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Related Experiment Video

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Development of a Virtual Reality Assessment of Everyday Living Skills

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Published on: April 23, 2014

Social and cognitive functioning in psychosis.

Jean Addington¹, Donald Addington

¹Department of Psychiatry, University of Toronto, Toronto, Canada. jean_addington@camh.net

Schizophrenia Research

|August 8, 2007

Summary

Cognitive deficits and social functioning impairments are evident in schizophrenia. This study found cognition predicts social problem-solving, but the link to social functioning depends on how it is measured.

Area of Science:

Neuroscience
Psychiatry
Cognitive Psychology

Background:

Schizophrenia is characterized by cognitive and social functioning deficits.
The precise relationship between cognitive impairment and social dysfunction in schizophrenia remains unclear.

Purpose of the Study:

To investigate the association between cognitive functioning and social functioning in first-episode (FE) and multi-episode (ME) schizophrenia subjects compared to non-psychiatric controls (NPC).
To determine if cognitive abilities predict social functioning outcomes in these groups.

Main Methods:

Inclusion of three groups: 50 FE subjects, 53 ME subjects, and 55 NPC.
Assessment of social functioning and a comprehensive cognitive battery.
Two assessment points, one year apart, for all groups.

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Main Results:

Both FE and ME subjects demonstrated significant impairments in cognition and social functioning compared to NPCs.
Cognitive performance predicted social problem-solving and one measure of social functioning in both patient and control groups.
The predictive power of cognition on social functioning varied depending on the specific measure used.

Conclusions:

This study supports a link between cognition and social functioning in schizophrenia.
The nature of this association is influenced by the conceptualization and assessment methods of social functioning.