Social cognition mediates the impact of processing speed and sustained attention on global functioning in schizophrenia

Background: Deficits in information processing, sustained attention and social cognition have important implications for the daily functioning of people with schizophrenia. The present study analyzed the relationship between processing speed, sustained attention, social cognition, and functioning in...

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Autores: Ruiz Toca, Alicia, Fernández Aragón, María Cristina, Madrigal, Ana, Halverson, Tate F., Rodríguez Jiménez, Roberto, Lahera Forteza, Guillermo
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad de Alcalá (UAH)
Repositorio:e_Buah Biblioteca Digital Universidad de Alcalá
Idioma:inglés
OAI Identifier:oai:ebuah.uah.es:10017/63475
Acceso en línea:http://hdl.handle.net/10017/63475
https://dx.doi.org/10.7334/psicothema2022.8
Access Level:acceso abierto
Palabra clave:Processing speed
Sustained attention
Social cognition
Schizophrenia
Psychosis
Velocidad de procesamiento
Atención sostenida
Cognición social
Esquizofrenia
Psicosis
Medicina
Medicine
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spelling Social cognition mediates the impact of processing speed and sustained attention on global functioning in schizophreniaRuiz Toca, AliciaFernández Aragón, María CristinaMadrigal, AnaHalverson, Tate F.Rodríguez Jiménez, RobertoLahera Forteza, GuillermoProcessing speedSustained attentionSocial cognitionSchizophreniaPsychosisVelocidad de procesamientoAtención sostenidaCognición socialEsquizofreniaPsicosisMedicinaMedicineBackground: Deficits in information processing, sustained attention and social cognition have important implications for the daily functioning of people with schizophrenia. The present study analyzed the relationship between processing speed, sustained attention, social cognition, and functioning in clinically stable people with schizophrenia. Method: Ninety people with schizophrenia and 100 healthy controls completed a battery of measures to assess clinical symptoms, processing speed, sustained attention, social cognition, and functioning. GLMMs and SEM were used to assess the relationships between these variables. Results: People with schizophrenia had impaired performance in all cognitive outcomes compared to healthy controls. Processing speed and sustained attention, together in a latent variable, had a strong effect on functioning (Beta = 0.32; p < .05). However, social cognition had also a strong effect on functioning (Beta = 0.29; p <.001) in the mediation model, which exhibited better indices of fit than the model including neurocognition alone (e.g. RMSEAbasic = 0.131 and RMSEAmediator = 0.054). Conclusions: The mediating effect of social cognition on the relationship between processing speed, sustained attention, and functioning in people with schizophrenia suggests the importance of including both domains of neurocognition along with social cognition as treatment targets in rehabilitation interventions to optimize improvements in functioning in schizophrenia.Antecedentes: Los déficits en el procesamiento de la información, la atención sostenida y la cognición social tienen implicaciones importantes para el funcionamiento diario de las personas con esquizofrenia. El presente estudio analizó la relación entre velocidad de procesamiento, atención sostenida, cognición social y funcionamiento en personas clínicamente estables con esquizofrenia. Método: Noventa personas con esquizofrenia y 100 controles sanos completaron una batería de pruebas para evaluar síntomas clínicos, velocidad de procesamiento, atención sostenida, cognición social y funcionamiento. Se utilizaron GLMM y SEM para evaluar las relaciones entre variables. Resultados: Las personas con esquizofrenia tuvieron un peor rendimiento en todos los resultados cognitivos. La velocidad de procesamiento y la atención sostenida, juntas en una variable latente, tuvieron un fuerte efecto sobre el funcionamiento (Beta = 0,32; p < 0,05). La cognición social también tuvo un fuerte efecto sobre el funcionamiento (Beta = 0,29; p < 0,001) en el modelo de mediación, que mostró mejores índices de ajuste que el modelo que incluía solo neurocognición (e.g. RMSEAbasic = 0.131 y RMSEAmediator = 0.054). Conclusiones: El efecto mediador de la cognición social sobre la relación entre la velocidad de procesamiento, la atención sostenida y el funcionamiento sugiere la importancia de incluir ambos dominios junto con la cognición social como objetivos de tratamiento en las intervenciones de rehabilitación20232023-01-01journal articlehttp://purl.org/coar/resource_type/c_6501NAhttp://purl.org/coar/version/c_be7fb7dd8ff6fe43info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10017/63475https://dx.doi.org/10.7334/psicothema2022.8reponame:e_Buah Biblioteca Digital Universidad de Alcaláinstname:Universidad de Alcalá (UAH)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ebuah.uah.es:10017/634752026-06-18T11:13:07Z
dc.title.none.fl_str_mv Social cognition mediates the impact of processing speed and sustained attention on global functioning in schizophrenia
title Social cognition mediates the impact of processing speed and sustained attention on global functioning in schizophrenia
spellingShingle Social cognition mediates the impact of processing speed and sustained attention on global functioning in schizophrenia
Ruiz Toca, Alicia
Processing speed
Sustained attention
Social cognition
Schizophrenia
Psychosis
Velocidad de procesamiento
Atención sostenida
Cognición social
Esquizofrenia
Psicosis
Medicina
Medicine
title_short Social cognition mediates the impact of processing speed and sustained attention on global functioning in schizophrenia
title_full Social cognition mediates the impact of processing speed and sustained attention on global functioning in schizophrenia
title_fullStr Social cognition mediates the impact of processing speed and sustained attention on global functioning in schizophrenia
title_full_unstemmed Social cognition mediates the impact of processing speed and sustained attention on global functioning in schizophrenia
title_sort Social cognition mediates the impact of processing speed and sustained attention on global functioning in schizophrenia
dc.creator.none.fl_str_mv Ruiz Toca, Alicia
Fernández Aragón, María Cristina
Madrigal, Ana
Halverson, Tate F.
Rodríguez Jiménez, Roberto
Lahera Forteza, Guillermo
author Ruiz Toca, Alicia
author_facet Ruiz Toca, Alicia
Fernández Aragón, María Cristina
Madrigal, Ana
Halverson, Tate F.
Rodríguez Jiménez, Roberto
Lahera Forteza, Guillermo
author_role author
author2 Fernández Aragón, María Cristina
Madrigal, Ana
Halverson, Tate F.
Rodríguez Jiménez, Roberto
Lahera Forteza, Guillermo
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Processing speed
Sustained attention
Social cognition
Schizophrenia
Psychosis
Velocidad de procesamiento
Atención sostenida
Cognición social
Esquizofrenia
Psicosis
Medicina
Medicine
topic Processing speed
Sustained attention
Social cognition
Schizophrenia
Psychosis
Velocidad de procesamiento
Atención sostenida
Cognición social
Esquizofrenia
Psicosis
Medicina
Medicine
description Background: Deficits in information processing, sustained attention and social cognition have important implications for the daily functioning of people with schizophrenia. The present study analyzed the relationship between processing speed, sustained attention, social cognition, and functioning in clinically stable people with schizophrenia. Method: Ninety people with schizophrenia and 100 healthy controls completed a battery of measures to assess clinical symptoms, processing speed, sustained attention, social cognition, and functioning. GLMMs and SEM were used to assess the relationships between these variables. Results: People with schizophrenia had impaired performance in all cognitive outcomes compared to healthy controls. Processing speed and sustained attention, together in a latent variable, had a strong effect on functioning (Beta = 0.32; p < .05). However, social cognition had also a strong effect on functioning (Beta = 0.29; p <.001) in the mediation model, which exhibited better indices of fit than the model including neurocognition alone (e.g. RMSEAbasic = 0.131 and RMSEAmediator = 0.054). Conclusions: The mediating effect of social cognition on the relationship between processing speed, sustained attention, and functioning in people with schizophrenia suggests the importance of including both domains of neurocognition along with social cognition as treatment targets in rehabilitation interventions to optimize improvements in functioning in schizophrenia.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
NA
http://purl.org/coar/version/c_be7fb7dd8ff6fe43
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10017/63475
https://dx.doi.org/10.7334/psicothema2022.8
url http://hdl.handle.net/10017/63475
https://dx.doi.org/10.7334/psicothema2022.8
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:e_Buah Biblioteca Digital Universidad de Alcalá
instname:Universidad de Alcalá (UAH)
instname_str Universidad de Alcalá (UAH)
reponame_str e_Buah Biblioteca Digital Universidad de Alcalá
collection e_Buah Biblioteca Digital Universidad de Alcalá
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