Jumping to Social Conclusions?: The Implications of Early an Uninformed Social Judgements in First Episode Psychosis

Although social cognition is now understood to be a key determinant of functional outcome in psychosis, the factors associated with impaired performance on tasks of social cognition still remain unclear. Jumping to conclusions (JTC) is a cognitive bias that is commonly observed in psychosis. and features of this bias may be implicated in the accurate processing of social information. In the present study. a sample of patients in the early stages of psychosis (n = 35) and demographically matched community controls (n = 35) were presented with a modified version of the Interpersonal Perception Task in which video clips of naturalistic social scenarios were paused at 3 predetermined time points. All participants were prompted to answer a series of questions during these time points to examine the processes by which individuals arrive at social judgments. A JTC response pattern was defined as endorsing overconfident responses and a low need for additional social information at the beginning time points of the video clips when limited social cues were available. Compared with controls, a greater proportion of patients exhibited a response pattern suggestive of JTC, which was also strongly associated with poorer overall task accuracy, regardless of group status. Results from this study provide evidence that overconfidence in premature and uninformed social judgments has direct consequences for the accurate processing of social information. Furthermore, this response pattern, which was more characteristic of early psychosis patients, may represent JTC in real-world social contexts, and could be an important therapeutic target for social cognition in the early stages of illness.