Evidence map›Paper›PMID 42587130›Full record

ArticleSocial psychiatry and psychiatric epidemiology2026

Exploring convergence of social cognition and social skills in schizophrenia spectrum disorders: unique and shared influences of functioning.

Samuel Murphy, Shaun M Eack, Russell K Schutt, Matthew A Killam, Jonathan Delman, Diane K Beckman, Maralee Litschge, Emily K Wilner, Raquelle Mesholam-Gately, Kathryn E Lewandowski and 5 more

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Article in Social psychiatry and psychiatric epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

15 authors.

Samuel MurphySchool of Social Work, University of Pittsburgh, Pittsburgh, PA, USA. smm345@pitt.edu.
Shaun M EackSchool of Social Work, University of Pittsburgh, Pittsburgh, PA, USA.
Russell K SchuttBeth Israel Deaconness Medical Center, Harvard Medical School, Boston, MA, USA.
Matthew A KillamBeth Israel Deaconness Medical Center, Harvard Medical School, Boston, MA, USA.
Jonathan DelmanBehavioral Health Research Solutions LLC, Stoneham, USA.
Diane K BeckmanBeth Israel Deaconness Medical Center, Harvard Medical School, Boston, MA, USA.
Maralee LitschgeDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Emily K WilnerBehavioral Health Research Solutions LLC, Stoneham, USA.
Raquelle Mesholam-GatelyBeth Israel Deaconness Medical Center, Harvard Medical School, Boston, MA, USA.
Kathryn E LewandowskiSchizophrenia and Bipolar Disorder Program, McLean Hospital, Belmont, MA, USA.
Kim T MueserCenter for Psychiatric Rehabilitation, Boston University, Boston, MA, USA.
Sarah I PrattGeisel School of Medicine, Dartmouth College, Hanover, NH, USA.
Luis SandovalBeth Israel Deaconness Medical Center, Harvard Medical School, Boston, MA, USA.
Haiyi XieGeisel School of Medicine, Dartmouth College, Hanover, NH, USA.
Matcheri S KeshavanSchool of Social Work, University of Pittsburgh, Pittsburgh, PA, USA.

Funding

Patient-Centered Outcomes Research Institute CER-2018C3-14701
6 · The paper itself

Abstract

purposeIndividuals diagnosed with schizophrenia often experience challenges with social connection, leading to diminished community functioning and quality of life. Psychosocial interventions address these challenges through training the mental processes that guide interpretation of social interactions (social cognition) or strengthening the conversational and paralinguistic techniques needed to navigate social situations (social skills). While social cognition and social skills are integral to social connection, questions remain about their interrelation and influence on treatment outcomes. This study sought to examine the latent structure and interrelatedness of social skills and social cognition to better understand their influence on psychosocial functioning.

methodsA total of 194 outpatients with schizophrenia from a multisite comparative effectiveness study of two psychosocial interventions were assessed pre-treatment on an array of social functioning, social skills, and social cognitive measures. Exploratory factor analysis was conducted to examine overlap of social cognitive and social skills dimensions, and resulting composite factors were incorporated within multivariate regression models predicting psychosocial functioning.

resultsA 3-factor solution was identified, with social cognition retained within an emotion management factor, while social skills separated into two factors assessing conversational engagement and coherence of communication. Social cognition and social skill factors predicted improved interpersonal and motivational domains of psychosocial functioning while the social cognition factor uniquely predicted improved role performance/instrumental functioning.

conclusionsSocial cognition and social skills, while distinct constructs, demonstrate similar influence on psychosocial functioning, particularly social connection. Interventions that incorporate both constructs as treatment targets may prove effective in addressing a wide range of functional outcomes.

Indexed as

Community Mental HealthFactor AnalysisFunctioningSchizophreniaSocial Cognition

Identifiers

PMID42587130

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