IDH   23901
INSTITUTO DE HUMANIDADES
Unidad Ejecutora - UE
artículos
Título:
Contextual Social Cognition Impairments in Schizophrenia and Bipolar Disorder
Autor/es:
BAEZ, S; HERRERA, E; VILLARIN, L; THEIL, D; GONZALEZ GADEA, ML; GOMEZ, P; MOSQUERA, M; HUEPE, D; STREJILEVICH, S; VIGLIECCA, NS; MATTHÄUS, F; DECETY, J; MANES, F; IBAÑEZ, A
Revista:
PLOS ONE
Editorial:
PUBLIC LIBRARY SCIENCE
Referencias:
Lugar: San Francisco; Año: 2013 vol. 8 p. 1 - 13
ISSN:
1932-6203
Resumen:
BACKGROUND: The ability to integrate contextual information with social cues to
generate social meaning is a key aspect of social cognition. It is widely
accepted that patients with schizophrenia and bipolar disorders have deficits
in social cognition; however, previous studies on these disorders did not use
tasks that replicate everyday situations.
METHODOLOGY/PRINCIPAL
FINDINGS: This study evaluates the performance of patients with schizophrenia and
bipolar disorders on social cognition tasks (emotional processing, empathy, and
social norms knowledge) that incorporate different levels of contextual
dependence and involvement of real-life scenarios. Furthermore, we explored the
association between social cognition measures, clinical symptoms and executive
functions. Using a logistic regression analysis, we explored whether the
involvement of more basic skills in emotional processing predicted performance
on empathy tasks. The results showed that both patient groups exhibited
deficits in social cognition tasks with greater context sensitivity and
involvement of real-life scenarios. These deficits were more severe in
schizophrenic than in bipolar patients. Patients did not differ from controls
in tasks involving explicit knowledge. Moreover, schizophrenic patients'
depression levels were negatively correlated with performance on empathy tasks.
CONCLUSIONS/SIGNIFICANCE:
Overall performance on emotion recognition predicted performance on
intentionality attribution during the more ambiguous situations of the empathy
task. These results suggest that social cognition deficits could be related to
a general impairment in the capacity to implicitly integrate contextual cues.
Important implications for the assessment and treatment of individuals with
schizophrenia and bipolar disorders, as well as for neurocognitive models of
these pathologies are discussed.