Volume 16, Issue 3 (September 2018)                   Iranian Rehabilitation Journal 2018, 16(3): 239-246 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Saffarian Z, Doulatshahi B, Pourshabaz A, Rasti Kerdar N. The Role of Social Cognition in Predicting the Social Functioning in Patients With Chronic Schizophrenia. Iranian Rehabilitation Journal. 2018; 16 (3) :239-246
URL: http://irj.uswr.ac.ir/article-1-835-en.html
1- Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Institute for Cognitive & Brain Sciences, Shahid Beheshti University, Tehran, Iran.
Abstract:   (2906 Views)
Objectives: Patients with schizophrenia are characterized with deficiencies in various aspects of social functioning. Given the relationship between social functioning deficits and relapse in these patients, identification of underlying factors is of significant importance. Thus, in this study, the contribution of each dimension of social cognition (Emotion Perception [EP], Theory of Mind [ToM] and Attributional Style [AS]) in predicting the social function of schizophrenic patients were examined.
Methods: The statistical population included all patients with chronic schizophrenia hospitalized in Shiraz chronic healthcare centers. Of them, a total of 62 patients with schizophrenia disorder were selected based on purposive sampling method from three chronic care centers and were evaluated using social cognition tools (Hinting Task, Face Emotion Identification Task, and The Ambiguous Intentions and Hostility Questionnaire) and the Social Functioning Scale (SFS).
Results: The results showed that ToM and EP predicted social functioning in people with schizophrenia but attributional style was not associated with social functioning.
Discussion: On the whole, ToM and EP are general abilities contributing in explaining social functioning. However, the importance of attributional bias is significant when evaluating the performance of a person in specific areas such as aggressive behaviors.
Full-Text [PDF 568 kb]   (1173 Downloads) |   |   Full-Text (HTML)  (455 Views)  
Article type: Original Research Articles | Subject: Psychology
Received: 2018/02/27 | Accepted: 2018/07/5 | Published: 2018/09/1

1. Hooley JM. Social factors in schizophrenia. Current Directions in Psychological Science. 2010; 19(4):238-42. [DOI:10.1177/0963721410377597] [DOI:10.1177/0963721410377597]
2. Pinkham AE, Penn DL, Perkins DO, Lieberman J. Implications for the neural basis of social cognition for the study of schizophrenia. American Journal of Psychiatry. 2003; 160(5):815-24. [DOI:10.1176/appi.ajp.160.5.815] [PMID] [DOI:10.1176/appi.ajp.160.5.815]
3. Robertson BR, Prestia D, Twamley EW, Patterson TL, Bowie CR, Harvey PD. Social competence versus negative symptoms as predictors of real world social functioning in schizophrenia. Schizophrenia Research. 2014; 160(1):136-41. [DOI:10.1016/j.schres.2014.10.037] [PMID] [PMCID] [DOI:10.1016/j.schres.2014.10.037]
4. Couture SM, Penn DL, Roberts DL. The functional significance of social cognition in schizophrenia: A review. Schizophrenia Bulletin. 2006; 32(1):44-63. [DOI:10.1093/schbul/sbl029] [PMID] [PMCID] [DOI:10.1093/schbul/sbl029]
5. Fett AKJ, Maat A, Investigators G. Social cognitive impairments and psychotic symptoms: What is the nature of their association? Schizophrenia Bulletin. 2011; 39(1):77-85. [DOI:10.1093/schbul/sbr058] [PMID] [PMCID] [DOI:10.1093/schbul/sbr058]
6. Mancuso F, Horan WP, Kern RS, Green MF. Social cognition in psychosis: Multidimensional structure, clinical correlates, and relationship with functional outcome. Schizophrenia Research. 2011; 125(2):143-51. [DOI:10.1016/j.schres.2010.11.007] [PMID] [PMCID] [DOI:10.1016/j.schres.2010.11.007]
7. Kettle JW, O'Brien-Simpson L, Allen NB. Impaired theory of mind in first-episode schizophrenia: Comparison with community, university and depressed controls. Schizophrenia Research. 2008; 99(1):96-102. [DOI:10.1016/j.schres.2007.11.011] [PMID] [DOI:10.1016/j.schres.2007.11.011]
8. Kee KS, Horan WP, Wynn JK, Mintz J, Green MF. An analysis of categorical perception of facial emotion in schizophrenia. Schizophrenia Research. 2006; 87(1):228-37. [DOI:10.1016/j.schres.2006.06.001] [PMID] [DOI:10.1016/j.schres.2006.06.001]
9. Pinkham AE, Penn DL, Green MF, Buck B, Healey K, Harvey PD. The social cognition psychometric evaluation study: Results of the expert survey and RAND panel. Schizophrenia Bulletin. 2013; 40(4):813-23. [DOI:10.1093/schbul/sbt081] [PMID] [PMCID] [DOI:10.1093/schbul/sbt081]
10. Green MF, Bearden CE, Cannon TD, Fiske AP, Hellemann GS, Horan WP, et al. Social cognition in schizophrenia, part 1: Performance across phase of illness. Schizophrenia Bulletin. 2011; 38(4):854-64. [DOI:10.1093/schbul/sbq171] [PMID] [PMCID] [DOI:10.1093/schbul/sbq171]
11. Bora E, Yucel M, Pantelis C. Theory of mind impairment in schizophrenia: Meta-analysis. Schizophrenia Research. 2009; 109(1):1-9. [DOI:10.1016/j.schres.2008.12.020] [PMID] [DOI:10.1016/j.schres.2008.12.020]
12. Savla GN, Vella L, Armstrong CC, Penn DL, Twamley EW. Deficits in domains of social cognition in schizophrenia: A meta-analysis of the empirical evidence. Schizophrenia Bulletin. 2012; 39(5):979-92. [DOI:10.1093/schbul/sbs080] [PMID] [PMCID] [DOI:10.1093/schbul/sbs080]
13. Sprong M, Schothorst P, Vos E, Hox J, Van Engeland H. Theory of mind in schizophrenia. The British Journal of Psychiatry. 2007; 191(1):5-13. [DOI:10.1192/bjp.bp.107.035899] [PMID] [DOI:10.1192/bjp.bp.107.035899]
14. Fiszdon JM, Johannesen JK. Functional significance of preserved affect recognition in schizophrenia. Psychiatry Research. 2010; 176(2):120-5. [DOI:10.1016/j.psychres.2009.08.006] [PMID] [PMCID] [DOI:10.1016/j.psychres.2009.08.006]
15. Tsui CF, Huang J, Lui SS, Au AC, Leung MM, Cheung EF, et al. Facial emotion perception abnormality in patients with early schizophrenia. Schizophrenia Research. 2013; 147(2):230-5. [DOI:10.1016/j.schres.2013.04.019] [PMID] [DOI:10.1016/j.schres.2013.04.019]
16. Leszczyńska A. Facial emotion perception and schizophrenia symptoms. Psychiatria Polska. 2015; 49(6):1159-68. [DOI:10.12740/PP/38919] [PMID] [DOI:10.12740/PP/38919]
17. Buck B, Iwanski C, Healey KM, Green MF, Horan WP, Kern RS, et al. Improving measurement of attributional style in schizophrenia: A psychometric evaluation of the Ambiguous Intentions Hostility Questionnaire (AIHQ). Journal of Psychiatric Research. 2017; 89:48-54. [DOI:10.1016/j.jpsychires.2017.01.004] [PMID] [DOI:10.1016/j.jpsychires.2017.01.004]
18. Pinkham AE, Penn DL, Green MF, Harvey PD. Social cognition psychometric evaluation: Results of the initial psychometric study. Schizophrenia Bulletin. 2015; 42(2):494-504. [DOI:10.1093/schbul/sbv056] [PMID] [PMCID] [DOI:10.1093/schbul/sbv056]
19. Blackwood NJ, Howard RJ, Bentall RP, Murray RM. Cognitive neuropsychiatric models of persecutory delusions. American Journal of Psychiatry. 2001; 158(4):527-39. [DOI:10.1176/appi.ajp.158.4.527] [PMID] [DOI:10.1176/appi.ajp.158.4.527]
20. Adolphs R, Tranel D, Hamann S, Young AW, Calder AJ, Phelps EA, et al. Recognition of facial emotion in nine individuals with bilateral amygdala damage. Neuropsychologia. 1999; 37(10):1111-7. [DOI:10.1016/S0028-3932(99)00039-1] [DOI:10.1016/S0028-3932(99)00039-1]
21. Combs DR, Penn DL. The role of subclinical paranoia on social perception and behavior. Schizophrenia Research. 2004; 69(1):93-104. [DOI:10.1016/S0920-9964(03)00051-3] [DOI:10.1016/S0920-9964(03)00051-3]
22. Russell TA, Rubia K, Bullmore ET, Soni W, Suckling J, Brammer MJ, et al. Exploring the social brain in schizophrenia: Left prefrontal underactivation during mental state attribution. American Journal of Psychiatry. 2000; 157(12):2040-2. [DOI:10.1176/appi.ajp.157.12.2040] [PMID] [DOI:10.1176/appi.ajp.157.12.2040]
23. Irani F, Seligman S, Kamath V, Kohler C, Gur RC. A meta-analysis of emotion perception and functional outcomes in schizophrenia. Schizophrenia Research. 2012; 137(1):203-11. [DOI:10.1016/j.schres.2012.01.023] [PMID] [PMCID] [DOI:10.1016/j.schres.2012.01.023]
24. Zhu Y, Zhang L, Fan J, Han S. Neural basis of cultural influence on self-representation. Neuroimage. 2007; 34(3):1310-6. [DOI:10.1016/j.neuroimage.2006.08.047] [PMID] [DOI:10.1016/j.neuroimage.2006.08.047]
25. Piovan C, Gava L, Campeol M. Theory of Mind and social functioning in schizophrenia: Correlation with figurative language abnormalities, clinical symptoms and general intelligence. Rivista Di Psichiatria. 2016; 51(1):20-9. [PMID] [PMID]
26. Pijnenborg G, Withaar F, Evans J, Van den Bosch R, Timmerman M, Brouwer WH. The predictive value of measures of social cognition for community functioning in schizophrenia: Implications for neuropsychological assessment. Journal the International Neuropsychological Society. 2009; 15(2):239-47. [DOI:10.1017/S1355617709090341] [PMID] [DOI:10.1017/S1355617709090341]
27. Waldheter EJ, Jones NT, Johnson ER, Penn DL. Utility of social cognition and insight in the prediction of inpatient violence among individuals with a severe mental illness. The Journal of Nervous and Mental Disease. 2005; 193(9):609-18. [DOI:10.1097/01.nmd.0000177788.25357.de] [PMID] [DOI:10.1097/01.nmd.0000177788.25357.de]
28. Association Psychology Association. Diagnostic and statistical manual of mental disorders (DSM-5®). New York: American Psychiatric Pub; 2013.
29. Corcoran R, Mercer G, Frith CD. Schizophrenia, symptomatology and social inference: Investigating "theory of mind" in people with schizophrenia. Schizophrenia Research. 1995; 17(1):5-13. [DOI:10.1016/0920-9964(95)00024-G] [DOI:10.1016/0920-9964(95)00024-G]
30. Roberts DL, Penn DL. Social Cognition and Interaction Training (SCIT) for outpatients with schizophrenia: A preliminary study. Psychiatry Research. 2009; 166(2):141-7. [DOI:10.1016/j.psychres.2008.02.007] [PMID] [DOI:10.1016/j.psychres.2008.02.007]
31. Kerr SL, Neale JM. Emotion perception in schizophrenia: Specific deficit or further evidence of generalized poor performance? Journal of Abnormal Psychology. 1993; 102(2):312-8. [DOI:10.1037/0021-843X.102.2.312] [PMID] [DOI:10.1037/0021-843X.102.2.312]
32. Combs DR, Penn DL, Wicher M, Waldheter E. The Ambiguous Intentions Hostility Questionnaire (AIHQ): A new measure for evaluating hostile social-cognitive biases in paranoia. Cognitive Neuropsychiatry. 2007; 12(2):128-43. [DOI:10.1080/13546800600787854] [PMID] [DOI:10.1080/13546800600787854]
33. Birchwood M, Smith J, Cochrane R, Wetton S, Copestake S. The Social Functioning Scale. The development and validation of a new scale of social adjustment for use in family intervention programmes with schizophrenic patients. The British Journal of Psychiatry. 1990; 157(6):853-9. [DOI:10.1192/bjp.157.6.853] [PMID] [DOI:10.1192/bjp.157.6.853]
34. Sterea R. The relationship between social cognition and functional outcomes in schizophrenia. Procedia-Social and Behavioral Sciences. 2015; 187:256-60. [DOI:10.1016/j.sbspro.2015.03.048] [DOI:10.1016/j.sbspro.2015.03.048]
35. Harris ST, Oakley C, Picchioni MM. A systematic review of the association between attributional bias/interpersonal style, and violence in schizophrenia/psychosis. Aggression and Violent Behavior. 2014; 19(3):235-241. [DOI:10.1016/j.avb.2014.04.009] [DOI:10.1016/j.avb.2014.04.009]

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by : Yektaweb