Characterization of social cognitive deficits on the schizophrenia-bipolar disorder spectrum: An overview of current evidence

Rheenen, Tamsyn E Van; Ganella, Eleni P.; Bauer, Isabelle E.; Bartholomeusz, Cali F.

doi:10.1016/b978-0-12-815315-4.00001-x

Cited by 4 publications

(4 citation statements)

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“…Bipolar disorder (BD) is a severe psychiatric illness that is characterized by mood dysregulation and psychosocial dysfunction (American Psychiatric Association, 2013; Van Rheenen & Rossell, 2014a). Within the disorder’s cognitive profile, social cognitive deficits are increasingly recognized as a feature (Miskowiak et al., 2019; Van Rheenen, Ganella, Bauer, & Bartholemeusz, 2019; Van Rheenen & Rossell, 2013). In particular, previous research shows that BD patients are less able to identify facial expressions when compared to healthy controls in terms of both accuracy and speed, especially for negative emotions (Miskowiak et al., 2019; Van Rheenen, Joshua, Castle, & Rossell, 2017; Van Rheenen & Rossell, 2013; Vederman et al., 2012).…”

Section: Introductionmentioning

confidence: 99%

Characterization of facial emotion recognition in bipolar disorder: Focus on emotion mislabelling and neutral expressions

Furlong

Rossell

Karantonis

et al. 2021

Journal of Neuropsychology

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Increasing evidence suggests that facial emotion recognition is impaired in bipolar disorder (BD). However, patient–control differences are small owing to ceiling effects on the tasks used to assess them. The extant literature is also limited by a relative absence of attention towards identifying patterns of emotion misattribution or understanding whether neutral faces are mislabelled in the same way as ones displaying emotion. We addressed these limitations by comparing facial emotion recognition performance in BD patients and healthy controls on a novel and challenging task. Thirty‐four outpatients with BD I and 32 demographically matched healthy controls completed a facial emotion recognition task requiring the labelling of neutral and emotive faces displayed at low emotional intensities. Results indicated that BD patients were significantly less accurate at labelling faces than healthy controls, particularly if they displayed fear or neutral expressions. There were no between‐group differences in response times or patterns of emotion mislabelling, with both groups confusing sad and neutral faces, although BD patients also mislabelled sad faces as angry. Task performance did not significantly correlate with mood symptom severity in the BD group. These findings suggest that facial emotion recognition impairments in BD extend to neutral face recognition. Emotion misattribution occurs in a similar, albeit exaggerated manner in patients with BD compared to healthy controls. Future behavioural and neuroimaging research should reconsider the use of neutral faces as baseline stimuli in their task designs.

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Section: Introductionmentioning

confidence: 99%

Characterization of facial emotion recognition in bipolar disorder: Focus on emotion mislabelling and neutral expressions

Furlong

Rossell

Karantonis

et al. 2021

Journal of Neuropsychology

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“…Impairments in affective cognition are increasingly recognised as part of the neurocognitive profile and possible treatment targets in BD 8 . Affective cognition is often referred to as 'hot' (i.e., emotion-laden) cognition 9,10 and includes measures of emotion processing, emotion regulation, perceptual and attentional biases, feedback sensitivity, emotional decision making 9 , and reward and punishment processing a key component of emotional decision making 11 .…”

Section: Introductionmentioning

confidence: 99%

Affective cognition in bipolar disorder: A systematic review by the ISBD targeting cognition task force

et al. 2019

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“…A substantial proportion of individuals with bipolar disorder (BD) experience cognitive deficits, which are known to contribute to real‐world functional disability (Bowie et al., 2010; Van Rheenen, Lewandowski, et al., 2020). These deficits occur in several domains, including social cognition (Miskowiak et al., 2019; Van Rheenen, Ganella, Bauer, & Bartholomeusz, 2019). In BD, social cognition may be partially independent of general cognition, with some evidence indicating that social cognition moderates the relationship between general cognition and functioning in patients with the illness (Ospina et al., 2018; Van Rheenen, Meyer, & Rossell, 2014).…”

Section: Backroundmentioning

confidence: 99%

“…It is a multifaceted construct consisting of several distinct components (Bora, Bartholomeusz, & Pantelis, 2016), including the capacity to (1) understand the knowledge and beliefs of others (cognitive ToM), and (2) understand the emotions of others (affective ToM; Bodden et al., 2013; Bora et al., 2016; Shamay‐Tsoory, Shur, et al., 2007). The ability to decode social cues in order to infer others' thoughts and emotions in social contexts is crucial in predicting the actions of others and facilitating prosocial behaviours (Van Rheenen et al., 2019). These skills are essential to social and functional success, which are widely reported as lacking in BD even beyond the long‐term resolution of clinical symptoms (Coryell et al., 1993; Dickerson, Sommerville, Origoni, Ringel, & Parente, 2001; Greenberg, Rosenblum, McInnis, & Muzik, 2014; MacQueen et al., 2001; Pope, Dudley, & Scott, 2007).…”

Section: Backroundmentioning

confidence: 99%

Characterization and interrelationships of theory of mind, socially competitive emotions and affective empathy in bipolar disorder

Lemvigh

Karantonis

Furlong

et al. 2021

British J Clinic Psychol

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Objective Evidence shows impaired theory of mind (ToM) in patients with bipolar disorder (BD), yet research examining its cognitive and affective components simultaneously is sparse. Moreover, recognition of socially competitive ‘fortune of others’ emotions (e.g. envy/gloat) may be related to ToM, but has not been assessed in BD. Finally, if and how ToM and ‘fortune of others’ emotions relate to affective empathy in BD is currently unclear. This study aimed to address these points. Methods 64 BD patients and 34 healthy controls completed the Yoni task, a visual task assessing first‐ and second‐order cognitive and affective ToM as well as ‘fortune of others’ emotions. The Toronto Empathy Questionnaire was used to assess self‐reported affective empathy. Results Patients with BD showed no deficits in cognitive and affective ToM or recognition of ‘fortune of others’ emotions. The ability to infer ‘fortune of others’ emotions correlated with several ToM measures, indicating that these functions are part of the same system. Patients with BD reported similar levels of affective empathy to healthy controls, and this was not related to ToM or ‘fortune of others’ emotions, suggesting that affective empathy represents a separate social domain. Conclusions These findings highlight areas of spared social functioning in BD, which may be utilized in therapeutic strategies. Practitioner points Our results suggest theory of mind and empathy may represent areas of potentially spared cognitive functioning in BD. As many BD patients have experienced adversity during developmental periods in which theory of mind and empathy develop, our findings suggest that these abilities may be markers of resilience in the disorder. Our findings are important for the formulation of therapeutic interventions for BD, which may include considering practical ways that a patients’ knowledge of intact ToM and empathy could be utilized to reduce self‐stigma and promote self‐efficacy, improved well‐being and functioning.

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Characterization of social cognitive deficits on the schizophrenia-bipolar disorder spectrum: An overview of current evidence

Cited by 4 publications

References 141 publications

Characterization of facial emotion recognition in bipolar disorder: Focus on emotion mislabelling and neutral expressions

Characterization of facial emotion recognition in bipolar disorder: Focus on emotion mislabelling and neutral expressions

Affective cognition in bipolar disorder: A systematic review by the ISBD targeting cognition task force

Characterization and interrelationships of theory of mind, socially competitive emotions and affective empathy in bipolar disorder

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