Social cognition in clinical "at risk" for psychosis and first episode psychosis populations

Thompson, Andrew, Papas, Alicia, Bartholomeusz, Cali, Allott, Kelly, Amminger, G. Paul, Nelson, Barnaby, Wood, Stephen and Yung, Alison 2012, Social cognition in clinical "at risk" for psychosis and first episode psychosis populations, Schizophrenia research, vol. 141, no. 2-3, pp. 204-209, doi: 10.1016/j.schres.2012.08.007.

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Title Social cognition in clinical "at risk" for psychosis and first episode psychosis populations
Author(s) Thompson, Andrew
Papas, Alicia
Bartholomeusz, Cali
Allott, Kelly
Amminger, G. Paul
Nelson, Barnaby
Wood, Stephen
Yung, Alison
Journal name Schizophrenia research
Volume number 141
Issue number 2-3
Start page 204
End page 209
Total pages 6
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2012-11
ISSN 0920-9964
Keyword(s) at risk
social cognition
theory of mind
emotion recognition
Analysis of Variance
Cognition Disorders
Neuropsychological Tests
Psychiatric Status Rating Scales
Psychotic Disorders
Recognition (Psychology)
Risk Factors
Social Behavior
Social Perception
Young Adult
Science & Technology
Life Sciences & Biomedicine
Summary BACKGROUND: Social cognitive deficits have been demonstrated in first episode psychosis (FEP) and groups at high risk for developing psychosis but the relative degree of deficit between these groups is unclear. Such knowledge may further our understanding of the importance of these deficits in the development of psychosis. The study aimed to compare the degree of impairment in social cognition in three groups: FEP, those at "ultra high risk" (UHR) for psychosis and healthy controls.

METHODS: UHR and FEP patients were recruited from an established youth mental health service in Melbourne. Three domains of social cognition were assessed: ToM (hinting task and interpretation of visual jokes); facial and vocal emotion recognition (Diagnostic Assessment of Non Verbal Accuracy); social perception (Mayer-Salovey-Caruso Emotional Intelligence Test - managing emotions branch). Group differences were analysed using Analysis of Covariance with age, gender and IQ as covariates.

RESULTS: Data on 30 UHR, 40 FEP and 30 control participants were analysed. FEP patients performed significantly worse on all social cognition tasks compared to controls. For the UHR group, scores were intermediate between FEP and controls for all tasks, but only significantly different to controls for ToM tasks. Effects sizes were largest for the ToM tasks and the emotion recognition task for both patient groups. There were no significant differences between UHR and FEP patients in performance on any of the tasks.

CONCLUSIONS: Social cognition is generally impaired in FEP patients but there are fewer deficits in a UHR group. Longitudinal research in larger samples is needed to investigate whether social cognition deficits, such as ToM are risk factors in UHR groups for subsequent transition to full-threshold psychosis.
Language eng
DOI 10.1016/j.schres.2012.08.007
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 970117 Expanding Knowledge in Psychology and Cognitive Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2012, Crown Copyright
Persistent URL

Document type: Journal Article
Collections: School of Psychology
Population Health
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