Evidence map›Paper›PMID 40726499›Full record

ArticleSchizophrenia research. Cognition2025

Relationship between cognitive reserve (education), social cognition and negative symptoms.

Sebastián Lema Spinelli, Juan Francisco Rodríguez-Testal, Álvaro Cabana, Sandra Romano, Leonel Gómez-Sena

Abstract read
In one paragraph

Article in Schizophrenia research. Cognition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sebastián Lema SpinelliAcademic Unit of Psychiatry, School of Medicine, University of the Republic, Uruguay.
Juan Francisco Rodríguez-TestalPersonality, Evaluation and Psychological Treatment Department, University of Seville, Seville, Spain.
Álvaro CabanaCentre for Basic Research in Psychology, University of the Republic, Uruguay.
Sandra RomanoAcademic Unit of Psychiatry, School of Medicine, University of the Republic, Uruguay.
Leonel Gómez-SenaLaboratory of Neurosciences, Faculty of Sciences, University of the Republic, Uruguay.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Negative symptoms (NS) are a core feature of schizophrenia spectrum disorders, yet their relationship with cognitive reserve (defined by educational attainment) and social cognition remains underexplored. This study examined whether education predicts NS and whether this relationship is mediated by social cognition, specifically emotional or inferential theory of mind Reading the Mind in the Eyes Test (RMET) vs. the Hinting Test. Methods: A mediation model and multiple regression analysis were conducted within an ex-post-facto, cross-sectional design. The sample included 144 participants: 69 diagnosed with schizophrenia spectrum disorders and 75 healthy controls. Women comprised 52.8 % of the sample, with a mean age of 42.67 years ( Results: The mediation model explained 67.57 % of the variance in NS, with age as a covariate. RMET showed a significant indirect effect ( Conclusions: Education, as an indicator of cognitive reserve, significantly predicts NS. This relationship is mediated by social cognition, with differential effects depending on the specific type of social cognition, either within the patient group or across the entire sample. These findings highlight the importance of cognitive reserve and social cognition in understanding and potentially mitigating NS in schizophrenia.

Indexed as

Cognitive reserveMediation analysisNegative symptomsPsychosisRegression analysisSchizophreniaSocial cognition

Identifiers

PMID40726499
PMCPMC12301789

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.