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https://hdl.handle.net/2445/174873
Title: | Influence of social cognition as a mediator between cognitive reserve and psychosocial functioning in patients with first episode psychosis |
Author: | González Ortega, Itxaso González-Pinto, Ana Alberich, Susana Echeburúa, Enrique Bernardo Arroyo, Miquel Cabrera Llorca, Bibiana Amoretti Guadall, Silvia Lobo, Antonio Arango, Celso Corripio, Iluminada Vieta i Pascual, Eduard, 1963- Serna Gómez, Elena de la Rodriguez Jimenez, Roberto Segarra, R. López-Ilundain, Jose M. Sánchez-Torres, Ana M. Cuesta, Manuel J. Zorrilla, I. López, P. Bioque Alcázar, Miquel Mezquida Mateos, Gisela Barcones, F. de la Cámara, C. Parellada, Mara Espliego, A. Alonso Solís, A. Grasa, E. M. Varo, Cristina Montejo, Laura Castro Fornieles, Josefina Baeza, Inmaculada, 1970- Dompablo, M. Torio, I. Zabala, A. Eguiluz, J. I. Moreno Izco, Lucía Sanjuán, Julio Guirado, R. Cáceres, I. PEPs Group |
Keywords: | Psicosi Percepció social Psychoses Social perception |
Issue Date: | 22-Oct-2019 |
Publisher: | Cambridge University Press |
Abstract: | Background: Social cognition has been associated with functional outcome in patients with first episode psychosis (FEP). Social cognition has also been associated with neurocognition and cognitive reserve. Although cognitive reserve, neurocognitive functioning, social cognition, and functional outcome are related, the direction of their associations is not clear. Therefore, the main aim of this study was to analyze the influence of social cognition as a mediator between cognitive reserve and cognitive domains on functioning in FEP both at baseline and at 2 years. Methods: The sample of the study was composed of 282 FEP patients followed up for 2 years. To analyze whether social cognition mediates the influence of cognitive reserve and cognitive domains on functioning, a path analysis was performed. The statistical significance of any mediation effects was evaluated by bootstrap analysis. Results: At baseline, as neither cognitive reserve nor the cognitive domains studied were related to functioning, the conditions for mediation were not satisfied. Nevertheless, at 2 years of follow-up, social cognition acted as a mediator between cognitive reserve and functioning. Likewise, social cognition was a mediator between verbal memory and functional outcome. The results of the bootstrap analysis confirmed these significant mediations (95% bootstrapped CI (−10.215 to −0.337) and (−4.731 to −0.605) respectively). Conclusions: Cognitive reserve and neurocognition are related to functioning, and social cognition mediates in this relationship. |
Note: | Reproducció del document publicat a: https://doi.org/10.1017/S0033291719002794 |
It is part of: | Psychological Medicine, 2019, vol. 50, num. 16, p. 2702-2710 |
URI: | https://hdl.handle.net/2445/174873 |
Related resource: | https://doi.org/10.1017/S0033291719002794 |
ISSN: | 0033-2917 |
Appears in Collections: | Articles publicats en revistes (Medicina) |
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