Social cognition and the course of social functioning in first-episode psychosis

2017 ◽  
Vol 12 (6) ◽  
pp. 1151-1156 ◽  
Author(s):  
Cindy B. Woolverton ◽  
Emily K. Bell ◽  
Aubrey M. Moe ◽  
Patricia Harrison-Monroe ◽  
Nicholas J. K. Breitborde
Keyword(s):  
Social Cognition ◽  
Social Functioning ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis

scholarly journals The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors?

2020 ◽  
Vol 63 (1) ◽  
Author(s):  
César González-Blanch ◽  
Leonardo A. Medrano ◽  
Sarah Bendall ◽  
Simon D’Alfonso ◽  
Daniela Cagliarini ◽  
...  
Keyword(s):  
Social Cognition ◽  
Social Functioning ◽  
Negative Symptoms ◽  
First Episode Psychosis ◽  
Equation Modeling ◽  
First Episode ◽  
Related Factors ◽  
Social Relatedness ◽  
Episode Psychosis ◽  
Fit Index

Abstract Objective Numerous research studies have demonstrated an association between higher symptom severity and cognitive impairment with poorer social functioning in first-episode psychosis (FEP). By contrast, the influence of subjective experiences, such as social relatedness and self-beliefs, has received less attention. Consequently, a cohesive understanding of how these variables interact to influence social functioning is lacking. Method We used structural equation modeling to examine the direct and indirect relationships among neurocognition (processing speed) and social cognition, symptoms, and social relatedness (perceived social support and loneliness) and self-beliefs (self-efficacy and self-esteem) in 170 individuals with FEP. Results The final model yielded an acceptable model fit (χ2 = 45.48, comparative fit index = 0.96; goodness of fit index = 0.94; Tucker–Lewis index = 0.94; root mean square error of approximation = 0.06) and explained 45% of social functioning. Negative symptoms, social relatedness, and self-beliefs exerted a direct effect on social functioning. Social relatedness partially mediated the impact of social cognition and negative symptoms on social functioning. Self-beliefs also mediated the relationship between social relatedness and social functioning. Conclusions The observed associations highlight the potential value of targeting social relatedness and self-beliefs to improve functional outcomes in FEP. Explanatory models of social functioning in FEP not accounting for social relatedness and self-beliefs might be overestimating the effect of the illness-related factors.

scholarly journals Influence of social perception and social knowledge on cognitive and social functioning in early psychosis

2006 ◽  
Vol 189 (4) ◽  
pp. 373-378 ◽  
Author(s):  
Jean Addington ◽  
Huma Saeedi ◽  
Donald Addington
Keyword(s):  
Social Cognition ◽  
Social Functioning ◽  
Social Perception ◽  
First Episode Psychosis ◽  
Social Knowledge ◽  
First Episode ◽  
Episode Psychosis ◽  
Interpersonal Problem Solving ◽  
The Relationship ◽  
Over Time

BackgroundSocial cognition has been implicated in the relationship between cognition and social functioning.AimsTo test the hypothesis that social cognition mediates the relationship between cognitive and social functioning.MethodThis was a 1-year longitudinal cohort study comparing three groups: 50 people with first-episode psychosis, 53 people with multi-episode schizophrenia and 55 people without psychiatric disorder as controls. Participants were assessed on social perception, social knowledge, interpersonal problem-solving, cognition and social functioning.ResultsThere were significant associations between social cognition, cognition and social functioning in all three groups. Deficits in social cognition were stable over time. In the first two groups, controlling for social cognition reduced the relationship between cognitive and social functioning.ConclusionsThis study provides some evidence that social cognition mediates the relationship between cognitive and social functioning.

scholarly journals Social inclusion and its interrelationships with social cognition and social functioning in first‐episode psychosis

2017 ◽  
Vol 13 (3) ◽  
pp. 477-487 ◽  
Author(s):  
Andrew Gardner ◽  
Sue M. Cotton ◽  
Kelly Allott ◽  
Kate M. Filia ◽  
Robert Hester ◽  
...  
Keyword(s):  
Social Cognition ◽  
Social Functioning ◽  
Social Inclusion ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis

Social functioning and social cognition in first episode psychosis

2011 ◽  
Vol 26 ◽  
pp. e82-e83
Author(s):  
Sarah Sullivan ◽  
Daniela Herzig ◽  
Christine Mohr ◽  
Rhiannon Corcoran ◽  
Richard Drake ◽  
...  
Keyword(s):  
Social Cognition ◽  
Social Functioning ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis

Characterising Usage of a Multicomponent Digital Intervention to Predict Treatment Outcomes in First-Episode Psychosis: A Cluster Analysis (Preprint)

2021 ◽  
Author(s):  
Shaunagh O'Sullivan ◽  
Lianne Schmaal ◽  
Simon D'Alfonso ◽  
Yara J Toenders ◽  
Lee Valentine ◽  
...  
Keyword(s):  
Young People ◽  
Treatment Outcomes ◽  
Social Functioning ◽  
Negative Symptoms ◽  
User Profile ◽  
First Episode Psychosis ◽  
First Episode ◽  
User Profiles ◽  
Episode Psychosis ◽  
Social Components

BACKGROUND Multicomponent digital interventions offer the potential for tailored and flexible interventions that aim to address high attrition rates and increase engagement, an area of concern in digital mental health. However, increased flexibility in usage makes it difficult to determine which components lead to improved treatment outcomes. OBJECTIVE This study aimed to identify user profiles on Horyzons, an 18-month digital relapse prevention intervention that incorporates therapeutic content and social networking, along with clinical, vocational and peer support, and to examine the predictive value of these user profiles for treatment outcomes. A secondary objective was to compare each user profile with young people receiving treatment as usual (TAU). METHODS Participants comprised 82 young people (16-27 years of age) with access to Horyzons and 84 receiving TAU, recovering from first-episode psychosis. Six-month usage data from the therapy and social networking components of Horyzons were used as features for K-means clustering for joint trajectories to identify user profiles. Social functioning, psychotic symptoms, depression and anxiety were assessed at baseline and six-month follow-up. General linear mixed models were used to examine the predictive value of user profiles for treatment outcomes, and between each user profile with TAU. RESULTS Three user profiles were identified based on system usage metrics including: (a) low usage; (b) maintained usage of social components; and (c) maintained usage of both therapy and social components. The maintained therapy and social group showed improvements in social functioning (F (2, 51) = 3.58; P = .04), negative symptoms (F (2, 51) = 4.45; P = .02) and overall psychiatric symptom severity (F (2, 50) = 3.23; P = .048) compared to the other user profiles. This group also showed improvements in social functioning (F (1, 62) = 4.68; P = .03), negative symptoms (F (1, 62) = 14.61; P = <.001) and overall psychiatric symptom severity (F (1, 63) = 5.66; P = .02) compared to TAU. Conversely, the maintained social group showed increases in anxiety compared to TAU (F (1, 57) = 7.65; P = .01). No differences were found between the low usage group and TAU on treatment outcomes. CONCLUSIONS Continued engagement with both therapy and social components might be key in achieving long-term recovery. Maintained social usage and low usage outcomes were broadly comparable to TAU, emphasizing the importance of maintaining engagement for improved treatment outcomes. Although the social network may be a key ingredient to increase sustained engagement, as users engaged with this more consistently, it should be leveraged as a tool to engage young people with therapeutic content to bring about social and clinical benefits.

scholarly journals Are There Gender Differences in Social Cognition in First-Episode Psychosis?

Women ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 204-211
Author(s):  
Marina Verdaguer-Rodríguez ◽  
Raquel López-Carrilero ◽  
Marta Ferrer-Quintero ◽  
Helena García-Mieres ◽  
Luciana Díaz-Cutraro ◽  
...  
Keyword(s):  
Gender Differences ◽  
Social Cognition ◽  
Attributional Style ◽  
Social Cognitive ◽  
First Episode Psychosis ◽  
Test Theory ◽  
First Episode ◽  
Cognitive Domains ◽  
Episode Psychosis ◽  
The Social

The aim of this study was to explore gender differences in social cognition in a sample of first-episode psychosis (FEP). An observational descriptive study was performed with 191 individuals with FEP. Emotion perception was assessed using the Faces Test, theory of mind was assessed using the Hinting Task, and attributional style was assessed using the Internal, Personal and Situational Attributions Questionnaire. No gender differences were found in any of the social cognitive domains. Our results suggest that men and women with FEP achieve similar performances in social cognition. Therefore, targeting specific needs in social cognition regarding gender may not be required in early interventions for psychosis.

Social functioning in a first-episode of psychosis: can the existence of affective symptoms influence it?

2011 ◽  
Vol 26 (S2) ◽  
pp. 1403-1403
Author(s):  
M. Ienciu ◽  
F. Romosan ◽  
C. Bredicean ◽  
R. Romosan ◽  
A. Moroianu ◽  
...  
Keyword(s):  
Marital Status ◽  
Social Functioning ◽  
First Episode Psychosis ◽  
First Episode ◽  
Professional Status ◽  
Family Status ◽  
Affective Symptoms ◽  
Episode Psychosis ◽  
Two Samples ◽  
Instructional Level

IntroductionBesides psychopathological outcome, the outcome in terms of social functioning is of great importance in first-episode psychosis. This paper has analyzed three components of social functioning: instructional level, professional and marital status.ObjectivesThe objective of this paper is to analyze the social functioning after two years of evolution in a sample of subjects with a first-episode psychosis.AimsThe aim is to determine the way in which the presence of affective elements can influence social functioning in a first-episode psychosis.Methods43 subjects with a first-episode psychosis have been divided into 2 samples, according to the existence of (sample A) / the absence of (sample B) affective symptoms (depressive or manic). We have to mention that the affective elements have not fulfilled the ICD 10 criteria for an affective episode. These two samples have been analyzed at onset and after two years of evolution, according to the following parameters: instructional level, professional and marital status.ResultsWe have noticed that there were changes only regarding the professional status and instructional level. After 2 years of evolution, the number of employed subjects was higher in sample A, compared to sample B. All of the subjects in sample A, which were students during their first episode of psychosis, have managed to finish their studies. Family status was not modified in any sample.ConclusionThe existence of affective elements in a first-episode psychosis has an influence only regarding the professional status.

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