Symptomatic remission and counterfactual reasoning in schizophrenia

Counterfactual thinking (CFT) is a type of conditional reasoning involving mental representations of alternatives to past factual events that previous preliminary research has suggested to be impaired in schizophrenia. However, despite the potential impact of these deficits on the functional outcome...

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Autores: Albacete Belzunces, Àuria, Contreras, Fernando, Bosque, Clara, Gilabert, Ester, Albiach, Ángela, Menchón Magriñá, José Manuel
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Recursos:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/117224
Acesso em linha:https://hdl.handle.net/2445/117224
Access Level:acceso abierto
Palavra-chave:Esquizofrènia
Neuropsicologia
Raonament (Psicologia)
Cognició
Schizophrenia
Neuropsychology
Reasoning (Psychology)
Cognition
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spelling Symptomatic remission and counterfactual reasoning in schizophreniaAlbacete Belzunces, ÀuriaContreras, FernandoBosque, ClaraGilabert, EsterAlbiach, ÁngelaMenchón Magriñá, José ManuelEsquizofrèniaNeuropsicologiaRaonament (Psicologia)CognicióSchizophreniaNeuropsychologyReasoning (Psychology)CognitionCounterfactual thinking (CFT) is a type of conditional reasoning involving mental representations of alternatives to past factual events that previous preliminary research has suggested to be impaired in schizophrenia. However, despite the potential impact of these deficits on the functional outcome of these patients, studies examining the role of CFT in this disorder are still few in number. The present study aimed to extent previous results by evaluating CFT in the largest sample to date of schizophrenia patients in symptomatic remission and healthy controls. The relationship with symptomatology, illness duration, and sociodemographic characteristics was also explored. Methods: Seventy-eight schizophrenia patients and 84 healthy controls completed a series of tests that examined the generation of counterfactual thoughts, the influence of the 'causal order effect,' and the ability to counterfactually derive inferences by using de Counterfactual Inference Test. Results: Compared with controls, patients generated fewer counterfactual thoughts when faced with a simulated scenario. This deficit was negatively related to scores on all dimensions of the Positive and Negative Syndrome Scale-PANNS, as well as to longer illness duration. The results also showed that schizophrenia patients deviated significantly from the normative pattern when generating inferences from CFT. Conclusions: These findings reveal CFT impairment to be present in schizophrenia even when patients are in symptomatic remission. However, symptomatology and illness duration may have a negative influence on these patients' ability to generate counterfactual thoughts. The results might support the relevance of targeting CFT in future treatment approaches, although further research is needed to better describe the relationship between CFT and both symptomatology and functional outcome.Frontiers Media2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/117224Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3389/fpsyg.2016.02048Frontiers in Psychology, 2017, vol. 7, p. e2048https://doi.org/10.3389/fpsyg.2016.02048cc-by (c) Albacete, Auria et al., 2017http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1172242026-05-27T06:46:51Z
dc.title.none.fl_str_mv Symptomatic remission and counterfactual reasoning in schizophrenia
title Symptomatic remission and counterfactual reasoning in schizophrenia
spellingShingle Symptomatic remission and counterfactual reasoning in schizophrenia
Albacete Belzunces, Àuria
Esquizofrènia
Neuropsicologia
Raonament (Psicologia)
Cognició
Schizophrenia
Neuropsychology
Reasoning (Psychology)
Cognition
title_short Symptomatic remission and counterfactual reasoning in schizophrenia
title_full Symptomatic remission and counterfactual reasoning in schizophrenia
title_fullStr Symptomatic remission and counterfactual reasoning in schizophrenia
title_full_unstemmed Symptomatic remission and counterfactual reasoning in schizophrenia
title_sort Symptomatic remission and counterfactual reasoning in schizophrenia
dc.creator.none.fl_str_mv Albacete Belzunces, Àuria
Contreras, Fernando
Bosque, Clara
Gilabert, Ester
Albiach, Ángela
Menchón Magriñá, José Manuel
author Albacete Belzunces, Àuria
author_facet Albacete Belzunces, Àuria
Contreras, Fernando
Bosque, Clara
Gilabert, Ester
Albiach, Ángela
Menchón Magriñá, José Manuel
author_role author
author2 Contreras, Fernando
Bosque, Clara
Gilabert, Ester
Albiach, Ángela
Menchón Magriñá, José Manuel
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Esquizofrènia
Neuropsicologia
Raonament (Psicologia)
Cognició
Schizophrenia
Neuropsychology
Reasoning (Psychology)
Cognition
topic Esquizofrènia
Neuropsicologia
Raonament (Psicologia)
Cognició
Schizophrenia
Neuropsychology
Reasoning (Psychology)
Cognition
description Counterfactual thinking (CFT) is a type of conditional reasoning involving mental representations of alternatives to past factual events that previous preliminary research has suggested to be impaired in schizophrenia. However, despite the potential impact of these deficits on the functional outcome of these patients, studies examining the role of CFT in this disorder are still few in number. The present study aimed to extent previous results by evaluating CFT in the largest sample to date of schizophrenia patients in symptomatic remission and healthy controls. The relationship with symptomatology, illness duration, and sociodemographic characteristics was also explored. Methods: Seventy-eight schizophrenia patients and 84 healthy controls completed a series of tests that examined the generation of counterfactual thoughts, the influence of the 'causal order effect,' and the ability to counterfactually derive inferences by using de Counterfactual Inference Test. Results: Compared with controls, patients generated fewer counterfactual thoughts when faced with a simulated scenario. This deficit was negatively related to scores on all dimensions of the Positive and Negative Syndrome Scale-PANNS, as well as to longer illness duration. The results also showed that schizophrenia patients deviated significantly from the normative pattern when generating inferences from CFT. Conclusions: These findings reveal CFT impairment to be present in schizophrenia even when patients are in symptomatic remission. However, symptomatology and illness duration may have a negative influence on these patients' ability to generate counterfactual thoughts. The results might support the relevance of targeting CFT in future treatment approaches, although further research is needed to better describe the relationship between CFT and both symptomatology and functional outcome.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/117224
url https://hdl.handle.net/2445/117224
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3389/fpsyg.2016.02048
Frontiers in Psychology, 2017, vol. 7, p. e2048
https://doi.org/10.3389/fpsyg.2016.02048
dc.rights.none.fl_str_mv cc-by (c) Albacete, Auria et al., 2017
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Albacete, Auria et al., 2017
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301603

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