ArticleSchizophrenia research2019
Predictors of social functioning in patients with higher and lower levels of reduced emotional experience: Social cognition, social competence, and symptom severity.
Article in Schizophrenia research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A Systematic Review and Meta-Analysis of the Association Between Psychopathology and Social Functioning in Schizophrenia.Schizophrenia bulletin · 2023Pooled it
- The social cognitive and neural mechanisms that underlie social functioning in individuals with schizophrenia - a review.Translational psychiatry · 2023Pooled it
- Functional Impairments and Theory of Mind Deficits in Schizophrenia: A Meta-analysis of the Associations.Schizophrenia bulletin · 2021Pooled it
- Effectiveness of Psychological Intervention Methods for the Management of Positive and Negative Symptoms in Schizophrenia Patients: A Systematic Review and Network Meta-analysis.Indian journal of psychological medicine · 2025Review
- Exploring sexual and romantic functioning as early risk factors of schizophrenia: a narrative review.Sexual medicine · 2025Review
- How do negative symptoms and social cognitive impairments overlap? Clustering analyses on patients living with schizophrenia-spectrum disorder.Social cognitive and affective neuroscience · 2025Article
- History of learning disorders is associated with worse cognitive and functional outcomes in schizophrenia: results from the multicentric FACE-SZ cross-sectional dataset.European archives of psychiatry and clinical neuroscience · 2023Article
- Life engagement in people living with schizophrenia: predictors and correlates of patient life engagement in a large sample of people living in the community.Psychological medicine · 2023Article
- Emotional Processing Profile in Patients with First Episode Schizophrenia: The Influence of Neurocognition.Journal of clinical medicine · 2022Article
- The relationship between cognition and functioning in schizophrenia: A semi-systematic review.Schizophrenia research. Cognition · 2022Review
- Dynamic contextual influences on social motivation and behavior in schizophrenia: a case-control network analysis.NPJ schizophrenia · 2021Article
- Emotional determinants of life-space through GPS and ecological momentary assessment in schizophrenia: What gets people out of the house?Schizophrenia research · 2020Article
- Effects of Psychotic Symptoms and Social Cognition on Job Retention in Patients with Schizophrenia in Korea.International journal of environmental research and public health · 2020Article
- What Do People With Schizophrenia Do All Day? Ecological Momentary Assessment of Real-World Functioning in Schizophrenia.Schizophrenia bulletin · 2020Article
- Autistic symptoms predict social cognitive performance in patients with schizophrenia.Schizophrenia research · 2020Article
- Autistic Symptoms and Social Cognition Predict Real-World Outcomes in Patients With Schizophrenia.Frontiers in psychiatry · 2020Article
Corrections and comments
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Authors and funding
5 authors.
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Abstract
backgroundDeficits in social functioning in schizophrenia are primarily predicted by negative symptoms, social cognition deficits, and social skills deficits. Here we examine those predictive variables across variations in the severity of reduced emotional experience. We hypothesized that in patients with high symptom severity, factors such as social cognition would have reduced importance for predicting social outcomes.
methodsParticipants with schizophrenia (n = 312) were tested using five different measures of social cognition. Performance-based assessments and clinical ratings of reduced emotion experience were used to assess social competence. High contact informants rated interpersonal functioning and social acceptability of behavior, while unaware of other patient data. Patients were divided into higher and lower reduced emotional experience using previously validated criteria.
results33% of the patients had at least moderate symptoms of reduced emotional experience. Patients with greater severity had more social functioning impairment, but not poorer social competence and social cognition. In the patients with lower severity, social cognition accounted for 9% of the variance in interpersonal functioning, while in patients with higher severity, social cognition did not predict any variance. In the patients with lower severity, social cognition accounted for 4% of the variance in social acceptability of behavior, while in patients with higher severity, social cognition also did not predict any variance. IMPLICATIONS: The influence of social cognition on social outcomes appears greater in patients with less severe symptoms of reduced emotional experience. As there are treatments for both these symptoms and social cognition with demonstrated efficacy, these data suggest differential application of these interventions based on symptom severity.
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