Social Cognitive Impairments in Individuals with Schizophrenia Vary in Severity

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dc.contributor.authorHajdúk, M.
dc.contributor.authorHarvey, P. D.
dc.contributor.authorPenn, D. L.
dc.contributor.authorPinkham, Amy E.
dc.contributor.utdAuthorPinkham, Amy E.
dc.date.accessioned2019-08-30T20:34:12Z
dc.date.available2019-08-30T20:34:12Z
dc.date.created2018-09
dc.descriptionIncludes supplementary material
dc.descriptionFull text access from Treasures at UT Dallas is restricted to current UTD affiliates (use the provided Link to Article).
dc.description.abstractSocial cognitive deficits are a hallmark feature of schizophrenia and have been confirmed by several meta-analyses; however, the uniformity of these impairments across individuals remains unknown. The present study evaluated the heterogeneity of social cognitive impairment. A secondary aim was to identify a subset of measures to quickly identify those individuals who are most in need of remediation. Two independent samples of people with schizophrenia (n = 176; n = 178) and their respective healthy control groups (n = 104; n = 154) were selected from two phases of the Social Cognition Psychometric Evaluation (SCOPE) project, which assessed multiple domains of social cognition. Latent profile analysis was utilized to identify sub-clusters of performance within each patient sample. Receiver operator curve and discriminant analysis were implemented to identify tasks suitable as screening tools. Three clusters were identified in each sample that differed primarily in severity of impairment. The first showed no social cognitive impairment (∼25% of patients). The second consisted of patients with mild impairment (∼40% of each sample), and the third showed severe SC impairment (∼32%). Patients in the severe cluster were older, less educated, more neurocognitively impaired, and lower functioning. Using the Bell Lysaker Emotion Recognition Task (BLERT) for screening provided sensitivity of 80.15% and specificity 89.13%. Combining BLERT with the Reading the Mind in the Eyes task yielded sensitivity of 91.60% and specificity 75.00% for identifying impaired individuals. These results illustrate the existence of distinct degrees of social cognitive impairment in schizophrenia and indicate that remediation efforts may not be necessary for all individuals.
dc.description.departmentSchool of Behavioral and Brain Sciences
dc.identifier.bibliographicCitationHajdúk, M., P. D. Harvey, D. L. Penn, and A. E. Pinkham. 2018. "Social cognitive impairments in individuals with schizophrenia vary in severity." Journal of Psychiatric Research 104: 65-71, doi:10.1016/j.jpsychires.2018.06.017
dc.identifier.issn0022-3956
dc.identifier.urihttps://hdl.handle.net/10735.1/6844
dc.identifier.volume104
dc.language.isoen
dc.publisherElsevier Ltd
dc.relation.urihttp://dx.doi.org/10.1016/j.jpsychires.2018.06.017
dc.rights©2018 Elsevier Ltd. All Rights Reserved.
dc.source.journalJournal of Psychiatric Research
dc.subjectBeck Depression Inventory
dc.subjectCancer—Patients
dc.subjectCognition
dc.subjectComparative studies
dc.subjectDiagnostic and statistical manual of mental disorders
dc.subjectEmotions
dc.subjectWomen
dc.subjectHuman beings
dc.subjectClinical Study
dc.subjectMale
dc.subjectMentally ill
dc.subjectPsychiatric Status Rating Scales
dc.subjectOutcome assessment (Medical care)
dc.subjectPerception
dc.subjectSchizophrenia
dc.subjectSocial perception
dc.subjectSocial skills
dc.subjectSocial interaction
dc.subjectStructured Clinical Interview for DSM Dissociative Disorders
dc.subjectTheory of Mind
dc.titleSocial Cognitive Impairments in Individuals with Schizophrenia Vary in Severity
dc.type.genrearticle

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