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

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.

2016 ◽  
Vol 33 (S1) ◽  
pp. S336-S336
Author(s):  
V. Maria Iulia ◽  
R.C. Delphine ◽  
H. Audrey ◽  
K. Arthur

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.


2019 ◽  
Vol 45 (6) ◽  
pp. 1218-1230 ◽  
Author(s):  
Camilla Jerlang Christiani ◽  
Jens R M Jepsen ◽  
Anne Thorup ◽  
Nicoline Hemager ◽  
Ditte Ellersgaard ◽  
...  

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.


2018 ◽  
Vol 240 ◽  
pp. 177-182 ◽  
Author(s):  
Melis Orhan ◽  
Nicole Korten ◽  
Max Stek ◽  
Hannie Comijs ◽  
Sigfried Schouws ◽  
...  

2006 ◽  
Vol 189 (4) ◽  
pp. 373-378 ◽  
Author(s):  
Jean Addington ◽  
Huma Saeedi ◽  
Donald Addington

BackgroundSocial cognition has been implicated in the relationship between cognition and social functioning.AimsTo test the hypothesis that social cognition mediates the relationship between cognitive and social functioning.MethodThis was a 1-year longitudinal cohort study comparing three groups: 50 people with first-episode psychosis, 53 people with multi-episode schizophrenia and 55 people without psychiatric disorder as controls. Participants were assessed on social perception, social knowledge, interpersonal problem-solving, cognition and social functioning.ResultsThere were significant associations between social cognition, cognition and social functioning in all three groups. Deficits in social cognition were stable over time. In the first two groups, controlling for social cognition reduced the relationship between cognitive and social functioning.ConclusionsThis study provides some evidence that social cognition mediates the relationship between cognitive and social functioning.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S120-S120
Author(s):  
Marcia Dourado ◽  
Tatiana Belfort ◽  
José Simões Neto

Abstract Social cognition is the capacity to interpret and predict another’s behavior according to beliefs, intentions, and emotions, and the ability to decode environmental stimuli in order to be better able to adapt to new situations. A key question is the relationship between social cognition and awareness in dementia. This study aimed to investigate the relation between social and emotional functioning (SEF) and awareness in Alzheimer's disease (AD). In a cross-sectional design, a consecutive series of 50 people with mild to moderate AD and their 50 family caregivers were assessed. The study variables were awareness, SEF, neuropsychiatric symptoms, cognition, working memory, quality of life, functional activities, presence of depressive symptoms, and caregivers’ burden and cognition. We found a significant difference between self-rated SEF and informant-rated SEF. In 56% of the cases, self-rated SEF was lower than the informant-rated SEF. People with AD mostly (56%) had mildly impaired awareness of disease, 20% had moderate impaired awareness of disease, and 6% were unaware of the disease. A multivariate linear regression examined the association between informant-rated SEF score and the variables. The social functioning and relationship domain of awareness and informant-rated QoL of people with AD were significantly associated with informant-rated SEF. Conclusion: The relationship between informant-rated SEF and awareness of social functioning and relationship supports the multidimensional nature of awareness. SEF and awareness of social functioning shows that they are comprised of judgments related to perceptions about oneself and values qualitatively different from awareness of memory or functionality, which can be directly observed.


2016 ◽  
Vol 33 (S1) ◽  
pp. s244-s244
Author(s):  
M. Chieffi ◽  
A. Mucci ◽  
A. Rossi ◽  
P. Rocca ◽  
A. Bertolino ◽  
...  

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.


2008 ◽  
Vol 31 (3) ◽  
pp. 279-280 ◽  
Author(s):  
Alfonso Troisi

AbstractSocial cognition is a broad term, incorporating all aspects of social functioning from perceiving emotional stimuli to attributional style and theory of mind. Not distinguishing between these different capacities may confound the interpretation of the data deriving from studies of the relationship between psychiatric disorders and the social brain. The distinction between cognitive and affective components of social cognition is clearly exemplified by the abnormalities observed in psychopathy and Williams syndrome.


2014 ◽  
Vol 160 ◽  
pp. 50-54 ◽  
Author(s):  
Caterina del Mar Bonnín ◽  
Ana González-Pinto ◽  
Brisa Solé ◽  
María Reinares ◽  
Itxaso González-Ortega ◽  
...  

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Fahrur Rozi ◽  
Yenni Hastuty

Leprosy is an infectious disease that causes very complex problems. The problem that is needed is not only from a medical point of view but also extends to social, economic problems for sufferers, thus allowing a change in the self-esteem of lepers. In this study, researchers used a Pre-trial research design (One-group Pre-test-post test Design). Taking respondents in this study used a consecutive sample technique in which the sample was patients in Sumber Glagah Leprosy Hospital, Pacet District, Mojokerto Regency, which corresponded to the inclusion and exclusion criteria of 30 respondents. The results showed that respondents' self-esteem before counseling was mostly moderate for 26 respondents (86.7%), the self-esteem of respondents after counseling was mostly 20 respondents (66.7%). To analyze the differences in influence on increasing self-esteem, a T test was conducted using SPSS, obtained α = 0,000, where α <0.05, which means H1 was accepted or there was an increase in self-esteem at the Sumber Glagah Pacet Hospital Mojokerto. This involves the counseling factor itself that supports patient knowledge and is an application of the relationship between nurses and patients, so this counseling needs to be supported and programmed to improve patient effectiveness.


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