Deficits in social cognition in first episode psychosis: A review of the literature

Healey, Kristin M.; Bartholomeusz, Cali F.; Penn, David L.

doi:10.1016/j.cpr.2016.10.001

Cited by 125 publications

(106 citation statements)

References 83 publications

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“…It is worth highlighting that there was an overall greater impairment on measures of capacity than bias in this sample. This is consistent with previous results in first‐episode psychosis (Healey et al ., ; Ludwig, ). These results and the positive correlation between the bias‐based task and positive symptoms indicate that social‐cognitive bias is not a general characteristic of schizophrenia, but specifically present in a subgroup characterized by more paranoid ideation and persecutory delusions, as has been previously suggested (Pinkham et al ., ).…”

Section: Discussonmentioning

confidence: 99%

“…This suggests that capacities are a more elemental process of social cognition (Addington et al ., 2006a,2006b; Brown, Tas, Can, Esen‐Danaci & Brüne, ; Mancuso et al ., ), and supports previous findings that attributional style is an independent social‐cognitive factor (Mancuso et al ., ), independent of basic neurocognitive processes (Mehta, Bhagyavathy, Thirthalli, Kumar & Gangadhar, ). The AIHQ correlated with positive symptoms, whereas the Hinting Task and the FEIT correlated with negative symptoms, consistent with studies in first‐episode samples (An, Kang, Park, Kim, Lee & Lee ; Healey et al ., ). As suggested by others, these results indicate that the effect of positive symptoms may be isolated to bias rather than capacity (Combs et al ., ; Pinkham, Harvey & Penn, ).…”

Section: Discussonmentioning

confidence: 99%

“…However, there is some debate as to whether early psychosis and chronic schizophrenia patients exhibit the same types and degree of social‐cognitive impairment. Whereas, some studies have found similar deficits between early psychosis samples and those with chronic schizophrenia (Addington, Saeedi & Addington, 2006a,2006b; Bertrand, ; Bora & Pantelis, ; Clayson, Kern, Nuechterlein et al ., ; Green, Bearden, Cannon et al ., ), others have found that social‐cognitive deficits are of lesser magnitude in early psychosis samples than in chronic schizophrenia samples, in particular for emotion recognition (Healey, Bartholomeusz & Penn, ; Kucharska‐Pietura, David, Masiak & Phillips, ; Ludwig, ; Savla, Vella, Armstrong, Penn & Twamley, ). Similar to results in chronic schizophrenia, evidence suggests that social cognition accounts for more variance in functional outcome than neurocognition, and is a mediator of the relationship between neurocognition and poor functional outcome (Addington, ; Ludwig, ; Ventura et al ., ).…”

Section: Introductionmentioning

confidence: 99%

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Social and non‐social measures of cognition for predicting self‐reported and informant‐reported functional outcomes in early psychosis

Vidarsdottir

Twamley

Roberts

et al. 2019

Scandinavian J Psychology

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The main aim of this study was to investigate the individual contributions of neurocognitive and social‐cognitive domains to self‐reported and informant‐reported functional outcome in early psychosis. We also sought to further characterize the nature of cognitive impairments in this sample and explore the interrelationships between the social‐cognitive measures and how they correlate with measures of neurocognition and clinical symptoms. In this study, 70 patients (mean age: 24.1; 87.1% males) with primary psychotic disorder diagnosed in the previous 5 years were assessed on multiple neurocognitive (processing speed, attention, working memory, immediate verbal memory, delayed recall, visual reasoning, inhibition, planning, cognitive flexibility), and social‐cognitive domains (theory of mind (ToM), emotion recognition, attributional style, metacognitive overconfidence) as well as measures of clinical symptoms. Functional outcome was assessed with three self‐reports and two informant‐reports. On average, patients performed one or more SD below healthy controls on measures of delayed recall, ToM and metacognitive overconfidence. Emotion recognition and ToM were intercorrelated and correlated with multiple neurocognitive domains and negative symptoms. Attributional style correlated with positive symptoms. In the context of multiple variables, self‐reported functional outcomes were predicted by attributional style, whereas emotion recognition and immediate verbal memory predicted variance in informant‐reported community functioning. These results support the suggestion of a likely distinction between the predictive factors for self‐reported and informant‐reported functional outcome in early psychosis and suggest that consideration of self‐assessment of functional outcome is critical when attempting to evaluate the effects attributional style has on functional disability.

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Section: Discussonmentioning

confidence: 99%

Section: Discussonmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Social and non‐social measures of cognition for predicting self‐reported and informant‐reported functional outcomes in early psychosis

Vidarsdottir

Twamley

Roberts

et al. 2019

Scandinavian J Psychology

View full text Add to dashboard Cite

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“…Characterizing both conditions in healthy adult controls is particularly important, especially since it has been reported that social cognition is impaired in schizophrenia and other psychiatric diseases. It strongly influences the daily functioning of these patients (Green et al, 2015; Healey et al, 2016), thus making it a critical field of psychiatric clinical research. The link between cognitive control deficits and dysfunctions of social cognition is well established in the literature (Etkin et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Differences in Social Decision-Making between Proposers and Responders during the Ultimatum Game: An EEG Study

Horat

Prévot

Richiardi

et al. 2017

Front. Integr. Neurosci.

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The Ultimatum Game (UG) is a typical paradigm to investigate social decision-making. Although the behavior of humans in this task is already well established, the underlying brain processes remain poorly understood. Previous investigations using event-related potentials (ERPs) revealed three major components related to cognitive processes in participants engaged in the responder condition, the early ERP component P2, the feedback-related negativity (FRN) and a late positive wave (late positive component, LPC). However, the comparison of the ERP waveforms between the responder and proposer conditions has never been studied. Therefore, to investigate condition-related electrophysiological changes, we applied the UG paradigm and compared parameters of the P2, LPC and FRN components in twenty healthy participants. For the responder condition, we found a significantly decreased amplitude and delayed latency for the P2 component, whereas the mean amplitudes of the LPC and FRN increased compared to the proposer condition. Additionally, the proposer condition elicited an early component consisting of a negative deflection around 190 ms, in the upward slope of the P2, probably as a result of early conflict-related processing. Using independent component analysis (ICA), we extracted one functional component time-locked to this deflection, and with source reconstruction (LAURA) we found the anterior cingulate cortex (ACC) as one of the underlying sources. Overall, our findings indicate that intensity and time-course of neuronal systems engaged in the decision-making processes diverge between both UG conditions, suggesting differential cognitive processes. Understanding the electrophysiological bases of decision-making and social interactions in controls could be useful to further detect which steps are impaired in psychiatric patients in their ability to attribute mental states (such as beliefs, intents, or desires) to oneself and others. This ability is called mentalizing (also known as theory of mind).

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“…Adolphs [47], suggested that negative faces are especially difficult to discriminate for people with schizophrenia and negative expressions are more difficult to recognize due to the sharing aspects with other expressions. In fact, in the study of Romero-Ferreiro [45] the fail in the recognition of fear is present in people with first-episode of psychosis, indicating that this impairment could be an earlier marker of the disorder [48,49].…”

Section: Impairment In Emotional Recognitionmentioning

confidence: 99%

Usability of a psychotherapeutic interactive gaming tool used in Facial Emotion Recognition for people with Schizophrenia (Preprint)

Tortadès¹,

Gonzalez²,

Penalba³

et al. 2018

Preprint

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The interactive software "Feeling Master" (a Cartoon Facial Recognition Tool) was developed to investigate the deficit in facial emotion recognition (FER) with a sample of patients with schizophrenia in a pilot project framework. 24 persons with schizophrenia and 17 healthy control (HC) subjects completed the "Feeling Master" including five emotions (happiness, sadness, anger, fear and surprise). Regarding the group with schizophrenia they were evaluated with the Personal and Situational Attribution Questionnaire (IPSAQ) and the Hinting Task (Theory of Mind) to evaluate social cognition. Descriptive data showed suitable usability, adaptability, effectiveness and efficiency of "feeling master".Patients with schizophrenia showed impairments in emotion recognition. The individuals with schizophrenia remained slower than the HC in the recognition of each emotion. Regarding the impairment in the recognition of each emotion we only have found significant error rates on fear discrimination (P=.07). And the correlations between correct response on the "Feeling Master" and the Hinting Task showed significant values in the correlation of surprise and Theory of Mind (P=.46). In conclusion, the study puts forward the usability of the "feeling master" in FER for people with schizophrenia. These findings lend support to the notion that difficulties in emotion recognition are more prevalent in people with schizophrenia, and those are associated with an imparment in ToM, suggesting the potential utility of the FER in the rehabilitation of people with schizophrenia.

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Deficits in social cognition in first episode psychosis: A review of the literature

Cited by 125 publications

References 83 publications

Social and non‐social measures of cognition for predicting self‐reported and informant‐reported functional outcomes in early psychosis

Social and non‐social measures of cognition for predicting self‐reported and informant‐reported functional outcomes in early psychosis

Differences in Social Decision-Making between Proposers and Responders during the Ultimatum Game: An EEG Study

Usability of a psychotherapeutic interactive gaming tool used in Facial Emotion Recognition for people with Schizophrenia (Preprint)

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