The relationship between negative symptoms, social cognition, and social functioning in patients with first episode psychosis

Autor
García-López, María
Alonso-Sánchez, Miguel
Leal, Itziar
Martín-Hernández, David
Caso, Javier R
Díaz-Caneja, Covadonga M.
Andreu-Bernabeu, Álvaro
Arango, Celso
Rodriguez-Jimenez, Roberto
Sánchez-Pastor, Luis
Díaz-Marsá, Marina
Mellor-Marsá, Blanca
Ibáñez, Ángela
Malpica, Norberto
Bravo-Ortiz, María Fe
Baca-Garcia, Enrique
Ayuso Mateos, Jose Luis
Izquierdo, Ana
Fecha
2022Resumen
Introduction
Social functioning is severely affected in psychotic disorders. Negative symptoms and social cognition seem to play an important role in social functioning, although the preponderance and relationship between these three domains is not clear. In this study, we sought to assess the interrelation between social cognition, social functioning, and the expressiveness and experiential factors of negative symptoms in first-episode psychosis (FEP).
Sample and methods
216 patients, participants in a multicentre study (AGES-CM), comprised our study sample. The WHO Disability Assessment Schedule (WHODAS 2.0) was used to assess functioning, whereas the Positive and Negative Schizophrenia Syndrome Scale (PANSS) was used to measure the severity of negative symptoms, and the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) was applied to assess the emotional processing component of social cognition. Network analyses were conducted with the aim of analysing the patterns of relationships between social cognition, social functioning, and the expressiveness and experiential factors of negative symptoms.
Results
Our findings suggest that there is a direct relationship between social cognition and social functioning (weight = -.077), but also an indirect connection between them, mediated by the experiential (but not the expressiveness) factor of negative symptoms (weight = 0.300).
Discussion
The importance of the affectation of subdomains of social cognition, as well as the role of negative symptoms, specifically the experiential factor, in the functioning of patients with FEP seems to be relevant. The inclusion of these factors in prevention and treatment programs would thus allow us to reduce their impact on the social functioning of these patients.
Fuente
Journal of Psychiatric Research, 155, 171-179Link de Acceso
Click aquí para ver el documentoIdentificador DOI
doi.org/10.1016/j.jpsychires.2022.08.004Colecciones
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