Influence of social cognition as a mediator between cognitive reserve and psychosocial functioning in patients with first episode psychosis

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 relat...

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Authors: González-Ortega, Itxaso|||0000-0001-7074-4353, González-Pinto, Ana|||0000-0002-2568-5179, Alberich, Susana|||0000-0002-4945-3428, Echeburuá, Enrique|||0000-0001-7654-0781, Bernardo, Miquel|||0000-0001-8748-6717, Cabrera, Bibiana|||0000-0002-7749-5449, Amoretti, Silvia|||0000-0001-6017-2734, Lobo, Antonio|||0000-0002-9098-655X, Arango, Celso|||0000-0003-3382-4754, Corripio, Iluminada|||0000-0003-2562-711X, Vieta, Eduard|||0000-0002-0548-0053, de la Serna, Elena|||0000-0002-7869-9881, Rodriguez-Jimenez, Roberto|||0000-0003-2251-7249, Segarra, Rafael|||0000-0002-2033-8151, López-Ilundain, Jose Manuel|||0000-0003-0361-0667, Sánchez-Torres, Ana Maria|||0000-0002-9505-2406, Cuesta, Manuel J.|||0000-0003-0250-5718, Zorrilla, Iñaki|||0000-0001-6444-8208, López, Platas, Bioque, Miquel|||0000-0001-6887-7149, Mezquida, Gisela|||0000-0002-6080-2203, Barcones, Fe, De-la-Cámara, Concepción|||0000-0003-2284-7862, Parellada, Mara|||0000-0001-7977-3601, Espliego, Ana, Alonso-Solís, Anna|||0000-0002-5393-9391, Grasa, Eva|||0000-0003-1100-7489, Varo, Cristina|||0000-0002-8859-3052, Montejo, Laura|||0000-0003-4407-9454, Castro-Fornieles, Josefina|||0000-0003-0632-2687, Baeza, Illyana, Dompablo, Mónica|||0000-0002-7195-3816, Torio, Iosune|||0000-0002-1771-1891, Zabala Rabadán, Arantzazu, Eguiluz, J.I., Moreno-Izco, Lucía, Sanjuan, Julio, Guirado, Ramon|||0000-0003-0259-5709, Cáceres, Iris, Garnier, P., Contreras, Fernando|||0000-0003-2929-2804, Bobes, Julio|||0000-0003-2187-4033, Al-Halabí, Susana|||0000-0003-1162-2115, Usall, Judith|||0000-0002-1746-7737, Butjosa Molines, Anna|||0000-0001-5317-9508, Sarró, Salvador|||0000-0003-1835-2189, Landin-Romero, Ramon|||0000-0003-0485-8090, Ibañez, Angela|||0000-0003-2751-0150, Selva, Gabriel
Format: article
Publication Date:2019
Country:España
Institution:Universitat Autònoma de Barcelona
Repository:Dipòsit Digital de Documents de la UAB
Language:English
OAI Identifier:oai:ddd.uab.cat:283739
Online Access:https://ddd.uab.cat/record/283739
https://dx.doi.org/urn:doi:10.1017/S0033291719002794
Access Level:Open access
Keyword:Cognitive reserve
First episode psychosis
Psychosocial functioning
Social cognition
Description
Summary: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. 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. 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). Cognitive reserve and neurocognition are related to functioning, and social cognition mediates in this relationship.

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