Social Cognition Mediates the Impact of Processing Speed and Sustained Attention on Global Functioning in Schizophrenia.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psicothema Pub Date : 2023-02-01 DOI:10.7334/psicothema2022.8

Alicia Ruiz-Toca, Cristina Fernández-Aragón, Ana Madrigal, Tate Halverson, Roberto Rodríguez-Jiménez, Guillermo Lahera

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引用次数: 1

Abstract

Background: Deficits in information processing, sustained attention and social cognition have important implications for the daily functioning of people with schizophrenia. The present study analyzed the relationship between processing speed, sustained attention, social cognition, and functioning in clinically stable people with schizophrenia.

Method: Ninety people with schizophrenia and 100 healthy controls completed a battery of measures to assess clinical symptoms, processing speed, sustained attention, social cognition, and functioning. GLMMs and SEM were used to assess the relationships between these variables.

Results: People with schizophrenia had impaired performance in all cognitive outcomes compared to healthy controls. Processing speed and sustained attention, together in a latent variable, had a strong effect on functioning (Beta = 0.32; p <.05). However, social cognition had also a strong effect on functioning (Beta = 0.29; p <.001) in the mediation model, which exhibited better indices of fit than the model including neurocognition alone (e.g. RMSEA_basic = 0.131 and RMSEA_mediator = 0.054).

Conclusions: The mediating effect of social cognition on the relationship between processing speed, sustained attention, and functioning in people with schizophrenia suggests the importance of including both domains of neurocognition along with social cognition as treatment targets in rehabilitation interventions to optimize improvements in functioning in schizophrenia.

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社会认知介导加工速度和持续注意对精神分裂症患者整体功能的影响。

背景:精神分裂症患者在信息处理、持续注意力和社会认知方面的缺陷对其日常功能有重要影响。本研究分析了临床稳定的精神分裂症患者的加工速度、持续注意、社会认知和功能之间的关系。方法:90名精神分裂症患者和100名健康对照者完成了一系列评估临床症状、处理速度、持续注意力、社会认知和功能的措施。glmm和SEM用于评估这些变量之间的关系。结果:与健康对照组相比，精神分裂症患者在所有认知结果中表现受损。处理速度和持续注意共同作为一个潜在变量，对功能有很强的影响(Beta = 0.32;p basic = 0.131, rmsemediator = 0.054)。结论:社会认知在精神分裂症患者加工速度、持续注意和功能之间的中介作用表明，在康复干预中，将神经认知和社会认知两个领域作为治疗目标，以优化精神分裂症患者功能的改善是重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psicothema PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.50

自引率

16.70%

发文量

审稿时长

24 weeks

期刊介绍： La revista Psicothema fue fundada en Asturias en 1989 y está editada conjuntamente por la Facultad y el Departamento de Psicología de la Universidad de Oviedo y el Colegio Oficial de Psicólogos del Principado de Asturias. Publica cuatro números al año. Se admiten trabajos tanto de investigación básica como aplicada, pertenecientes a cualquier ámbito de la Psicología, que previamente a su publicación son evaluados anónimamente por revisores externos. Psicothema está incluida en las bases de datos nacionales e internacionales más relevantes, entre las que cabe destacar Psychological Abstracts, Current Contents y MEDLINE/Index Medicus, entre otras. Además, figura en las listas de Factor de Impacto del Journal Citation Reports. Psicothema es una revista abierta a cualquier enfoque u orientación psicológica que venga avalada por la fuerza de los datos y los argumentos, y en la que encuentran acomodo todos los autores que sean capaces de convencer a los revisores de que sus manuscritos tienen la calidad para ser publicados. Psicothema es una revista de acceso abierto lo que significa que todo el contenido está a disposición de cualquier usuario o institución sin cargo alguno. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o realizar enlaces a los textos completos de esta revista sin pedir permiso previo al editor o al autor, siempre y cuando la fuente original sea referenciada. Para acervos y repositorios, se prefiere que la cobertura se realice mediante enlaces a la propia web de Psicothema. Nos parece que una apuesta decidida por la calidad es el mejor modo de servir a nuestros lectores, cuyas sugerencias siempre serán bienvenidas.