms ◽  
Rehabilitation Services ◽  
Negative Events ◽  
Schizotypal Personality ◽  
Jumping To Conclusions ◽  
Borderline Disorder

Abstract Background Deficits in jumping to conclusions and social cognition have been described in people with schizophrenia. The aims of the study are to relate jumping to conclusions with social cognition and other cognitive biases in people with schizophrenia attended in rehabilitation services. Methods A descriptive study was performed. The subjects of our study were persons from 18 to 65 years old, attended in rehabilitation services, with schizophrenia diagnoses and other diagnoses with presence of psychotic symptoms (depression, bipolar disorder, borderline disorder, delusional disease, schizoaffective, and schizotypal personality). The variables included were JTC considered three beads tasks with different proportions: 85:15%, 60:40% and 60:40% salient task. Moreover, cognitive insight (BCIS), attributional style (IPSAQ), and Hinting Task -Theory of Mind (ToM) were assessed. A T student analysis was done in order to compare JTC with the rest of the quantitative variables. Results People who jump to conclusions in the salient task scored higher in self-certainty BCIS (p=0.028), in self attribution for negative events (p=0.036) and lower in attribution to other people of negative events (p=0.028). A tendency was found between the presence of JTC and ToM (p=0.051). In the task of 85-15 only a tendency was found between presence of JTC and higher scores in the personalizing bias (p=0.079). Moreover, in the task of 60:40 a tendency was found between presence of JTC and worse performance in the ToM test (p=0.051). Discussion We found a relationship between jumping to conclusions and self-certainty and self-attributions for negative events; as well as, it is a tendency that higher jumping to conclusions is related with worst ToM. There are important clinic implications of this, because we know that jumping to conclusions and theory of mind is related with the formation and maintenance of delusions.

A multicentric study on cognitive functions in a large sample of patients with schizophrenia and their unaffected first-degree relatives

2016 ◽  
Vol 33 (S1) ◽  
pp. s244-s244
Author(s):  
M. Chieffi ◽  
A. Mucci ◽  
A. Rossi ◽  
P. Rocca ◽  
A. Bertolino ◽  
...  
Keyword(s):  
Social Cognition ◽  
Functional Outcome ◽  
Social Functioning ◽  
Functional Capacity ◽  
Real Life ◽  
Strong Impact ◽  
Specific Level ◽  
Multicentric Study ◽  
First Degree Relatives ◽  
The Impact

IntroductionNeurocognition may represent an indicator of genetic risk and poor outcome in schizophrenia patients (SCZ) predicting real life functioning.ObjectivesAs cognitive performance of unaffected first-degree relatives (UR) is intermediate between SCZ and healthy controls (HC), neurocognitive impairment may represent a marker of vulnerability to schizophrenia.AimsTo investigate social and neurocognition in all subjects and their impact on functional capacity of patients as markers of vulnerability.MethodsSample: 922 SCZ, 379 UR and 780 HC. Assessment: MATRICS Consensus Cognitive Battery (neurocognition), Facial Emotion Identification Test and Awareness of Social Inference Test (social cognition) and Specific Level of Functioning Scale (social functioning). Analyses: Structural Equation Model (SEM) analyses to model the impact of all variables on functional outcome.ResultsSCZ scored worse in all domains than UR and HC. UR had significant impairments in all cognitive domains with respect to HC. Cognitive functioning had direct and indirect impacts on functional outcome mainly through social cognition and functional capacity. Social cognition had a direct impact on outcome, independent of neurocognition.ConclusionSCZ and UR display similar patterns of social and neurocognition deficits. Our results confirm a strong impact of neurocogniton on functional outcome. Social cognition has become an interesting object of study and its conceptualization as trait variable and the existence of a continuum between SCZ and UR are hypotheses for further research.AcknowledgementsThe study was carried out within the project “Multicenter study on factors influencing real-life social functioning of people with a diagnosis of schizophrenia” of the Italian Network for Research on Psychoses.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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