Cognición social en pacientes con un primer episodio psicótico

Translated title of the contribution: Social cognition in first-episode schizophrenia/schizoaffective disorder patients

Judit Joseph Fortuny, Guillem Navarra-Ventura, Sol Fernández-Gonzalo, Esther Pousa Tomàs, Josep Maria Crosas Armengol, Diego Palao Vidal, Mercè Jodar Vicente*

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Introduction: People with schizophrenia have neurocognitive as well as social cognition deficits. Numerous studies have shown impairment in these domains in patients with chronic schizophrenia. However, these disturbances during the early phase of the disease have been less studied. Objective: The aim of the study is to explore the Theory of Mind and emotional processing in first-episode patients, compared to healthy subjects. Method: 40 patients with a first psychotic episode of less than 5 years’ duration, and 40 healthy control subjects matched by age and years of schooling were assessed. The measures of social cognition included 4 stories of false belief, the Reading the Mind in the Eyes Test (RMET) and the Pictures of Facial Affect (POFA) series. Results: The patients with a first psychotic episode performed significantly worse in all tasks of social cognition, compared to the healthy controls. The second-order ToM was impaired whereas the first-order ToM was preserved in the patients. Happiness was the emotion most easily identified by both patients and controls. Fear was most difficult for the patients, while for the controls it was disgust. Conclusions: Deficits in ToM and emotional processing are present in patients with a first psychotic episode.

Translated title of the contributionSocial cognition in first-episode schizophrenia/schizoaffective disorder patients
Original languageSpanish
JournalRevista de Psiquiatria y Salud Mental
DOIs
Publication statusAccepted in press - 2020

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