Social Cognition in Schizophrenia: An Overview

Penn, David L.; Sanna, Lawrence J.; Roberts, David L.

doi:10.1093/schbul/sbn014

Cited by 465 publications

(346 citation statements)

References 47 publications

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“…Two areas of social cognition that have been associated with psychotic symptoms were investigated, that is, facial emotion processing and theory of mind (ToM) (Penn et al. 2008; de Achaval et al. 2010).…”

Section: Methodsmentioning

confidence: 99%

Reduced specialized processing in psychotic disorder: a graph theoretical analysis of cerebral functional connectivity

et al. 2016

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BackgroundPrevious research has shown that the human brain can be represented as a complex functional network that is characterized by specific topological properties, such as clustering coefficient, characteristic path length, and global/local efficiency. Patients with psychotic disorder may have alterations in these properties with respect to controls, indicating altered efficiency of network organization. This study examined graph theoretical changes in relation to differential genetic risk for the disorder and aimed to identify clinical correlates.MethodsAnatomical and resting‐state MRI brain scans were obtained from 73 patients with psychotic disorder, 83 unaffected siblings, and 72 controls. Topological measures (i.e., clustering coefficient, characteristic path length, and small‐worldness) were used as dependent variables in a multilevel random regression analysis to investigate group differences. In addition, associations with (subclinical) psychotic/cognitive symptoms were examined.ResultsPatients had a significantly lower clustering coefficient compared to siblings and controls, with no difference between the latter groups. No group differences were observed for characteristic path length and small‐worldness. None of the topological properties were associated with (sub)clinical psychotic and cognitive symptoms.ConclusionsThe reduced ability for specialized processing (reflected by a lower clustering coefficient) within highly interconnected brain regions observed in the patient group may indicate state‐related network alterations. There was no evidence for an intermediate phenotype and no evidence for psychopathology‐related alterations.

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Section: Methodsmentioning

confidence: 99%

Reduced specialized processing in psychotic disorder: a graph theoretical analysis of cerebral functional connectivity

et al. 2016

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“…Thus, social cognition has been identified as a crucially important area of research in schizophrenia; as a means of exploring both the interpersonal difficulties experienced by individuals with this illness, as well as the consequences of these difficulties, such as poorer vocational outcomes, a lack of community participation and independence, and limitations in the formation and maintenance of close emotional relationships [6]. Deficits in social cognition are well evidenced in schizophrenia, both in the established illness [12] and prior to illness onset [9,13], suggesting that they are relatively stable [14]. Thus, an understanding of social cognitive impairments in schizophrenia may provide opportunities for targeted recovery-focused interventions [15].…”

Section: Social Cognitionmentioning

confidence: 99%

“…Penn and colleagues [12] similarly identified theory of mind, emotion perception, and attributional style as being particularly salient for individuals with schizophrenia, who consistently demonstrate impaired social cognitive abilities in each of these areas [31,47,48]. The Social Cognition Psychometric Evaluation (SCOPE) study [7], designed to achieve a consensus on the key domains of social cognition schizophrenia, identified four major domains: 1) theory of mind (ToM) or the ability to attribute beliefs and intentions; 2) emotion processing (prosodic and facial) or the ability to recognize other people's feelings from either facial expressions or vocal inflections and use them to guide behaviors; 3) social perception and knowledge or the ability to judge and be aware of cues and rules that occur is social situations; and 4) attributional style or bias, which refers to an individual's tendency to attribute the cause of an event to either oneself, others or the environment.…”

Section: Measuring Social Cognition In Schizophreniamentioning

confidence: 99%

Social Cognition, Negative Symptoms and Psychosocial Functioning in Schizophrenia

Madeira¹,

Caldeira²,

Bajouco³

et al. 2016

IJCNMH

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Although functional recovery could be advocated as an achievable treatment goal, many effective interventions for the treatment of psychotic symptoms, such as antipsychotic drugs, may not improve functioning. The last two decades of cognitive and clinical research on schizophrenia were a turning point for the firm acknowledgment of how relevant social cognitive deficits and negative symptoms could be in predicting psychosocial functioning. The relevance of social cognition dysfunction in schizophrenia patients' daily living is now unabated. In fact, social cognition deficits could be the most significant predictor of functionality in patients with schizophrenia, non-redundantly with neurocognition. Emerging evidence suggests that negative symptoms appear to play an indirect role, mediating the relationship between neurocognition and social cognition with functional outcomes. Further explorations of this mediating role of negative symptoms have revealed that motivational deficits appear to be particularly important in explaining the relationship between both neurocognitive and social cognitive dysfunction and functional outcomes in schizophrenia. In this paper we will address the relative contribution of two key constructs-social cognitive deficits and negative symptoms, namely how intertwined they could be in daily life functioning of patients with schizophrenia.

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“…In addition to the neurocognitive deficits common in schizophrenia, deficits in social cognition are also characteristic of the syndrome, including impaired ToM (the ability to make inferences about the mental states of others), even when general cognitive impairment is accounted for (Bora, Yucel, & Pantelis, 2009;Corcoran, Mercer, & Frith, 1995;Penn, Sanna, & Roberts, 2008;Sprong, Schothorst, Vos, Hox, & Van Engeland, 2007). Benson (1980) foreshadowed a possible relationship between impaired ToM and moral maturity in schizophrenia, arguing that difficulties in role-taking may impede moral development.…”

Section: Previous Work On Moral Cognition In Schizophreniamentioning

confidence: 99%

Moral cognition in schizophrenia

McGuire

Langdon

Brüne

2014

Cognitive Neuropsychiatry

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Introduction. Disordered moral behaviour and understanding of moral rules were described early in the literature on schizophrenia; however, moral cognition has received scant attention in spite of a large literature focused on social cognitive impairments and violent behaviour in schizophrenia. Methods. We conducted a narrative synthesis of the literature on violence, moral judgement and schizophrenia. Results. Initial empirical research into moral cognition in schizophrenia did not fully account for the basic-and social-cognitive deficits now known to characterise schizophrenia. Importantly, research into moral cognition in autism and psychopathy, disorders in part characterised by social cognitive impairments indicates subtle patterns of difference to the moral cognition of control participants. Recent neuroeconomic studies of moral cognition in schizophrenia have indicated that individuals with schizophrenia display subtle dysfunction in their fairness-related behaviours, but not in their propensity to engage in altruistic punishment. Conclusions. Further research has the potential to broaden our understanding of what is intact and what is impaired in moral cognition in schizophrenia and also to inform our theories of the structures subserving moral judgement in the general population. Furthermore, a more thorough understanding of moral cognitive impairments in schizophrenia may have implications for both legal process and psychosocial rehabilitation.

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Social Cognition in Schizophrenia: An Overview

Cited by 465 publications

References 47 publications

Reduced specialized processing in psychotic disorder: a graph theoretical analysis of cerebral functional connectivity

Reduced specialized processing in psychotic disorder: a graph theoretical analysis of cerebral functional connectivity

Social Cognition, Negative Symptoms and Psychosocial Functioning in Schizophrenia

Moral cognition in schizophrenia

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