The longitudinal association between social functioning and theory of mind in first-episode psychosis

Abstract

Neither baseline theory of mind ability nor psychotic symptoms are associated with social functioning outcome. Further longitudinal work is needed to understand the origin of social functioning deficits in psychosis.

An uncontrolled trial of multi‐component care for first‐episode psychosis: Effects on social cognition

“…However, after controlling for multiple comparisons, these improvements were limited to theory of mind and recognition of social cues in low emotion interactions. Although these findings should be interpreted cautiously given our uncontrolled study design and the possibility of practice effects, the conclusion that social cognition was improved by our multi-component treatment package comports with evidence suggesting that social cognitive abilities remain stable over time among individuals with psychosis in the absence of intervention (Hamm et al, 2012;Horan et al, 2012;Sullivan et al, 2014 (Harvey, Patterson, Potter, Zhong, & Brecher, 2006;Sergi et al, 2007), we found no effect of antipsychotic medication on change in social cognitive abilities among out sample. However, as there is significant overlap in techniques included in CBT, MCR and specialized treatments for social cognition (eg, addressing cognitive biases and using role plays to facilitate skill development; Breitborde & Moe, 2016;Fiszdon & Reddy, 2012), CBT and MCR may have the potential to produce gains in social cognition.…”

Clinical symptoms predict concurrent social and global functioning in an early psychosis sample

“…Higher baseline and 12-month follow-up social cognition scores were found to be significantly associated with better social functioning, work functioning and independent living at 12-month follow-up. In contrast, a recent study by Sullivan et al 18 examined the longitudinal association between both ToM and psychotic symptoms as well as social functioning outcome in 54 people with first-episode psychosis. Results revealed that neither baseline ToM nor baseline symptoms (including both positive and negative psychotic symptoms) were associated with social functioning outcome at 6-and 12-month follow-up.…”

Cognitive Correlates of Different Mentalizing Abilities in Individuals with High and Low Trait Schizotypy: Findings from an Extreme-Group Design

“…Some more recent research has revealed that ToM deficits are present in remitted patients (Wang et al, 2015), first episode patients (FEP) (Koelkebeck et al, 2010; Ho et al, 2015), ultra-high risk samples (Chung et al, 2008), and healthy siblings of patients with schizophrenia (Montag et al, 2012; Cella et al, 2015; Ho et al, 2015). Additionally, some longitudinal studies (Lysaker et al, 2011; Sullivan et al, 2014) showed that ToM deficits in FEP were still detectable 6- and 12-month follow-ups. It is not clear whether impaired ToM abilities can be also detected in healthy volunteers with high trait schizotypy, nor is it clear whether these are of similar nature to the deficits in schizophrenia and which aspect of schizotypy they are associated with.…”