psychotic disorders induced by substances like marijuana, amphetamines and methamphetamines (SIPDs) are a growing mental health problem, yet the question do they represent a separate psychotic class independent from schizophrenia (SZ) still stands. Studies comparing clinical and cognitive performance of SIPD and SZ patients have produced inconsistent results.
Study design
we performed a cross-sectional analysis of 62 subjects divided into two statistically matched groups (n = 31 each) with SZ and SIPD respectively. We compared the clinical severity of their symptoms as measured by the positive and negative PANSS scores. We then applied the following neurocognitive battery – 10 Words Memory Test of Luria for verbal learning and verbal memory; Digit Symbol Substitution Test (DSST) and Benton Visual Retention Test for processing speed and visual memory; Trail Making Test Part A & B for attention and cognitive flexibility (along with DSST); Logical Memory Test (LMT) for episodic memory and thinking disorders; Verbal Fluency Test (VFT) for semantic memory and language. We referenced the performance results of the two groups to the normative values of each of the tests.
Study results
SZ subjects had significantly higher positive and negative PANSS scores and greater impairment in all cognitive domains except semantic memory and language (VFT). Compared to the normative values of all tests both SZ and SIPD patients performed poorer.
Conclusions
Our data support the assumption that the two conditions share a common underlying neurobiological vulnerability that is more pronounced quantitatively in schizophrenia.
由大麻、安非他明和甲基苯丙胺(SIPDs)等物质引起的精神障碍是一个日益严重的精神健康问题,但它们是否代表一种独立于精神分裂症(SZ)的精神病类别的问题仍然存在。比较SIPD和SZ患者的临床和认知表现的研究得出了不一致的结果。研究设计:对62例SZ和SIPD患者进行横断面分析,分为两组,每组31例。我们通过PANSS阳性和阴性评分来比较他们症状的临床严重程度。然后,我们应用了以下神经认知电池- Luria 10字记忆测试用于言语学习和言语记忆;数字符号替代测验和Benton视觉保留测验对加工速度和视觉记忆的影响;Trail Making Test A & & B部分的注意力和认知灵活性测试(连同DSST);情景记忆和思维障碍的逻辑记忆测试(LMT)语言流畅性测试(VFT)用于语义记忆和语言。我们将两组的性能结果引用到每个测试的规范值。结果ssz组受试者PANSS阳性和阴性得分均显著高于对照组,除语义记忆和语言(VFT)外,其他各认知领域的功能障碍均显著高于对照组。与所有测试的正常值相比,SZ和SIPD患者的表现较差。我们的数据支持这样的假设,即这两种疾病具有共同的潜在神经生物学脆弱性,这种脆弱性在精神分裂症中更为明显。
{"title":"Symptom severity and cognitive performance in patients with substance induced psychotic disorder and schizophrenia: a cross-sectional comparative study","authors":"Kaloyan Stoychev , Ivanka Veleva , Eleonora Mineva-Dimitrova , Petranka Chumpalova , Emiliya Dimitrova","doi":"10.1016/j.scog.2025.100388","DOIUrl":"10.1016/j.scog.2025.100388","url":null,"abstract":"<div><h3>Background and hypothesis</h3><div>psychotic disorders induced by substances like marijuana, amphetamines and methamphetamines (SIPDs) are a growing mental health problem, yet the question do they represent a separate psychotic class independent from schizophrenia (SZ) still stands. Studies comparing clinical and cognitive performance of SIPD and SZ patients have produced inconsistent results.</div></div><div><h3>Study design</h3><div>we performed a cross-sectional analysis of 62 subjects divided into two statistically matched groups (<em>n</em> = 31 each) with SZ and SIPD respectively. We compared the clinical severity of their symptoms as measured by the positive and negative PANSS scores. We then applied the following neurocognitive battery – 10 Words Memory Test of Luria for verbal learning and verbal memory; Digit Symbol Substitution Test (DSST) and Benton Visual Retention Test for processing speed and visual memory; Trail Making Test Part A & B for attention and cognitive flexibility (along with DSST); Logical Memory Test (LMT) for episodic memory and thinking disorders; Verbal Fluency Test (VFT) for semantic memory and language. We referenced the performance results of the two groups to the normative values of each of the tests.</div></div><div><h3>Study results</h3><div>SZ subjects had significantly higher positive and negative PANSS scores and greater impairment in all cognitive domains except semantic memory and language (VFT). Compared to the normative values of all tests both SZ and SIPD patients performed poorer.</div></div><div><h3>Conclusions</h3><div>Our data support the assumption that the two conditions share a common underlying neurobiological vulnerability that is more pronounced quantitatively in schizophrenia.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"42 ","pages":"Article 100388"},"PeriodicalIF":3.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144880346","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}
Pub Date : 2025-09-01Epub Date: 2025-04-03DOI: 10.1016/j.scog.2025.100360
B.C. van Aken , R. Rietveld , A.I. Wierdsma , Y. Voskes , G.H.M. Pijnenborg , J. van Weeghel , C.L. Mulder
{"title":"Corrigendum to “A cross-sectional study on the association between executive functions and social disabilities in people with a psychotic disorder” [Schizophr. Res. Cogn. Volume 40 (2025), article number: 100349]","authors":"B.C. van Aken , R. Rietveld , A.I. Wierdsma , Y. Voskes , G.H.M. Pijnenborg , J. van Weeghel , C.L. Mulder","doi":"10.1016/j.scog.2025.100360","DOIUrl":"10.1016/j.scog.2025.100360","url":null,"abstract":"","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"41 ","pages":"Article 100360"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263301","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}
Pub Date : 2025-09-01Epub Date: 2025-05-24DOI: 10.1016/j.scog.2025.100368
H. Honcamp , L.K. Goller , M. Amorim , S.X. Duggirala , J.F. Johnson , M. Schwartze , A.P. Pinheiro , S.A. Kotz
Background
Previous research on the multidimensionality of hallucination-like experiences (HLEs) across the psychosis continuum highlights methodological disparities, emphasizing the need for a cautious interpretation of findings and transparent reporting of parameters used in the analysis.
Methods
This study aimed to refine the factorial structure of the 16-item Launay-Slade Hallucination Scale (LSHS), enhance methodological clarity, and improve the robustness of LSHS factor solutions. To this end, an Exploratory Factor Analysis (EFA) was performed on a heterogeneous sample (N = 278) with specified parameters (e.g., estimation procedure) that remain true to data characteristics and assumptions underlying EFA.
Results
The results revealed a four-factor structure including “Multisensory HLEs”, “Auditory daydreaming”, “Vivid thoughts and inner speech”, and “Personified HLEs”. Our investigation introduces a new factor specific to the perceived presence of another person or another voice. This aligns with theories on self-monitoring difficulties associated with an external attribution bias as hallucination proneness (HP) increases across the continuum.
Conclusion
The current results provide an opportunity for investigating neurophysiological and neurobehavioral correlates of HP considering highly differentiated individual profiles of HLEs. Future studies should focus on validating the robustness of the four-factor structure derived from this research across diverse samples of the general population (e.g., different age groups and cultural backgrounds). Specified composite scores underlying HLEs could be of additive value when assessing emerging clinical risk on the psychosis continuum.
{"title":"Multidimensionality of hallucination-like experiences: A factor structure refinement of the Launay-Slade Hallucination Scale","authors":"H. Honcamp , L.K. Goller , M. Amorim , S.X. Duggirala , J.F. Johnson , M. Schwartze , A.P. Pinheiro , S.A. Kotz","doi":"10.1016/j.scog.2025.100368","DOIUrl":"10.1016/j.scog.2025.100368","url":null,"abstract":"<div><h3>Background</h3><div>Previous research on the multidimensionality of hallucination-like experiences (HLEs) across the psychosis continuum highlights methodological disparities, emphasizing the need for a cautious interpretation of findings and transparent reporting of parameters used in the analysis.</div></div><div><h3>Methods</h3><div>This study aimed to refine the factorial structure of the 16-item Launay-Slade Hallucination Scale (LSHS), enhance methodological clarity, and improve the robustness of LSHS factor solutions. To this end, an Exploratory Factor Analysis (EFA) was performed on a heterogeneous sample (<em>N</em> = 278) with specified parameters (e.g., estimation procedure) that remain true to data characteristics and assumptions underlying EFA.</div></div><div><h3>Results</h3><div>The results revealed a four-factor structure including “Multisensory HLEs”, “Auditory daydreaming”, “Vivid thoughts and inner speech”, and “Personified HLEs”. Our investigation introduces a new factor specific to the perceived presence of another person or another voice. This aligns with theories on self-monitoring difficulties associated with an external attribution bias as hallucination proneness (HP) increases across the continuum.</div></div><div><h3>Conclusion</h3><div>The current results provide an opportunity for investigating neurophysiological and neurobehavioral correlates of HP considering highly differentiated individual profiles of HLEs. Future studies should focus on validating the robustness of the four-factor structure derived from this research across diverse samples of the general population (e.g., different age groups and cultural backgrounds). Specified composite scores underlying HLEs could be of additive value when assessing emerging clinical risk on the psychosis continuum.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"41 ","pages":"Article 100368"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123747","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}
Pub Date : 2025-09-01Epub Date: 2025-04-30DOI: 10.1016/j.scog.2025.100364
Matin Mortazavi , Jakob Amon , Iris Jäger , Genc Hasanaj , Zahra Aminifarsani , Kristin Fischer , Matthias Gamer , CDP Working Group , Alkomiet Hasan , Richard S.E. Keefe , Gabriele Sachs , Peter Falkai , Daniel Keeser , Florian Raabe , Elias Wagner
Background
Cognitive impairments are a hallmark of schizophrenia-spectrum disorders (SSD), contributing to poor treatment outcomes and a key treatment target. The Brief Assessment of Cognition in Schizophrenia (BACS) battery is a validated tool designed to evaluate affected core domains in SSD. The present study evaluated psychometric properties of the German version of the BACS in a representative sample of individuals with SSD and healthy control subjects.
Methods
N = 107 individuals with SSD and n = 175 healthy controls were assessed with the German version of the BACS. Diagnosis was confirmed with the Mini International Neuropsychiatric Interview according to DSM-V. Validity was assessed through pair-wise comparisons between SSD individuals and healthy controls and by using receiver operating characteristic analysis. Internal consistency as a measure of reliability was evaluated using McDonald's Omega and Cronbach's Alpha in addition to factor and principal component analysis.
Results
All individuals with SSD exhibited significantly lower z-scores across all BACS subtests and BACS composite scores (Z < -1.5) compared to healthy controls. ROC analysis revealed good diagnostic accuracy with an AUC of 0.83 (95%CI: 0.78,0.88, sensitivity = 0.75, specificity = 0.75). Similar results were observed in sub-cohorts comprising clinically stable SSD patients and those with younger ages (18–35 years old). A unidimensional structure, supported by McDonald's Omega (ω = 0.72) and principal component analysis, confirmed robust internal reliability.
Conclusions
The German BACS demonstrates strong validity and internal reliability when assessed in a representative case-control sample. This study provides an extensive normative dataset for individuals with SSD in German-speaking populations, facilitating future research and clinical assessments of cognition.
{"title":"Assessment of the German Version of Brief Assessment of Cognition in Schizophrenia (BACS)","authors":"Matin Mortazavi , Jakob Amon , Iris Jäger , Genc Hasanaj , Zahra Aminifarsani , Kristin Fischer , Matthias Gamer , CDP Working Group , Alkomiet Hasan , Richard S.E. Keefe , Gabriele Sachs , Peter Falkai , Daniel Keeser , Florian Raabe , Elias Wagner","doi":"10.1016/j.scog.2025.100364","DOIUrl":"10.1016/j.scog.2025.100364","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive impairments are a hallmark of schizophrenia-spectrum disorders (SSD), contributing to poor treatment outcomes and a key treatment target. The Brief Assessment of Cognition in Schizophrenia (BACS) battery is a validated tool designed to evaluate affected core domains in SSD. The present study evaluated psychometric properties of the German version of the BACS in a representative sample of individuals with SSD and healthy control subjects.</div></div><div><h3>Methods</h3><div><em>N</em> = 107 individuals with SSD and <em>n</em> = 175 healthy controls were assessed with the German version of the BACS. Diagnosis was confirmed with the Mini International Neuropsychiatric Interview according to DSM-V. Validity was assessed through pair-wise comparisons between SSD individuals and healthy controls and by using receiver operating characteristic analysis. Internal consistency as a measure of reliability was evaluated using McDonald's Omega and Cronbach's Alpha in addition to factor and principal component analysis.</div></div><div><h3>Results</h3><div>All individuals with SSD exhibited significantly lower z-scores across all BACS subtests and BACS composite scores (Z < -1.5) compared to healthy controls. ROC analysis revealed good diagnostic accuracy with an AUC of 0.83 (95%CI: 0.78,0.88, sensitivity = 0.75, specificity = 0.75). Similar results were observed in sub-cohorts comprising clinically stable SSD patients and those with younger ages (18–35 years old). A unidimensional structure, supported by McDonald's Omega (ω = 0.72) and principal component analysis, confirmed robust internal reliability.</div></div><div><h3>Conclusions</h3><div>The German BACS demonstrates strong validity and internal reliability when assessed in a representative case-control sample. This study provides an extensive normative dataset for individuals with SSD in German-speaking populations, facilitating future research and clinical assessments of cognition.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"41 ","pages":"Article 100364"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886473","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}
Pub Date : 2025-09-01Epub Date: 2025-05-26DOI: 10.1016/j.scog.2025.100370
Lotte Veddum , Anette Faurskov Bundgaard , Andreas Færgemand Laursen , Sanciya Mano Perfalk , Maja Gregersen , Mette Falkenberg Krantz , Birgitte Klee Burton , Camilla Jerlang Christiani , Ditte Ellersgaard , Sinnika Birkehøj Rohd , Marta Schiavon , Doris Helena Bjarnadóttir Streymá , Jens Richardt Møllegaard Jepsen , Kerstin Plessen , Nicoline Hemager , Anne Amalie Elgaard Thorup , Merete Nordentoft , Ole Mors , Aja Neergaard Greve
Schizophrenia and bipolar disorder are associated with social cognitive impairments, but knowledge on social cognition in offspring of parents with these disorders is sparse. Moreover, investigations of the potential transgenerational transmission of social cognition in at-risk families are lacking. Therefore, we aimed to investigate social perception in parents with schizophrenia or bipolar disorder and their adolescent offspring and population-based controls (PBC).
This study is part of The Danish High Risk and Resilience Study, a prospective familial high-risk study of families with parental schizophrenia (n = 202) or bipolar disorder (n = 120) and PBC (n = 200). Social perception was assessed with The Awareness of Social Inferences Task, Part 2A, including a total score and the subscales sincere, simple sarcasm, and paradoxical sarcasm.
Parents with schizophrenia showed poorer performance on the total scale (p < 0.007, d = 0.33) and the paradoxical sarcasm subscale (p < 0.003, d = 0.35) compared with PBC parents. We found no difference between parents with bipolar disorder and PBC parents or between the adolescent offspring. We found no significant interaction effect of familial high-risk status on any association (p ≤ 0.093), but the parents' and their adolescent offspring's social perception was positively and significantly associated on the total scale (p < 0.001), the sincere subscale (p = 0.005), and the simple sarcasm subscale (p = 0.010), but not the paradoxical sarcasm subscale (p = 0.052).
Our findings of transgenerational transmission of social perception in families with parental schizophrenia or bipolar disorder and PBC call for further longitudinal research to determine how social cognitive deficits are transmitted from parents to their offspring.
{"title":"Social perception in parents with schizophrenia or bipolar disorder and their adolescent offspring – The Danish High Risk and Resilience Study","authors":"Lotte Veddum , Anette Faurskov Bundgaard , Andreas Færgemand Laursen , Sanciya Mano Perfalk , Maja Gregersen , Mette Falkenberg Krantz , Birgitte Klee Burton , Camilla Jerlang Christiani , Ditte Ellersgaard , Sinnika Birkehøj Rohd , Marta Schiavon , Doris Helena Bjarnadóttir Streymá , Jens Richardt Møllegaard Jepsen , Kerstin Plessen , Nicoline Hemager , Anne Amalie Elgaard Thorup , Merete Nordentoft , Ole Mors , Aja Neergaard Greve","doi":"10.1016/j.scog.2025.100370","DOIUrl":"10.1016/j.scog.2025.100370","url":null,"abstract":"<div><div>Schizophrenia and bipolar disorder are associated with social cognitive impairments, but knowledge on social cognition in offspring of parents with these disorders is sparse. Moreover, investigations of the potential transgenerational transmission of social cognition in at-risk families are lacking. Therefore, we aimed to investigate social perception in parents with schizophrenia or bipolar disorder and their adolescent offspring and population-based controls (PBC).</div><div>This study is part of The Danish High Risk and Resilience Study, a prospective familial high-risk study of families with parental schizophrenia (<em>n</em> = 202) or bipolar disorder (<em>n</em> = 120) and PBC (<em>n</em> = 200). Social perception was assessed with The Awareness of Social Inferences Task, Part 2A, including a total score and the subscales sincere, simple sarcasm, and paradoxical sarcasm.</div><div>Parents with schizophrenia showed poorer performance on the total scale (<em>p</em> < 0.007, <em>d</em> = 0.33) and the paradoxical sarcasm subscale (<em>p</em> < 0.003, <em>d</em> = 0.35) compared with PBC parents. We found no difference between parents with bipolar disorder and PBC parents or between the adolescent offspring. We found no significant interaction effect of familial high-risk status on any association (<em>p</em> ≤ 0.093), but the parents' and their adolescent offspring's social perception was positively and significantly associated on the total scale (<em>p</em> < 0.001), the sincere subscale (<em>p</em> = 0.005), and the simple sarcasm subscale (<em>p</em> = 0.010), but not the paradoxical sarcasm subscale (<em>p</em> = 0.052).</div><div>Our findings of transgenerational transmission of social perception in families with parental schizophrenia or bipolar disorder and PBC call for further longitudinal research to determine how social cognitive deficits are transmitted from parents to their offspring.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"41 ","pages":"Article 100370"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139674","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}
Pub Date : 2025-09-01Epub Date: 2025-05-22DOI: 10.1016/j.scog.2025.100367
Amy M. Jimenez , Samuel J. Abplanalp , Naomi I. Eisenberger , William P. Horan , Junghee Lee , Amanda McCleery , Ana Ceci Myers , David J. Miklowitz , Eric A. Reavis , L. Felice Reddy , Jonathan K. Wynn , Michael F. Green
Schizophrenia (SZ) and bipolar disorder (BD) are characterized by social impairments. Social impairment also occurs in the general community. Across clinical and nonclinical groups social impairment may be related to deficits in social approach and/or social avoidance motivation. However, the neural basis of social motivation deficits in SZ and BD is not well understood, nor is it known if they reflect features of the illness or are secondary to other factors such as social isolation. To fill these knowledge gaps, 31 individuals with SZ, 27 with BD, and 42 community comparisons (CCs) completed a team-based task during fMRI in which positive and negative feedback was provided by pictures of teammates or opponents. Importantly, the CC group was enriched for self-reported social isolation. fMRI analyses in five key regions of interest (ROIs; ventral striatum, orbital frontal cortex, insula, dorsal anterior cingulate cortex, amygdala), secondary whole-brain analyses, and associations between ROI activity and social approach/avoidance motivation were performed. Across groups, ventral striatum and amygdala showed greater activation to positive versus negative feedback. In SZ, ventral striatum activity to positive feedback was correlated with social approach motivation. In CCs, amygdala activity during negative feedback was correlated with social avoidance motivation. Whole-brain analyses revealed greater activation in BD compared to SZ and CCs in fronto-parietal regions when feedback was provided by an opponent. Findings support disturbed reward sensitivity as a core component of poor social approach motivation in SZ and offer avenues for future research into neural mechanisms underlying social impairment in BD and the general community.
{"title":"A transdiagnostic approach to understanding neural responsivity to reward and its links to social motivation","authors":"Amy M. Jimenez , Samuel J. Abplanalp , Naomi I. Eisenberger , William P. Horan , Junghee Lee , Amanda McCleery , Ana Ceci Myers , David J. Miklowitz , Eric A. Reavis , L. Felice Reddy , Jonathan K. Wynn , Michael F. Green","doi":"10.1016/j.scog.2025.100367","DOIUrl":"10.1016/j.scog.2025.100367","url":null,"abstract":"<div><div>Schizophrenia (SZ) and bipolar disorder (BD) are characterized by social impairments. Social impairment also occurs in the general community. Across clinical and nonclinical groups social impairment may be related to deficits in social approach and/or social avoidance motivation. However, the neural basis of social motivation deficits in SZ and BD is not well understood, nor is it known if they reflect features of the illness or are secondary to other factors such as social isolation. To fill these knowledge gaps, 31 individuals with SZ, 27 with BD, and 42 community comparisons (CCs) completed a team-based task during fMRI in which positive and negative feedback was provided by pictures of teammates or opponents. Importantly, the CC group was enriched for self-reported social isolation. fMRI analyses in five key regions of interest (ROIs; ventral striatum, orbital frontal cortex, insula, dorsal anterior cingulate cortex, amygdala), secondary whole-brain analyses, and associations between ROI activity and social approach/avoidance motivation were performed. Across groups, ventral striatum and amygdala showed greater activation to positive versus negative feedback. In SZ, ventral striatum activity to positive feedback was correlated with social approach motivation. In CCs, amygdala activity during negative feedback was correlated with social avoidance motivation. Whole-brain analyses revealed greater activation in BD compared to SZ and CCs in fronto-parietal regions when feedback was provided by an opponent. Findings support disturbed reward sensitivity as a core component of poor social approach motivation in SZ and offer avenues for future research into neural mechanisms underlying social impairment in BD and the general community.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"41 ","pages":"Article 100367"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107714","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}
Pub Date : 2025-09-01Epub Date: 2025-04-09DOI: 10.1016/j.scog.2025.100361
Sarah A. Berretta , Lindsay D. Oliver , Courtland S. Hyatt , Ricardo E. Carrión , Katrin Hänsel , Aristotle Voineskos , Robert W. Buchanan , Anil K. Malhotra , Sunny X. Tang
Aggression in schizophrenia spectrum disorders (SSD) is rare but elevated relative to the general population. Existing studies have not identified reliable personal predictors of aggression in SSD. In line with social information processing models suggesting that difficulties interpreting social cues and others' intentions may lead to aggression, we evaluated whether social cognitive domains or global social cognition could be modifiable risk factors in SSD.
We examined aggression and social cognition in 59 participants with SSD and 43 healthy volunteers (HV). Self-reported aggression was measured via the Reactive-Proactive Aggression Questionnaire (RPAQ). Social cognition was assessed using five tasks measuring emotion processing, theory of mind, and social perception. Group differences were analyzed using Mann-Whitney-Wilcoxon tests. Multiple regressions examined effects of social cognition on aggression, controlling for demographic and clinical covariates. Supplemental mediation analyses tested whether impairments in emotion processing, theory of mind, or overall social cognition explained the relationship between SSD diagnosis and increased aggression.
Reported aggression was higher in the SSD group, and social cognitive abilities were impaired across domains (p < .001). Better emotion processing (β = −0.35, p = .03) and theory of mind (β = −0.32, p = .03) predicted lower aggression in SSD, even when accounting for demographic and neurocognitive variables. Exploratory models adjusting for overall psychiatric symptom severity showed that theory of mind remained significant, while emotion processing attenuated. However, social cognition did not mediate the relationship between diagnosis and aggression. Future studies should examine other social processing factors, such as attributional bias.
在精神分裂症谱系障碍(SSD)攻击是罕见的,但相对于一般人群升高。现有的研究尚未确定SSD患者攻击行为的可靠的个人预测因素。社会信息加工模型表明,难以解释社会线索和他人意图可能导致攻击,我们评估了社会认知领域或整体社会认知是否可能是SSD的可改变的危险因素。我们对59名SSD参与者和43名健康志愿者(HV)的攻击行为和社会认知进行了研究。采用反应-主动攻击问卷(RPAQ)对自述攻击行为进行测量。社会认知是通过五个任务来评估的:情绪处理、心理理论和社会知觉。采用Mann-Whitney-Wilcoxon检验分析组间差异。多元回归检验了社会认知对攻击行为的影响,控制了人口统计学和临床协变量。补充调解分析测试了情绪处理、心理理论或整体社会认知的损伤是否解释了SSD诊断与攻击增加之间的关系。SSD组报告的攻击性更高,社会认知能力在各个领域都受到损害(p <;措施)。更好的情绪处理(β = - 0.35, p = .03)和心理理论(β = - 0.32, p = .03)预示着SSD患者更低的攻击性,即使考虑到人口统计学和神经认知变量。调整整体精神症状严重程度的探索性模型显示,心理理论仍然显著,而情绪加工减弱。然而,社会认知并没有中介诊断与攻击之间的关系。未来的研究应该考察其他社会加工因素,如归因偏见。
{"title":"Domain-specific associations between social cognition and aggression in schizophrenia spectrum disorders","authors":"Sarah A. Berretta , Lindsay D. Oliver , Courtland S. Hyatt , Ricardo E. Carrión , Katrin Hänsel , Aristotle Voineskos , Robert W. Buchanan , Anil K. Malhotra , Sunny X. Tang","doi":"10.1016/j.scog.2025.100361","DOIUrl":"10.1016/j.scog.2025.100361","url":null,"abstract":"<div><div>Aggression in schizophrenia spectrum disorders (SSD) is rare but elevated relative to the general population. Existing studies have not identified reliable personal predictors of aggression in SSD. In line with social information processing models suggesting that difficulties interpreting social cues and others' intentions may lead to aggression, we evaluated whether social cognitive domains or global social cognition could be modifiable risk factors in SSD.</div><div>We examined aggression and social cognition in 59 participants with SSD and 43 healthy volunteers (HV). Self-reported aggression was measured via the Reactive-Proactive Aggression Questionnaire (RPAQ). Social cognition was assessed using five tasks measuring emotion processing, theory of mind, and social perception. Group differences were analyzed using Mann-Whitney-Wilcoxon tests. Multiple regressions examined effects of social cognition on aggression, controlling for demographic and clinical covariates. Supplemental mediation analyses tested whether impairments in emotion processing, theory of mind, or overall social cognition explained the relationship between SSD diagnosis and increased aggression.</div><div>Reported aggression was higher in the SSD group, and social cognitive abilities were impaired across domains (<em>p</em> < .001). Better emotion processing (β = −0.35, <em>p</em> = .03) and theory of mind (β = −0.32, <em>p</em> = .03) predicted lower aggression in SSD, even when accounting for demographic and neurocognitive variables. Exploratory models adjusting for overall psychiatric symptom severity showed that theory of mind remained significant, while emotion processing attenuated. However, social cognition did not mediate the relationship between diagnosis and aggression. Future studies should examine other social processing factors, such as attributional bias.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"41 ","pages":"Article 100361"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-03-31DOI: 10.1016/j.scog.2025.100359
Na Liu , Lihua Xu , Xiaofeng Guan , Ansi Qi , Fei Liu , Chengqing Yang , Xiangyun Long , Junjuan Zhu , Nan Huang , Jie Zhang , Yi Xu , Jing Chen , Huan Huang , Jijun Wang , Zheng Lu
Background
Cognitive deficits are a core feature of schizophrenia and are influenced by the age at onset of psychosis. Both preclinical and early-onset schizophrenia patients exhibit abnormalities in the frontal cortex, parahippocampus, precuneus, and hippocampus—regions that are closely associated with cognitive deficits. This study examines whether cognitive-related functional connectivity (FC) within these regions differs in first-episode schizophrenia (FES) patients with varying ages of onset.
Methods
FES patients (ages 18–45, n = 24) and matched healthy controls (HC, n = 29) were divided into younger and older subgroups based on the median age of 25 years: FES_young, FES_older, HC_young, and HC_older. All participants completed the MATRICS Consensus Cognitive Battery (MCCB) and underwent resting-state functional magnetic resonance imaging. FC within regions of interest (ROIs) was analyzed using the CONN toolbox.
Results
Significant cognitive differences were observed between the four groups (H = 13.447, p = 0.004, Rank ε2 = 0.259). The most prominent differences were found between the FES_young and HC_young groups (Holm-adjusted p = 0.012). Cognitive deficits in FES patients were significantly associated with reduced FC between the right precuneus (A31_R) and right parahippocampal gyrus (TI_R) (rho = 0.549, p = 0.010, Fisher's z = 0.616). FES_young showed significantly lower FC between A31_R and TI_R compared to HC_young (Holm-adjusted p = 0.001).
Conclusion
Earlier onset schizophrenia is associated with more severe cognitive deficits and specific impairments in brain functional connectivity. These findings highlight the importance of considering age of onset when assessing cognitive and neural dysfunction in schizophrenia.
背景认知缺陷是精神分裂症的核心特征,并受精神病发病年龄的影响。临床前和早发性精神分裂症患者都表现出额叶皮质、副海马体、楔前叶和海马体的异常,这些区域与认知缺陷密切相关。本研究探讨了不同发病年龄的首发精神分裂症(FES)患者在这些区域的认知相关功能连接(FC)是否存在差异。方法sfes患者(18-45岁,n = 24)和匹配的健康对照(HC, n = 29)按中位年龄(25岁)分为FES_young、FES_older、HC_young和HC_older两组。所有的参与者都完成了矩阵共识认知电池(MCCB),并进行了静息状态功能磁共振成像。使用CONN工具箱分析感兴趣区域(roi)内的FC。结果四组患者认知能力差异有统计学意义(H = 13.447, p = 0.004, Rank ε2 = 0.259)。FES_young组和HC_young组之间的差异最为显著(经holm校正p = 0.012)。FES患者的认知缺陷与右侧楔前叶(A31_R)和右侧海马旁回(TI_R)之间的FC减少显著相关(rho = 0.549, p = 0.010, Fisher’s z = 0.616)。与HC_young相比,FES_young显示A31_R和TI_R之间的FC显著降低(经holm校正p = 0.001)。结论早发性精神分裂症与更严重的认知缺陷和脑功能连接特异性损伤相关。这些发现强调了在评估精神分裂症的认知和神经功能障碍时考虑发病年龄的重要性。
{"title":"Brain functional connectivity associated with cognitive deficits in younger patients at first episode of schizophrenia","authors":"Na Liu , Lihua Xu , Xiaofeng Guan , Ansi Qi , Fei Liu , Chengqing Yang , Xiangyun Long , Junjuan Zhu , Nan Huang , Jie Zhang , Yi Xu , Jing Chen , Huan Huang , Jijun Wang , Zheng Lu","doi":"10.1016/j.scog.2025.100359","DOIUrl":"10.1016/j.scog.2025.100359","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive deficits are a core feature of schizophrenia and are influenced by the age at onset of psychosis. Both preclinical and early-onset schizophrenia patients exhibit abnormalities in the frontal cortex, parahippocampus, precuneus, and hippocampus—regions that are closely associated with cognitive deficits. This study examines whether cognitive-related functional connectivity (FC) within these regions differs in first-episode schizophrenia (FES) patients with varying ages of onset.</div></div><div><h3>Methods</h3><div>FES patients (ages 18–45, <em>n</em> = 24) and matched healthy controls (HC, <em>n</em> = 29) were divided into younger and older subgroups based on the median age of 25 years: FES_young, FES_older, HC_young, and HC_older. All participants completed the MATRICS Consensus Cognitive Battery (MCCB) and underwent resting-state functional magnetic resonance imaging. FC within regions of interest (ROIs) was analyzed using the CONN toolbox.</div></div><div><h3>Results</h3><div>Significant cognitive differences were observed between the four groups (H = 13.447, <em>p</em> = 0.004, Rank ε<sup>2</sup> = 0.259). The most prominent differences were found between the FES_young and HC_young groups (Holm-adjusted <em>p</em> = 0.012). Cognitive deficits in FES patients were significantly associated with reduced FC between the right precuneus (A31_R) and right parahippocampal gyrus (TI_R) (rho = 0.549, <em>p</em> = 0.010, Fisher's z = 0.616). FES_young showed significantly lower FC between A31_R and TI_R compared to HC_young (Holm-adjusted <em>p</em> = 0.001).</div></div><div><h3>Conclusion</h3><div>Earlier onset schizophrenia is associated with more severe cognitive deficits and specific impairments in brain functional connectivity. These findings highlight the importance of considering age of onset when assessing cognitive and neural dysfunction in schizophrenia.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"41 ","pages":"Article 100359"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-05-19DOI: 10.1016/j.scog.2025.100366
Hideki Tamura , Aiko Hoshino
Individuals with schizophrenia are known to display unique reactions to visual illusions, and prior research has indicated a potential link between their increased susceptibility to geometric illusions and specific symptom profiles. While various illusory experiences have been examined among individuals with schizophrenia, their responses to brightness-related illusions remain poorly understood. In this study, we investigated how individuals with schizophrenia perceive the glare illusion, in which the apparent brightness of the central region is increased. A total of 30 patients with schizophrenia and 34 control participants were recruited. During each trial, a glare or control image (standard stimulus) was presented alongside a control image (comparison stimulus) with one of seven luminance levels. In the glare condition, the standard stimulus was a glare image; in the control condition, two control images were presented, but only the luminance of the comparison stimulus varied. The participants were asked to judge which central region appeared brighter. The results revealed that individuals with schizophrenia exhibited greater susceptibility to the glare illusion than did the control participants. However, no significant associations were found between susceptibility to the glare illusion and scores assessing symptom severity. These findings suggest that differences in visual processing in patients with schizophrenia may increase their susceptibility to brightness illusions, although this phenomenon is independent of symptom characteristics. This information may provide a basis for exploring illusion susceptibility as a potential behavioral index for distinguishing between individuals with schizophrenia and control participants.
{"title":"The glare illusion in individuals with schizophrenia","authors":"Hideki Tamura , Aiko Hoshino","doi":"10.1016/j.scog.2025.100366","DOIUrl":"10.1016/j.scog.2025.100366","url":null,"abstract":"<div><div>Individuals with schizophrenia are known to display unique reactions to visual illusions, and prior research has indicated a potential link between their increased susceptibility to geometric illusions and specific symptom profiles. While various illusory experiences have been examined among individuals with schizophrenia, their responses to brightness-related illusions remain poorly understood. In this study, we investigated how individuals with schizophrenia perceive the glare illusion, in which the apparent brightness of the central region is increased. A total of 30 patients with schizophrenia and 34 control participants were recruited. During each trial, a glare or control image (standard stimulus) was presented alongside a control image (comparison stimulus) with one of seven luminance levels. In the glare condition, the standard stimulus was a glare image; in the control condition, two control images were presented, but only the luminance of the comparison stimulus varied. The participants were asked to judge which central region appeared brighter. The results revealed that individuals with schizophrenia exhibited greater susceptibility to the glare illusion than did the control participants. However, no significant associations were found between susceptibility to the glare illusion and scores assessing symptom severity. These findings suggest that differences in visual processing in patients with schizophrenia may increase their susceptibility to brightness illusions, although this phenomenon is independent of symptom characteristics. This information may provide a basis for exploring illusion susceptibility as a potential behavioral index for distinguishing between individuals with schizophrenia and control participants.</div></div>","PeriodicalId":38119,"journal":{"name":"Schizophrenia Research-Cognition","volume":"41 ","pages":"Article 100366"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089452","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}