From "under" to "over" social cognition in schizophrenia: Is there distinct profiles of impairments according to negative and positive symptoms?

被引:43
|
作者
Peyroux, Elodie [1 ,2 ]
Prost, Zelda [1 ]
Danset-Alexandre, Charlotte [3 ,4 ]
Brenugat-Herne, Lindsay [3 ,4 ]
Carteau-Martin, Isabelle [5 ,6 ]
Gaudelus, Baptiste [1 ]
Jantac, Celia [4 ]
Attali, David [3 ,4 ]
Amado, Isabelle [3 ,4 ]
Graux, Jerome [5 ,6 ]
Houy-Durand, Emmanuelle [6 ,7 ]
Plasse, Julien [1 ]
Franck, Nicolas [1 ,8 ,9 ]
机构
[1] Le Vinatier Hosp, Univ Dept Rehabil SUR CL3R, 4 Rue Jean Sarrazin, F-69008 Lyon, France
[2] Le Vinatier Hosp, Reference Ctr Rare Dis GenoPsy, 95 Bd Pinel, F-69500 Bron, France
[3] Ctr Ressource & Referent Remediat Cognit & Rehabi, 7 Rue Cabanis, F-75014 Paris, France
[4] Univ Paris 05, Inst Psychiat, INSERM U 894, Ctr Hosp St Anne, 7 Rue Cabanis, F-75014 Paris, France
[5] CHRU Bretonneau, Espace Chevalerie, 2 Blvd Tonnelle, F-37044 Tours 09, France
[6] Univ Francois Rabelais Tours, Fac Med, UMR INSERM 930, 10 Blvd Tonnelle, F-37032 Tours 01, France
[7] Ctr Univ Pedopsychiat, 2 Blvd Tonnelle, F-37044 Tours 09, France
[8] Univ Lyon, Inst Sci Cog Nit Marc Jeannerod, CNRS, UMR 5229, 67 Blvd Pinel, F-69675 Bron, France
[9] Univ Lyon, Inst Sci Cog Nit Marc Jeannerod, Univ Claude Bernard Lyon 1, 67 Blvd Pinel, F-69675 Bron, France
来源
SCHIZOPHRENIA RESEARCH-COGNITION | 2019年 / 15卷
关键词
Social cognition; Schizophrenia; Symptoms; Emotion; Theory of mind; Attribution style;
D O I
10.1016/j.scog.2018.10.001
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Interactions between social cognition and symptoms of schizophrenia have been investigated, but mostly component by component. Here we tested the assumption that two categories of deficits exist depending on clinical profiles, one corresponding to a defect in social cognition - "under-social cognition" - and one corresponding to excessive attributions leading to social cognitive impairments - "over-social cognition". To conduct the investigation, we performed a Hierarchical Clustering Analysis using positive and negative symptoms in seventy patients with schizophrenia and we compared the clusters obtained to a group of healthy controls on social cognitive measures. We distinguished two social cognitive profiles based on prevailing symptoms for emotion processes and Theory of Mind. Actually, patients with negative symptoms showed lower performances in emotion recognition task than both those with positive symptoms and controls. Concerning Theory of Mind, patients with positive symptoms had a significant tendency to make over interpretative errors than both patients with negative symptoms and controls. For other processes assessed, further explorations are needed. Actually, concerning social perception and knowledge both patients' groups presented significant impairments compared to controls. Assessment of attribution bias showed that patients in the positive group presented a significant hostility bias and a higher intentionality score compared to healthy controls. These results favor the existence of different categories of impairments depending more on the clinical characteristics of patients than on nosographical categories, but further investigations are now necessary to specify these profiles. It nevertheless showed the importance of assessing symptoms in relationship with cognitive functioning.
引用
收藏
页码:21 / 29
页数:9
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