scholarly journals S68. DIFFERENTIAL PATTERN OF SOCIAL COGNITION IMPAIRMENT BETWEEN RURAL AND URBAN DWELLING PATIENTS OF SCHIZOPHRENIA AND ITS FUNCTIONAL CORRELATES

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S59-S60
Author(s):  
Ferose Ibrahim ◽  
Urvakhsh M Mehta ◽  
J K Keshav Kumar ◽  
Sreekanth Nair ◽  
Swetha Gowda ◽  
...  

Abstract Background Cognitive deficits (both neuro & social Cognition) play a vital role in determining functional status in schizophrenia. It has been noted that functional outcomes are relatively better in Indian rural settings. This suggests that cognition might be better in rural patients. Considering the prevailing vast cultural differences there is paucity of research which delineates the differences in social cognition and its impact on the functional outcomes between rural and urban setups. Hence, we aim to explore differential impairment in social cognition in patients with schizophrenia residing in rural versus urban settings and their impact on real-world functioning. Methods 122 patients diagnosed with either schizophrenia or schizoaffective disorder from the rural taluk of Thirthahalli and Turuvekere were compared with 97 patients with similar diagnosis visiting a teaching hospital with urban residence. All the 219 patients met the standardized criteria for remission from positive and disorganized symptoms and were compared on culturally validated tests of SC—Social Cognition Rating Tool in Indian Setting (SOCRATIS) & Tool for Recognition of Emotions in Neuropsychiatric Disorders (TRENDS) to assess theory of mind, social perception and emotion recognition and NC—(attention/vigilance, speed of processing, visual and verbal learning, working memory and executive functions). Groningen Social Disabilities Schedule (GSDS) was used for the assessment of social dysfunction of the patients. Based on past factor analytical studies on these tests, social cognition dimensions were grouped into inferential social cognition which comprised of 1st order theory of mind & 2nd order theory of mind Index & socio-emotional cognition which included faux pas recognition, emotional recognition & social perception indices. These were compared using analysis of covariance after controlling for neurocognitive composite performance and other confounders Correlation between social-cognition and functioning among the two groups was assessed using Pearson correlation. Results Patients from rural population had significantly better inferential social cognition whereas patients form urban population had significantly better socio-emotional cognition. ANCOVA showed that even after controlling for effects of age, gender, duration of illness, family history, number of hospitalization & neuro-cognition composite scores the differences were significant. Social cognition composite score was significantly (negatively) correlated with functional disability. The socio-emotional cognition component had a stronger association (proportion of variance explained) with functioning in both rural & urban samples (r= -0.411, r= -0.403 respectively). Inferential Social cognition from both rural & urban samples (r= -0.212, r= -0.238) also has significant association with functioning but of lesser magnitude as compared to the former Discussion The two distinct components of social cognition - inferential and socio-emotional- were differentially impaired among rural & urban patients. With respect to its relationship with functioning, the socio-emotional cognition had a stronger association with functioning in both the groups. The reasons for the difference need to be explored by studying the socio-cultural characteristics of rural & urban dwelling patients which can moderate their expression of social cognition. These observations are critical in understanding how our micro- and macro-level environments can influence cognitive performance

2009 ◽  
pp. 123-141
Author(s):  
Dennis R. Combs ◽  
Dustin J: Chapman ◽  
Casey Reneau

- There has been an increased interest in research on paranoia and persecutory delusions. This is partly based on the idea that paranoia exists on a continuum ranging from sub-clinical to clinical levels. One area of interest is in social cognition as it may provide methods to understand how persons with paranoia perceive, interpret, and understand their social world. Previous research has showed that social cognition directly influences or mediates social functioning. Paranoia can be ideally approached from a social cognitive perspective, which makes understanding these processes even more important. For this review, we will focus on the current state of knowledge for paranoia as it pertains to the three primary domains of social cognition: 1) emotion/social perception, 2) theory of mind, and 3) attributional style. Deficits in emotion/social perception appear to be found across the paranoia continuum. In contrast, deficits in theory of mind and attributional style are typically found in persons with clinical levels of paranoia. Future studies should focus on understanding the processes that might underlie the deficits.


Author(s):  
Laura Alonso-Recio ◽  
Fernando Carvajal ◽  
Carlos Merino ◽  
Juan Manuel Serrano

Abstract Social cognition (SC) comprises an array of cognitive and affective abilities such as social perception, theory of mind, empathy, and social behavior. Previous studies have suggested the existence of deficits in several SC abilities in Parkinson disease (PD), although not unanimously. Objective: The aim of this study is to assess the SC construct and to explore its relationship with cognitive state in PD patients. Method: We compare 19 PD patients with cognitive decline, 27 cognitively preserved PD patients, and 29 healthy control (HC) individuals in social perception (static and dynamic emotional facial recognition), theory of mind, empathy, and social behavior tasks. We also assess processing speed, executive functions, memory, language, and visuospatial ability. Results: PD patients with cognitive decline perform worse than the other groups in both facial expression recognition tasks and theory of mind. Cognitively preserved PD patients only score worse than HCs in the static facial expression recognition task. We find several significant correlations between each of the SC deficits and diverse cognitive processes. Conclusions: The results indicate that some components of SC are impaired in PD patients. These problems seem to be related to a global cognitive decline rather than to specific deficits. Considering the importance of these abilities for social interaction, we suggest that SC be included in the assessment protocols in PD.


2016 ◽  
Vol 27 (4) ◽  
pp. 257-264 ◽  
Author(s):  
Johannes H. Scheidemann ◽  
Franz Petermann ◽  
Marc Schipper

Abstract. We investigated theory of mind (ToM) deficits in Alzheimer‘s disease (AD) and its possible connection to autobiographical memory (ABM). Patients and matched controls were evaluated and compared using a video-based ToM test, an autobiographical fluency task, and a neuropsychological test battery. We found that ToM deficits were positively associated with semantic ABM in the clinical group, whereas a positive relationship appeared between ToM and episodic ABM in controls. We hypothesize that this reflects the course of the disease as well as that semantic ABM is used for ToM processing, being still accessible in AD. Furthermore, we assume that it is also less efficient, which in turn leads to a specific deficit profile of social cognition.


2019 ◽  
Vol 24 (2) ◽  
pp. 43-58
Author(s):  
Ma. Guillermina Yáñez-Téllez ◽  
Daniel Hernández-Torres

Los niños con trastorno por déficit de atención con hiperactividad (TDAH) presentan problemas en la interacción social, los cuales pueden ser atribuidos a deficiencias en la cognición social (CS), no obstante, esta función ha sido poco estudiada en esta población. El objetivo de este trabajo fue realizar una revisión de la literatura de los últimos 18 años acerca de la CS en niños con TDAH, en los subdominios de teoría de la mente, reconocimiento de emociones en rostros, lenguaje pragmático y prosodia afectiva. Se realizó una búsqueda en las bases de datos PubMed y Scopus, combinando las siguientes palabras clave: “ADHD”, “social cognition”, “theory of mind”, “emotion recognition”, “pragmatic language” y “affective prosody”. Se seleccionaron artículos desde el 2000 hasta el 2018. El reconocimiento de emociones en rostros es el déficit en CS más reportado, encontrándose fallas en la comprensión de gestos de miedo, tristeza, felicidad y enojo, aunque no de manera consistente. Asimismo, se reportan deficiencias en la teoría de la mente, principalmente en la referencia social, entendimiento de emociones básicas, metarrepresentaciones, inferencias de segundo orden y comprensión de juicios sociales complejos.


2021 ◽  
pp. 1-9
Author(s):  
K. M. Gicas ◽  
C. Mejia-Lancheros ◽  
R. Nisenbaum ◽  
R. Wang ◽  
S. W. Hwang ◽  
...  

Abstract Background High rates of physical and mental health comorbidities are associated with functional impairment among persons who are homeless. Cognitive dysfunction is common, but how it contributes to various functional outcomes in this population has not been well investigated. This study examines how cognition covaries with community functioning and subjective quality of life over a 6-year period while accounting for the effects of risk and protective factors. Methods Participants were 349 homeless adults (mean age = 39.8) recruited from the Toronto site of the At Home/Chez Soi study, a large Canadian randomized control trial of Housing First. Participants completed up to four clinical evaluations over 6 years. Factor scores were created to index verbal learning and memory (vLM) and processing speed-cognitive flexibility (PSCF). The primary outcomes were community functioning and subjective quality of life. Risk factors included lifetime homelessness, mental health diagnoses, medical comorbidity, and childhood adversity. Linear mixed-effects models were conducted to examine cognition-functional outcome associations over time, with resilience as a moderator. Results Better vLM (b = 0.787, p = 0.010) and PSCF (b = 1.66, p < 0.001) were associated with better community functioning, but not with quality of life. Resilience conferred a protective effect on subjective quality of life (b = 1.45, p = 0.011) but did not moderate outcomes. Conclusions Our findings suggest a need to consider the unique determinants of community functioning and quality of life among homeless adults. Cognition should be prioritized as a key intervention target within existing service delivery models to optimize long-term functional outcomes.


Author(s):  
Clare M. Eddy

AbstractNarcissistic Personality Disorder is characterised by inflated self-importance, an excessive need for admiration, and a lack of empathy. The interpersonal difficulties associated with narcissistic personality may be becoming more widespread given its increasing prevalence within the general population. This systematic review investigated the relationship between narcissistic personality traits and social cognition (i.e. theory of mind; emotion recognition; empathy; emotional intelligence) in clinical and non-clinical samples. Cognitive empathy (i.e. perspective taking) appears unlikely to be impaired, while affective empathy (relating to another’s emotion state) may be reduced in association with narcissism. Those with grandiose narcissism rate their empathic skills more highly than those with vulnerable narcissism, but concurrent administration of objective measures is rare, limiting insight into the validity of self-ratings. Rather than deficits in aspects of social cognition, the overall pattern could reflect motivation, or advantageous use of social cognitive skills to serve the self. Indeed, interpersonal strategies associated with narcissism (e.g. deception; manipulation) suggest the application of understanding another’s beliefs or desires in the context of low empathy. Further research should seek to explore performance on a wider range of emotion recognition and theory of mind tasks, and whether characteristics such as excessive jealousy and paranoia could reflect hyper-mentalizing.


2019 ◽  
Vol 24 (1) ◽  
Author(s):  
Manuel González-Panzano ◽  
Luis Borao ◽  
Paola Herrera-Mercadal ◽  
Daniel Campos ◽  
Yolanda López-del-Hoyo ◽  
...  

Abstract: Mindfulness and social cognition skills in the prediction of affective symptomatology in schizophrenia, obsessive-compulsive disorder and nonclinical participants. The aim of the study was to investigate significant predictors of affective symptomatology in schizophrenia, obsessive-compulsive disorder and healthy controls. The sample was of 91 participants who completed the following instruments: the Eye Test (emotional recognition), the Hinting Task (theory of mind), the Ambiguous Intentions and Hostility Questionnaire(AIHQ; attributional style), Interpersonal Reactivity Index (IRI; empathy), the Mindful Attention Awareness Scale (MAAS; mindfulness trait), the Five Facet Mindfulness Questionnaire-Short Form(FFMQ-SF), and the Hospital Anxiety and Depression Scale(HADS). Significant predictors of affective symptomatology were: mindfulness (dispositional or trait mindfulness, nonreactivity and nonjudgment), and social cognition (SC) (attributional style and theory of mind). Mediation analysis showed that theory of mind was the only significant mediator of affective symptomatology. This paper shows the role of mindfulness and SC skills in the prediction of affective symptomatology.Keywords: mindfulness, social cognition, theory of mind, affective symptomatology, schizophrenia, obsessive-compulsive disorder.Resumen:El objetivo del estudio fue investigar predictores significativos de sintomatología afectiva en Esquizofrenia (EZ), trastorno obsesivo compulsivo (TOC) y controles no clínicos. La muestra fue de 91 participantes que completaron los siguientes instrumentos: Eyes Test (reconocimiento emocional), Hinting Task (teoría de la mente), Ambiguous Intentions and Hostility Questionnaire (AIHQ; estilo atribucional), Índice de Reactividad Interpersonal (IRI; empatía), Mindful Attention Awareness Scale (MAAS;mindfulness rasgo), Five Facet Mindfulness Questionnaire-Short Form (FFMQ-SF), y Hospital Anxiety and Depression Scale (HADS).Los resultados mostraron que el mindfulness (mindfulness rasgo, no reactividad y no juicio) y la cognición social (estilo atribucional y teoría de la mente) fueron predictores significativos. Los análisis de mediación señalaron la variable de teoría de la mente, como único mediador significativo de la sintomatología afectiva.Los resultados de este estudio señalan el papel de las habilidades de mindfulness y cognición social en la predicción de sintomatología afectiva.Palabras clave: mindfulness, cognición social, teoría de la mente, sintomatología afectiva, esquizofrenia, trastorno obsesivo-compulsivo.


2015 ◽  
Vol 2 (3) ◽  
pp. 133-139 ◽  
Author(s):  
Mariapaola Barbato ◽  
Lu Liu ◽  
Kristin S. Cadenhead ◽  
Tyrone D. Cannon ◽  
Barbara A. Cornblatt ◽  
...  

2021 ◽  
Author(s):  
Marcela Perrone-Bertolotti ◽  
Lucile Meunier ◽  
Christine Bulteau ◽  
Anna Borne ◽  
Samuel El Bouzaïdi Tiali ◽  
...  

We present a computerize battery constructed to evaluate behavioral performances for language, declarative memory, executive functions and social cognition abilities. This battery was created to evaluate cognitive outcomes in adults who underwent hemispherotomy as a clinical treatment of Rasmussen Encephalitis (RE) in their childhood and have been tested in a group of healthy participants (n= 88). LEXTOMM battery can be used for cognitive assessment of any type of population and allow the collection of behavioral performances in terms of accuracy and reaction times. LEXTOMM battery is composed of six language tasks allowing to assess six different linguistic abilities such as lexical storage, semantics, phonology, syntax, prosody perception and production. Different input modalities are proposed for these tasks (picture, written and auditory modality). A specific task allowing the assessment of the language generation and declarative memory interaction is also proposed. The battery also included a visual control categorization task is proposed in order to assess decision-making baseline. Moreover, LEXTOMM also includes four tasks allowing the assessment of the executive functions. More specifically we included tasks allowing the evaluation of four executive processes: updating in working memory, switching/flexibility, sustained attention and inhibition. Finally, the battery includes a theory of mind abilities task. All tasks were developed using the E-Prime 3.0 software (E-Prime Psychology Software Tools Inc., Pittsburgh, USA), running on a PC. Before each task, a training session is included, with several stimuli that differ from those presented during the experiment. This training allows participants to understand the instructions and get familiarized with each task. Hereafter, we describe the procedures and tasks included in LEXTOMM, in the following order: low-level visual categorization, language, language in interaction with declarative memory, executive functions and social cognition/theory of mind.


Sign in / Sign up

Export Citation Format

Share Document