Does social cognition influence the relation between neurocognitive deficits and vocational functioning in schizophrenia?

Vauth, Roland; Rüsch, Nicolas; Wirtz, Markus; Corrigan, Patrick W.

doi:10.1016/j.psychres.2004.05.018

Cited by 216 publications

(161 citation statements)

References 45 publications

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“…Social cognition has repeatedly been shown to predict real life social and occupational function, and indeed to mediate the effects of general cognitive function on outcome (Vauth et al, 2004;Brekke et al, 2005;Addington et al, 2006;Green et al, 2008;McGlade et al, 2008;Schmidt et al, 2011). Despite this, our study demonstrates that GAF scores are largely insensitive to variation in social cognition.…”

Section: Discussioncontrasting

confidence: 57%

“…Social cognition -defined as the set of mental operations that underlie social interactions -has emerged in recent years as a key factor in explaining these functional impairments (Fett et al, 2011) both directly, and also by mediating the relationship between neurocognition and functional outcome (Vauth et al, 2004;Brekke et al, 2005;Addington et al, 2006;Green et al, 2008;McGlade et al, 2008;Schmidt et al, 2011). However, whether the current tools for assessing functional impairments in schizophrenia in clinical practice are sensitive enough to measure change in social cognition remains unclear.…”

Section: Introductionmentioning

confidence: 99%

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Social dysfunction in schizophrenia: An investigation of the GAF scale's sensitivity to deficits in social cognition

Robertson

Hargreaves

Kelleher

et al. 2013

Schizophrenia Research

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Background: Schizophrenia is accompanied by significant impairment in psychosocial functioning, which is only partially explained by clinical symptom severity. Recently, these impairments have been strongly associated with deficits in neurocognition and social cognition. Although the Global Assessment of Function (GAF) scale remains the most widely used measure of psychosocial function in clinical practice, it is unclear whether this instrument is sensitive to changes in cognition, or merely provides a snapshot of symptom severity. To investigate this, we assessed whether variation in GAF score was explained by performance on measures of neurocognitive and social cognition, particularly after variation associated with symptom severity had been accounted for. Methods: 216 patients with schizophrenia were assessed using the GAF scale, two theory of mind tasks (the 'Hinting' task and 'Reading the Eyes in the Mind' task), and a neuropsychological battery sensitive to the areas of deficit typically seen in schizophrenia -IQ, episodic memory, working memory and attentional control. Results: Using linear regression analysis, symptom severity explained 24% of the variance in GAF scores (F(3, 188) = 21.14, p b .001). While neuropsychological performance explained a further 4.7% of variation (r 2 change = .047, F change (1, 187) = 12.63, p b .001), social cognition did not explain any further variance in functioning (r 2 change =.006, F change (1, 186)=1.63, p=.20). Conclusion: These data indicate that GAF scores are primarily sensitive to variation in clinical symptoms severity and not at all sensitive to variation in social cognition, an important determinant of real world outcome. Doing so highlights the need to supplement the measurement of psychosocial function using the GAF in clinical practice with functional measures that are more sensitive to deficits in social cognition.

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Section: Discussioncontrasting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Social dysfunction in schizophrenia: An investigation of the GAF scale's sensitivity to deficits in social cognition

Robertson

Hargreaves

Kelleher

et al. 2013

Schizophrenia Research

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“…Using path analysis, Brekke et al (2005) found support for biosocial pathways to functional outcome, that is, the influence of neurocognition on functional outcome (work, social functioning, and independent living) was mostly indirect through emotion perception, social support, and social competence. Using structural equation modeling, Sergi et al (2006) showed that social perception was a mediator between neurocognition and social functioning, whereas Vauth et al (2004) found social perception to have a stronger influence on work-related skills than neurocognition had, but social perception could, to a large degree, be explained by neurocognition. Thus, there is growing evidence that social cognition is a mediator between neurocognition and functional outcome.…”

Section: Discussionmentioning

confidence: 99%

Emotion perception and learning potential: Mediators between neurocognition and social problem-solving in schizophrenia?

Vaskinn

Sundet

Friis

et al. 2008

J. Inter. Neuropsych. Soc.

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Social cognition and learning potential have been proposed as mediating variables between neurocognition and functional outcome in schizophrenia. The present study examined this relation in a schizophrenia group (N 5 26) with normal IQ. Neurocognition was measured with a composite score from tests of verbal learning, psychomotor speed, and executive functioning. Functional outcome was defined as social problem-solving skills and assessed with a role-play test. Social cognition was indexed by tests of visual and auditory emotion perception; and learning potential by estimating a gain score using a triple administration of the WCST. Neurocognition was confirmed to be a strong predictor of social problem-solving, and emotion perception was related to both neurocognition and social problem-solving. When controlling for emotion perception, the association between neurocognition and social problem-solving was weakened, implying a mediating role of emotion perception. Learning potential was not significantly related to neurocognition or social problem-solving, and thus not found to mediate the studied relation. In conclusion, our study indicates that emotion perception is a mediator between neurocognition and functional outcome as assessed with a social problem-solving task and thus a key factor in understanding functional outcome of schizophrenia. (JINS, 2008, 14, 279-288.)

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“…Furthermore, a number of studies have examined the relationship between neurocognition and functional outcome, identifying the relationship as modest, with only 20-40 percent contribution from neurocognition leaving 60 to 80 percent to other contributing factors such as SC (Couture et al, 2006;Michael Foster Green, Kern, Braff, & Mintz, 2000). In terms of vocational functioning, SC was shown to have a larger impact than neurocogntion (Vauth et al, 2004).…”

Section: Schizophreniamentioning

confidence: 96%

“…One supported hypothesis is that SC plays an intermediary role between neurocognition and functional outcome (Vauth, Rüsch, Wirtz, & Corrigan, 2004;Brekke, Kay, Lee, & Green, 2005;Lam et al, 2014). Furthermore, a number of studies have examined the relationship between neurocognition and functional outcome, identifying the relationship as modest, with only 20-40 percent contribution from neurocognition leaving 60 to 80 percent to other contributing factors such as SC (Couture et al, 2006;Michael Foster Green, Kern, Braff, & Mintz, 2000).…”

Section: Schizophreniamentioning

confidence: 99%

190. Social Cognition in Early Schizophrenia: Exploratory Factor Analysis and Subcortical Biomarkers

Mike

Guimond²,

Chakravarty

et al. 2017

Biological Psychiatry

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Does social cognition influence the relation between neurocognitive deficits and vocational functioning in schizophrenia?

Cited by 216 publications

References 45 publications

Social dysfunction in schizophrenia: An investigation of the GAF scale's sensitivity to deficits in social cognition

Social dysfunction in schizophrenia: An investigation of the GAF scale's sensitivity to deficits in social cognition

Emotion perception and learning potential: Mediators between neurocognition and social problem-solving in schizophrenia?

190. Social Cognition in Early Schizophrenia: Exploratory Factor Analysis and Subcortical Biomarkers

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