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Inicio Spanish Journal of Psychiatry and Mental Health Cognitive insight in first-episode psychosis: Exploring the complex relationship...
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Available online 25 January 2024
Cognitive insight in first-episode psychosis: Exploring the complex relationship between executive functions and social cognition
Raquel López-Carrileroa,b,c,1, Mercedes Lo Monacoa,b,1, Eva Frígola-Capelln, Marta Ferrer-Quinteroa,b,c,d,t, Luciana Díaz-Cutrarob,e, Marina Verdaguer-Rodrígueza,b, Helena García-Mieresa,b,c, Regina Vila-Badiaa,b,c, Paola Punsoda-Pucheb, Irene Birulésb,d, Trinidad Peláezb, Esther Pousaf,g,h,i, Eva Grasac,f, Ana Barajasp,q, Isabel Ruiz-Delgadol, María Luisa Barrigónk,t, Fermín Gonzalez-Higuerasm, Esther Lorente-Rovirac,j, Alfonso Gutiérrez-Zotesc,o, Jordi Cidn..., Teresa Legidoi, Rosa Ayesa-Arriolac,r, Steffen Moritzs, Spanish Metacognition Group , Susana Ochoaa,b,c,
Corresponding author
susana.ochoa@sjd.es

Corresponding author.
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a Etiopatogènia i Tractament dels Trastorns Mentals Greus (MERITT), Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain
b Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
c Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, 28029 Madrid, Spain
d Social and Quantitative Psychology Department, University of Barcelona, Spain
e Psychology Department, FPCEE Blanquerna, Universitat Ramon Llull, Barcelona, Spain
f Department of Psychiatry, Institut d’Investigació Biomèdica-Sant Pau (IIB-Sant Pau), Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
g Departament de Psicologia Clínica i de la Salut, Facultat de Psicologia, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Barcelona, Spain
h Salut Mental Parc Taulí, Sabadell, Hospital Universitari, UAB Universitat Autònoma de Barcelona, Sabadell, Spain
i Neuropsiquiatria i Addicions, Hospital del Mar, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
j Psychiatry Service, Hospital Clínico Universitario de Valencia, Spain
k Departamento de Psiquiatría, Hospital Universitario Virgen del Rocio, Sevilla, Spain
l Unidad de Salud Mental Comunitaria Málaga Norte, UGC Salud Mental Carlos Haya, Servicio Andaluz de Salud, Málaga, Spain
m Hospital Universitario de Jaén, Jaén, Spain
n Mental Health & Addiction Research Group, IdiBGi – Institut d’Assistencia Sanitària, Girona, Spain
o Institut d’Investigació Sanitària Pere Virgili (IISPV), Hospital Universitari Institut Pere Mata, Universitat Rovira i Virgili, Reus, Spain
p Serra Húnter Programme, Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Barcelona, Spain
q Centre d’Higiene Mental Les Corts, Department of Research, Barcelona, Spain
r Unidad de Investigación en Psiquiatría (IDIVAL), Hospital Universitario Marqués de Valdecilla, Santander, Spain
s Department of Psychiatry and Psychotherapy, University Medical Center Hamburg, Hamburg, Germany
t Hospital Gregorio Marañón, Madrid, Spain
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Received 29 August 2023. Accepted 09 January 2024
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Tables (5)
Table 1. Sociodemographic and clinical characteristics of the sample.
Table 2. Correlation between social cognition and executive functions.
Table 3. Correlation between social cognition and executive functions split by gender.
Table 4. Linear regression model.
Table 5. Linear regression model split by gender.
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Abstract

Social cognition (SC) and executive function (EF) have been described as important variables for social functioning and recovery of patients with psychosis. However, the relationship between SC and EF in first-episode psychosis (FEP) deserves further investigation, especially focusing on gender differences.

Aims

To investigate the relationship between EF and different domains of SC in FEP patients and to explore gender differences in the relationship between these domains.

Methods

A cross-sectional study of 191 patients with new-onset psychosis recruited from two multicenter clinical trials. A comprehensive cognitive battery was used to assess SC (Hinting Task, Face Test and IPSAQ) and EF (TMT, WSCT, Stroop Test and digit span – WAIS-III). Pearson correlations and linear regression models were performed.

Results

A correlation between Theory of Mind (ToM), Emotional Recognition (ER) and EF was found using the complete sample. Separating the sample by gender showed different association profiles between these variables in women and men.

Conclusions

A relationship between different domains of SC and EF is found. Moreover, women and men presented distinct association profiles between EF and SC. These results should be considered in order to improve the treatment of FEP patients and designing personalized interventions by gender.

Keywords:
Psychosis
Social cognition
Executive functions
First-episode psychosis
Theory of Mind
Emotional Recognition
Cognition

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