首页 > 最新文献

Schizophrenia Research-Cognition最新文献

英文 中文
Cognitive profiles in older adults with psychotic disorders: Results from routine clinical assessments 老年精神病患者的认知特征:来自常规临床评估的结果
IF 3 Q2 PSYCHIATRY Pub Date : 2026-01-30 DOI: 10.1016/j.scog.2026.100420
Imane Nait Abbou , Camille Maheu-Savard , Francisca Chalifoux , Jessika Roy-Desruisseaux , Jean-François Trudel , Jean-Robert Maltais

Objectives

Cognitive impairment is common in older adults with psychotic disorders; however, few studies have examined their performance on widely used cognitive screening tools. This study aimed to characterize the cognitive profile of this population using four commonly administered instruments: the Mini-Mental State Examination (MMSE), the Modified Mini-Mental State (3MS), the Montreal Cognitive Assessment (MoCA), and the Frontal Assessment Battery (FAB).

Methods

In this descriptive cross-sectional study, 77 adults aged ≥60 years with a diagnosed psychotic disorder underwent cognitive assessment using the MMSE, 3MS, MoCA, and FAB. Demographic and clinical data were also collected, including psychiatric symptom severity (Positive and Negative Syndrome Scale; PANSS), functional status (Specific Level of Functioning Scale; SLOF), and education level.

Results

Median scores were 28/30 (MMSE), 92/100 (3MS), 22/30 (MoCA), and 15/18 (FAB). Cognitive deficits were most prominent in delayed recall, verbal fluency, inhibitory control, abstraction, and visuospatial function. Principal component analysis revealed strong positive correlations among cognitive performance, educational attainment, and functional capacity. PANSS total and negative symptom scores were negatively correlated with MMSE, 3MS, and FAB scores. No distinct cognitive subgroups were identified, suggesting a relatively homogeneous cognitive profile across the sample.

Conclusions

Older adults with psychotic disorders exhibit consistent impairments across specific cognitive domains. Familiarity with these patterns may help clinicians distinguish typical cognitive changes in this population from atypical profiles that warrant further investigation, including referral to geriatric psychiatry or memory clinics.
认知障碍在老年精神障碍患者中很常见;然而,很少有研究考察他们在广泛使用的认知筛选工具上的表现。本研究旨在通过四种常用的工具来描述这一人群的认知特征:迷你精神状态检查(MMSE),修改迷你精神状态(3MS),蒙特利尔认知评估(MoCA)和正面评估电池(FAB)。方法在这项描述性横断面研究中,77名年龄≥60岁的诊断为精神障碍的成年人使用MMSE、3MS、MoCA和FAB进行认知评估。同时收集人口统计学和临床资料,包括精神症状严重程度(阳性和阴性综合征量表;PANSS)、功能状态(特定功能水平量表;SLOF)和文化程度。结果中位评分分别为28/30 (MMSE)、92/100 (3MS)、22/30 (MoCA)和15/18 (FAB)。认知缺陷在延迟回忆、语言流畅性、抑制控制、抽象和视觉空间功能方面最为突出。主成分分析显示认知表现、受教育程度和功能能力之间存在显著正相关。PANSS总分和阴性症状评分与MMSE、3MS、FAB评分呈负相关。没有识别出明显的认知亚组,这表明整个样本的认知概况相对均匀。结论成年精神病患者在特定认知领域表现出一致的障碍。熟悉这些模式可以帮助临床医生区分这一人群的典型认知变化和非典型的特征,这些特征需要进一步的研究,包括转介到老年精神病学或记忆诊所。
{"title":"Cognitive profiles in older adults with psychotic disorders: Results from routine clinical assessments","authors":"Imane Nait Abbou ,&nbsp;Camille Maheu-Savard ,&nbsp;Francisca Chalifoux ,&nbsp;Jessika Roy-Desruisseaux ,&nbsp;Jean-François Trudel ,&nbsp;Jean-Robert Maltais","doi":"10.1016/j.scog.2026.100420","DOIUrl":"10.1016/j.scog.2026.100420","url":null,"abstract":"<div><h3>Objectives</h3><div>Cognitive impairment is common in older adults with psychotic disorders; however, few studies have examined their performance on widely used cognitive screening tools. This study aimed to characterize the cognitive profile of this population using four commonly administered instruments: the Mini-Mental State Examination (MMSE), the Modified Mini-Mental State (3MS), the Montreal Cognitive Assessment (MoCA), and the Frontal Assessment Battery (FAB).</div></div><div><h3>Methods</h3><div>In this descriptive cross-sectional study, 77 adults aged ≥60 years with a diagnosed psychotic disorder underwent cognitive assessment using the MMSE, 3MS, MoCA, and FAB. Demographic and clinical data were also collected, including psychiatric symptom severity (Positive and Negative Syndrome Scale; PANSS), functional status (Specific Level of Functioning Scale; SLOF), and education level.</div></div><div><h3>Results</h3><div>Median scores were 28/30 (MMSE), 92/100 (3MS), 22/30 (MoCA), and 15/18 (FAB). Cognitive deficits were most prominent in delayed recall, verbal fluency, inhibitory control, abstraction, and visuospatial function. Principal component analysis revealed strong positive correlations among cognitive performance, educational attainment, and functional capacity. PANSS total and negative symptom scores were negatively correlated with MMSE, 3MS, and FAB scores. No distinct cognitive subgroups were identified, suggesting a relatively homogeneous cognitive profile across the sample.</div></div><div><h3>Conclusions</h3><div>Older adults with psychotic disorders exhibit consistent impairments across specific cognitive domains. Familiarity with these patterns may help clinicians distinguish typical cognitive changes in this population from atypical profiles that warrant further investigation, including referral to geriatric psychiatry or memory clinics.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"44 ","pages":"Article 100420"},"PeriodicalIF":3.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Commentary on Ziermans, Hadjúk, Pinkham et al. “Call to action on social cognition measures in clinical research” and on Happé's commentary to the call to action 评论Ziermans, Hadjúk, Pinkham等人的“呼吁对临床研究中的社会认知措施采取行动”以及happ<s:1>对行动呼吁的评论
IF 3 Q2 PSYCHIATRY Pub Date : 2026-01-30 DOI: 10.1016/j.scog.2026.100421
Silvia Corbera , Michal Assaf
{"title":"Commentary on Ziermans, Hadjúk, Pinkham et al. “Call to action on social cognition measures in clinical research” and on Happé's commentary to the call to action","authors":"Silvia Corbera ,&nbsp;Michal Assaf","doi":"10.1016/j.scog.2026.100421","DOIUrl":"10.1016/j.scog.2026.100421","url":null,"abstract":"","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"44 ","pages":"Article 100421"},"PeriodicalIF":3.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Virtual reality–based cognitive remediation in severe mental illness: Current evidence from a narrative review 基于虚拟现实的严重精神疾病认知修复:来自叙述性回顾的当前证据
IF 3 Q2 PSYCHIATRY Pub Date : 2026-01-13 DOI: 10.1016/j.scog.2026.100418
Andrea Fiorillo , Stefano Barlati , Matteo Di Vincenzo , Umberto Albert , Giuseppe Carrà , Bernardo Dell'Osso , Giovanni Martinotti , Mario Luciano , Antonio Vita
Cognitive impairment is a pervasive feature across severe mental illnesses (SMIs), including schizophrenia spectrum disorders (SSDs), major depressive disorder (MDD), and bipolar disorder (BD), and is associated with poor functional outcomes and reduced quality of life. Cognitive remediation (CR) is an evidence-based psychosocial intervention aimed at improving cognitive functioning and daily functioning in individuals with SMI. In recent years, virtual reality (VR) has emerged as a promising modality for delivering CR in a more immersive, engaging, and ecologically valid manner. This narrative review synthesizes the current literature on the effectiveness of fully immersive VR-based CR interventions in SMI populations. Preliminary findings suggest that VR-CR may enhance treatment engagement, facilitate transfer of cognitive gains to real-life functioning, and support remote delivery. Although early results are encouraging, most available studies are limited by small sample sizes, short follow-up periods, and lack of standardized outcome measures. Further large-scale randomized controlled trials are needed to establish the long-term effectiveness, generalizability, and cost-efficiency of VR-CR approaches.
认知障碍是严重精神疾病(SMIs)的普遍特征,包括精神分裂症谱系障碍(ssd)、重度抑郁症(MDD)和双相情感障碍(BD),并与功能不良和生活质量下降有关。认知修复(Cognitive remediation, CR)是一种基于证据的心理社会干预,旨在改善重度精神分裂症患者的认知功能和日常功能。近年来,虚拟现实(VR)已经成为一种有前途的模式,以一种更身临其境、更吸引人、更生态有效的方式提供CR。这篇叙述性综述综合了目前关于重度精神障碍人群中完全沉浸式基于vr的CR干预有效性的文献。初步研究结果表明,VR-CR可以提高治疗参与度,促进认知收益向现实生活功能的转移,并支持远程交付。虽然早期的结果令人鼓舞,但大多数现有的研究受到样本量小、随访时间短和缺乏标准化结果测量的限制。需要进一步的大规模随机对照试验来确定VR-CR方法的长期有效性、普遍性和成本效益。
{"title":"Virtual reality–based cognitive remediation in severe mental illness: Current evidence from a narrative review","authors":"Andrea Fiorillo ,&nbsp;Stefano Barlati ,&nbsp;Matteo Di Vincenzo ,&nbsp;Umberto Albert ,&nbsp;Giuseppe Carrà ,&nbsp;Bernardo Dell'Osso ,&nbsp;Giovanni Martinotti ,&nbsp;Mario Luciano ,&nbsp;Antonio Vita","doi":"10.1016/j.scog.2026.100418","DOIUrl":"10.1016/j.scog.2026.100418","url":null,"abstract":"<div><div>Cognitive impairment is a pervasive feature across severe mental illnesses (SMIs), including schizophrenia spectrum disorders (SSDs), major depressive disorder (MDD), and bipolar disorder (BD), and is associated with poor functional outcomes and reduced quality of life. Cognitive remediation (CR) is an evidence-based psychosocial intervention aimed at improving cognitive functioning and daily functioning in individuals with SMI. In recent years, virtual reality (VR) has emerged as a promising modality for delivering CR in a more immersive, engaging, and ecologically valid manner. This narrative review synthesizes the current literature on the effectiveness of fully immersive VR-based CR interventions in SMI populations. Preliminary findings suggest that VR-CR may enhance treatment engagement, facilitate transfer of cognitive gains to real-life functioning, and support remote delivery. Although early results are encouraging, most available studies are limited by small sample sizes, short follow-up periods, and lack of standardized outcome measures. Further large-scale randomized controlled trials are needed to establish the long-term effectiveness, generalizability, and cost-efficiency of VR-CR approaches.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"44 ","pages":"Article 100418"},"PeriodicalIF":3.0,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The relationship between mental state decoding and real-world social functioning – An experience sampling investigation 心理状态解码与现实社会功能的关系——经验抽样调查
IF 3 Q2 PSYCHIATRY Pub Date : 2026-01-10 DOI: 10.1016/j.scog.2026.100419
Ronja Christensen , Eva Velthorst , Anne-Kathrin Fett

Introduction

Social cognition, particularly Theory of Mind (ToM), is thought to play a crucial role in social functioning. Patients with psychosis often exhibit ToM deficits, but research findings on associations with social outcomes in daily life remain conflicting.

Objectives

This study investigated the relationship between mental state decoding, a core aspect of ToM, measured by the Reading the Mind in the Eyes Test (RMET), and quantity and subjective quality of real-life social interactions in patients with psychosis, first-degree relatives, and controls.

Methods

A 7-day Experience Sampling Method (ESM) design assessed the number and quality of real-life social interactions, including time spent alone vs. in social company, loneliness, feelings of social exclusion, preferences for company, being alone by choice, enjoyment of solitude, and perceived relationship quality in 27 patients with psychosis, 17 first-degree relatives, and 26 controls. All participants completed the RMET.

Results

Patients scored lower on the RMET compared to both relatives (β = −0.13, p = .006) and controls (β = −0.19, p < .001), suggesting mental state decoding deficits in patients. Relatives did not differ from controls (p = .17), suggesting no association with familial risk. Across groups, lower RMET scores predicted feelings of social exclusion (β = −0.05, p = .02) but there were no significant associations between RMET performance and other aspects of real-life social functioning (all p > .7).

Conclusions

Lower RMET performance was linked to greater feelings of social exclusion across groups but was unrelated to other indicators of real-life social functioning, including social emotions or frequency of social interactions. This finding is in line with other recent ESM studies, and highlights the importance of other, possibly more proximal factors for real-life social functioning.
社会认知,特别是心理理论(ToM),被认为在社会功能中起着至关重要的作用。精神病患者经常表现出ToM缺陷,但研究结果与日常生活中社会结果的关系仍然存在矛盾。目的探讨精神分裂症患者、一级亲属和对照组的心理状态解码与现实社会互动的数量和主观质量之间的关系。心理状态解码是精神分裂症的一个核心方面,由RMET测试测量。方法采用7天经验抽样法(ESM)设计评估27例精神病患者、17例一级亲属和26例对照者的现实社会互动的数量和质量,包括独处与社交陪伴的时间、孤独感、社会排斥感、对陪伴的偏好、选择独处、独处的享受和感知关系质量。所有参与者都完成了RMET。结果与亲属(β = - 0.13, p = .006)和对照组(β = - 0.19, p < .001)相比,患者的RMET得分较低,表明患者存在精神状态解码缺陷。亲属与对照组无差异(p = 0.17),提示与家族风险无关联。在各组中,较低的RMET分数预示着社会排斥感(β = - 0.05, p = .02),但RMET表现与现实生活中社会功能的其他方面之间没有显著关联(均p >; 7)。RMET表现较慢与群体中更大的社会排斥感有关,但与现实生活中社会功能的其他指标无关,包括社会情绪或社会互动频率。这一发现与最近的其他ESM研究一致,并强调了其他可能更接近现实社会功能的因素的重要性。
{"title":"The relationship between mental state decoding and real-world social functioning – An experience sampling investigation","authors":"Ronja Christensen ,&nbsp;Eva Velthorst ,&nbsp;Anne-Kathrin Fett","doi":"10.1016/j.scog.2026.100419","DOIUrl":"10.1016/j.scog.2026.100419","url":null,"abstract":"<div><h3>Introduction</h3><div>Social cognition, particularly Theory of Mind (ToM), is thought to play a crucial role in social functioning. Patients with psychosis often exhibit ToM deficits, but research findings on associations with social outcomes in daily life remain conflicting.</div></div><div><h3>Objectives</h3><div>This study investigated the relationship between mental state decoding, a core aspect of ToM, measured by the Reading the Mind in the Eyes Test (RMET), and quantity and subjective quality of real-life social interactions in patients with psychosis, first-degree relatives, and controls.</div></div><div><h3>Methods</h3><div>A 7-day Experience Sampling Method (ESM) design assessed the number and quality of real-life social interactions, including time spent alone vs. in social company, loneliness, feelings of social exclusion, preferences for company, being alone by choice, enjoyment of solitude, and perceived relationship quality in 27 patients with psychosis, 17 first-degree relatives, and 26 controls. All participants completed the RMET.</div></div><div><h3>Results</h3><div>Patients scored lower on the RMET compared to both relatives (β = −0.13, <em>p</em> = .006) and controls (β = −0.19, <em>p</em> &lt; .001), suggesting mental state decoding deficits in patients. Relatives did not differ from controls (<em>p</em> = .17), suggesting no association with familial risk. Across groups, lower RMET scores predicted feelings of social exclusion (β = −0.05, <em>p</em> = .02) but there were no significant associations between RMET performance and other aspects of real-life social functioning (all <em>p</em> &gt; .7).</div></div><div><h3>Conclusions</h3><div>Lower RMET performance was linked to greater feelings of social exclusion across groups but was unrelated to other indicators of real-life social functioning, including social emotions or frequency of social interactions. This finding is in line with other recent ESM studies, and highlights the importance of other, possibly more proximal factors for real-life social functioning.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"44 ","pages":"Article 100419"},"PeriodicalIF":3.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of the Arabic version of the self-assessment of social cognitive impairments (ACSo) tool among a sample of patients with schizophrenia 社会认知障碍(ACSo)工具阿拉伯文版本在精神分裂症患者样本中的验证
IF 3 Q2 PSYCHIATRY Pub Date : 2026-01-06 DOI: 10.1016/j.scog.2025.100417
Chadia Haddad , Samah Al Aswad , Hala Sacre , Francois Kazour , Helen Clery , Jérôme Graux , Sara Al Kadamani , Adella Ibrahim , Anthony Rizk , Pascale Salameh , Benjamin Calvet

Background

The social cognition aspect is today's research focus for improving the integration of patients with schizophrenia into society. This study analyzed the psychometric properties of the Arabic version of the Self-Assessment of Social Cognitive Impairments (ACSo) tool.

Methods

A cross-sectional study at the Psychiatric Hospital of the Cross (HPC), Lebanon, enrolled 116 chronic inpatients between July and November 2023. Subjective assessment of social cognitive complaints was done using ACSo. Other clinical and objective measurements were collected to validate the ACSo tool.

Results

ACSo factor analysis revealed a 4-factor solution using the Promax rotated matrix. The Cronbach's alpha value for the scale was 0.656. The ACSo total score positively correlated with its items and factors. In the entire patient population, the ACSo was positively correlated with cognitive complaints (r = 0.560; p < 0.0001), achieving concurrent validity. A significant negative correlation was found between facial emotion recognition (TREF) and the total ACSo scale (r = −0.246, p = 0.002). A significant negative correlation was found between the false belief theory of mind (TOM-15) and the total ACSo scale (r = −0.286, p = 0.001). Comprehension beliefs (TOM-15) were not associated with the total ACSo scale and subscales. A negative association was found between the empathy scale and the total ACSo scale.

Conclusion

ACSo is a valuable tool for the self-assessment of social cognitive complaints in patients with schizophrenia since it demonstrated acceptable internal consistency and good concurrent and construct validity.
社会认知方面是当前提高精神分裂症患者社会融入能力的研究热点。本研究分析了阿拉伯文版社会认知障碍自评(ACSo)工具的心理测量特性。方法在黎巴嫩十字精神病院(HPC)进行了一项横断面研究,纳入了2023年7月至11月期间116名慢性住院患者。采用ACSo对社会认知主诉进行主观评价。收集其他临床和客观测量数据来验证ACSo工具。结果采用Promax旋转矩阵进行因子分析,得到一个4因子解。量表的Cronbach’s alpha值为0.656。ACSo总分与其项目和因素正相关。在整个患者群体中,ACSo与认知主诉呈正相关(r = 0.560; p < 0.0001),达到并发效度。面部情绪识别(TREF)与ACSo总分呈显著负相关(r = - 0.246, p = 0.002)。错误信念心理理论(TOM-15)与总ACSo量表呈显著负相关(r = - 0.286, p = 0.001)。理解信念(TOM-15)与总ACSo量表和子量表无关。共情量表与总ACSo量表呈负相关。结论acso量表具有良好的内部一致性和良好的并发效度和结构效度,是一种有价值的精神分裂症患者社会认知抱怨自我评估工具。
{"title":"Validation of the Arabic version of the self-assessment of social cognitive impairments (ACSo) tool among a sample of patients with schizophrenia","authors":"Chadia Haddad ,&nbsp;Samah Al Aswad ,&nbsp;Hala Sacre ,&nbsp;Francois Kazour ,&nbsp;Helen Clery ,&nbsp;Jérôme Graux ,&nbsp;Sara Al Kadamani ,&nbsp;Adella Ibrahim ,&nbsp;Anthony Rizk ,&nbsp;Pascale Salameh ,&nbsp;Benjamin Calvet","doi":"10.1016/j.scog.2025.100417","DOIUrl":"10.1016/j.scog.2025.100417","url":null,"abstract":"<div><h3>Background</h3><div>The social cognition aspect is today's research focus for improving the integration of patients with schizophrenia into society. This study analyzed the psychometric properties of the Arabic version of the Self-Assessment of Social Cognitive Impairments (ACSo) tool.</div></div><div><h3>Methods</h3><div>A cross-sectional study at the Psychiatric Hospital of the Cross (HPC), Lebanon, enrolled 116 chronic inpatients between July and November 2023. Subjective assessment of social cognitive complaints was done using ACSo. Other clinical and objective measurements were collected to validate the ACSo tool.</div></div><div><h3>Results</h3><div>ACSo factor analysis revealed a 4-factor solution using the Promax rotated matrix. The Cronbach's alpha value for the scale was 0.656. The ACSo total score positively correlated with its items and factors. In the entire patient population, the ACSo was positively correlated with cognitive complaints (<em>r</em> = 0.560; <em>p</em> &lt; 0.0001), achieving concurrent validity. A significant negative correlation was found between facial emotion recognition (TREF) and the total ACSo scale (<em>r</em> = −0.246, <em>p</em> = 0.002). A significant negative correlation was found between the false belief theory of mind (TOM-15) and the total ACSo scale (<em>r</em> = −0.286, <em>p</em> = 0.001). Comprehension beliefs (TOM-15) were not associated with the total ACSo scale and subscales. A negative association was found between the empathy scale and the total ACSo scale.</div></div><div><h3>Conclusion</h3><div>ACSo is a valuable tool for the self-assessment of social cognitive complaints in patients with schizophrenia since it demonstrated acceptable internal consistency and good concurrent and construct validity.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"44 ","pages":"Article 100417"},"PeriodicalIF":3.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Jumping to conclusions bias in early psychosis: Relationships with symptom dimensions, neurocognition and social cognition 早期精神病的结论偏误:与症状维度、神经认知和社会认知的关系
IF 3 Q2 PSYCHIATRY Pub Date : 2026-01-06 DOI: 10.1016/j.scog.2025.100416
Josep Pena-Garijo, María José Masanet, Ana Palop-Grau, María Lacruz
Cognitive biases, such as “jumping to conclusions” (JTC), play an important role in the development and maintenance of delusions in psychotic disorders. However, their associations with symptom dimensions in early psychosis (EP) remain unclear. We aimed to investigate whether patients with EP who tend to jump to conclusions differ from those who do not in terms of symptom dimensions. We also examined relationships among symptoms, JTC, neurocognition, facial emotion recognition (FER) and theory of mind (ToM).
Seventy-five patients attending an EP intervention programme were assessed using the Positive and Negative Syndrome Scale and cognitive tasks. A multivariate analysis of covariance (MANCOVA) and a permutation-based nonparametric MANOVA (PERMANOVA), adjusted for demographic factors, were conducted to examine differences between patients with and without JTC bias across symptom dimensions and depressive symptoms. Bivariate correlations were performed to explore associations between variables.
A significant multivariate effect was found (Pillai’s trace = 0.291; F5, 65 = 5.330; p < .001) with large effect sizes. JTC patients scored higher than non-JTC patients on all symptom dimensions. At the symptom level, JTC bias was significantly correlated with delusions and hallucinations, as well as with ToM and FER.
Concluding, patients with EP who jump to conclusions exhibit a distinct symptom dimension pattern characterised by more severe symptoms. Furthermore, ToM and FER are related to JTC and symptom dimensions. These findings are clinically relevant, as psychological interventions targeting cognitive biases and social cognition appear to be effective in improving psychotic symptoms. Further studies are needed to replicate these findings.
认知偏差,如“过早下结论”(JTC),在精神病患者妄想的发展和维持中起着重要作用。然而,它们与早期精神病(EP)症状维度的关系尚不清楚。我们的目的是调查倾向于直接下结论的EP患者与不倾向于直接下结论的EP患者在症状维度上是否存在差异。我们还研究了症状、JTC、神经认知、面部情绪识别(FER)和心理理论(ToM)之间的关系。75名参加EP干预计划的患者使用阳性和阴性综合征量表和认知任务进行评估。采用多变量协方差分析(MANCOVA)和基于排列的非参数方差分析(PERMANOVA),对人口统计学因素进行调整,以检查有和没有JTC偏倚的患者在症状维度和抑郁症状方面的差异。采用双变量相关性来探讨变量之间的关联。发现显著的多变量效应(Pillai 's trace = 0.291; F5, 65 = 5.330; p < .001),效应量大。JTC患者在所有症状维度上得分均高于非JTC患者。在症状水平上,JTC偏倚与妄想、幻觉、ToM和FER显著相关。总之,急于下结论的EP患者表现出明显的症状维度模式,其特征是症状更严重。此外,ToM和FER与JTC和症状维度相关。这些发现具有临床相关性,因为针对认知偏差和社会认知的心理干预似乎对改善精神病症状有效。需要进一步的研究来重复这些发现。
{"title":"Jumping to conclusions bias in early psychosis: Relationships with symptom dimensions, neurocognition and social cognition","authors":"Josep Pena-Garijo,&nbsp;María José Masanet,&nbsp;Ana Palop-Grau,&nbsp;María Lacruz","doi":"10.1016/j.scog.2025.100416","DOIUrl":"10.1016/j.scog.2025.100416","url":null,"abstract":"<div><div>Cognitive biases, such as “jumping to conclusions” (JTC), play an important role in the development and maintenance of delusions in psychotic disorders. However, their associations with symptom dimensions in early psychosis (EP) remain unclear. We aimed to investigate whether patients with EP who tend to jump to conclusions differ from those who do not in terms of symptom dimensions. We also examined relationships among symptoms, JTC, neurocognition, facial emotion recognition (FER) and theory of mind (ToM).</div><div>Seventy-five patients attending an EP intervention programme were assessed using the Positive and Negative Syndrome Scale and cognitive tasks. A multivariate analysis of covariance (MANCOVA) and a permutation-based nonparametric MANOVA (PERMANOVA), adjusted for demographic factors, were conducted to examine differences between patients with and without JTC bias across symptom dimensions and depressive symptoms. Bivariate correlations were performed to explore associations between variables.</div><div>A significant multivariate effect was found (Pillai’s trace = 0.291; F<sub>5, 65</sub> = 5.330; p &lt; .001) with large effect sizes. JTC patients scored higher than non-JTC patients on all symptom dimensions. At the symptom level, JTC bias was significantly correlated with delusions and hallucinations, as well as with ToM and FER.</div><div>Concluding, patients with EP who jump to conclusions exhibit a distinct symptom dimension pattern characterised by more severe symptoms. Furthermore, ToM and FER are related to JTC and symptom dimensions. These findings are clinically relevant, as psychological interventions targeting cognitive biases and social cognition appear to be effective in improving psychotic symptoms. Further studies are needed to replicate these findings.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"44 ","pages":"Article 100416"},"PeriodicalIF":3.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cognitive functioning and hyperhomocysteinemia in schizophrenia 精神分裂症患者的认知功能和高同型半胱氨酸血症
IF 3 Q2 PSYCHIATRY Pub Date : 2025-12-17 DOI: 10.1016/j.scog.2025.100411
Ushasti Sinha , Shambhavi Shiva , Anirudh Rajan , Abhiram Narasimhan Purohith , Praveen Arahanthabailu , Rajesh Krishna Bhandary , P.S.V.N. Sharma
{"title":"Cognitive functioning and hyperhomocysteinemia in schizophrenia","authors":"Ushasti Sinha ,&nbsp;Shambhavi Shiva ,&nbsp;Anirudh Rajan ,&nbsp;Abhiram Narasimhan Purohith ,&nbsp;Praveen Arahanthabailu ,&nbsp;Rajesh Krishna Bhandary ,&nbsp;P.S.V.N. Sharma","doi":"10.1016/j.scog.2025.100411","DOIUrl":"10.1016/j.scog.2025.100411","url":null,"abstract":"","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"44 ","pages":"Article 100411"},"PeriodicalIF":3.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
International use of social cognition assessments: Commentary on Ziermans et al. 社会认知评估的国际应用:对Ziermans等人的评论。
IF 3 Q2 PSYCHIATRY Pub Date : 2025-12-10 DOI: 10.1016/j.scog.2025.100412
Michael F. Green , Keith H. Nuechterlein
{"title":"International use of social cognition assessments: Commentary on Ziermans et al.","authors":"Michael F. Green ,&nbsp;Keith H. Nuechterlein","doi":"10.1016/j.scog.2025.100412","DOIUrl":"10.1016/j.scog.2025.100412","url":null,"abstract":"","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"44 ","pages":"Article 100412"},"PeriodicalIF":3.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145705309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Starting from scratch: Ziermans et al. commentary 从零开始:Ziermans等人的评论
IF 3 Q2 PSYCHIATRY Pub Date : 2025-12-10 DOI: 10.1016/j.scog.2025.100414
David Dodell-Feder , Steven M. Silverstein
{"title":"Starting from scratch: Ziermans et al. commentary","authors":"David Dodell-Feder ,&nbsp;Steven M. Silverstein","doi":"10.1016/j.scog.2025.100414","DOIUrl":"10.1016/j.scog.2025.100414","url":null,"abstract":"","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"44 ","pages":"Article 100414"},"PeriodicalIF":3.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145705308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Subjective cognitive complaint in at-risk mental states 高危精神状态的主观认知抱怨
IF 3 Q2 PSYCHIATRY Pub Date : 2025-12-03 DOI: 10.1016/j.scog.2025.100409
Mirvat Hamdan-Dumont , Pénélope Chardac , Marine Habert , Anne-Laure Virevialle , Jérémy Couturas , Benjamin Calvet
{"title":"Subjective cognitive complaint in at-risk mental states","authors":"Mirvat Hamdan-Dumont ,&nbsp;Pénélope Chardac ,&nbsp;Marine Habert ,&nbsp;Anne-Laure Virevialle ,&nbsp;Jérémy Couturas ,&nbsp;Benjamin Calvet","doi":"10.1016/j.scog.2025.100409","DOIUrl":"10.1016/j.scog.2025.100409","url":null,"abstract":"","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"43 ","pages":"Article 100409"},"PeriodicalIF":3.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145690798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Schizophrenia Research-Cognition
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1