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A 2-year longitudinal study on subjective experience of social cognition in young people with first episode psychosis.

Introduction: Impairments in Social Cognition (SC) in First Episode Psychosis (FEP) were reported exclusively using neurocognitive tests. Aim of this study is (1) to assess subjective experience of SC in FEP adolescent and young adults compared to non-FEP help-seeking peers, (2) to investigate any s...

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Publicado en:Actas Espanolas de Psiquiatria Vol. 48; no. 6; pp. 287 - 302
Autores principales: Pelizza, Lorenzo, Azzali, Silvia, Garlassi, Sara, Scazza, Ilaria, Paterlini, Federica, Chiri, Luigi Rocco, Poletti, Michele, Pupo, Simona, Raballo, Andrea
Formato: Artículo
Publicado: Maria Lopez-Ibor nov/dic2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: nov/dic2020
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        atl: A 2-year longitudinal study on subjective experience of social cognition in young people with first episode psychosis.
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        au:
          Pelizza, Lorenzo
          Azzali, Silvia
          Garlassi, Sara
          Scazza, Ilaria
          Paterlini, Federica
          Chiri, Luigi Rocco
          Poletti, Michele
          Pupo, Simona
          Raballo, Andrea
        affil:
          Department of Mental Health and Pathological Addiction, Azienda USL-IRCCS di Reggio Emilia, Via Amendola n.2, 42100 Reggio Emilia (RE), Italy.
          Department of Mental Health and Pathological Addiction, Azienda USL di Parma, Strada del Quartiere n.2, 43100 Parma (PR), Italy.
          Department of Primary Care, Azienda USL di Parma, Strada del Quartiere n.2, 43100 Parma (PR), Italy.
          Service of Anesthesiology and Resuscitation, Azienda Ospedaliera-Universitaria di Parma, Via Gramsci n.14, 43100 Parma (PR), Italy.
          Department of Medicine, Division of Psychiatry, Clinical Psychology and Rehabilitation, University of Perugia, Piazza dell’Università n.1, 06121 Perugia (PG), Italy.
          Center for Translational, Phenomenological and Developmental Psychopathology, Perugia University Hospital, S. Andrea delle Fratte, 06156 Perugia (PG), Italy.
      sug:
      keyword:
        Cognitive Functions
        Early Psychosis
        Emotion Recognition
        First Episode Psychosis
        Social Cognition
        Cognición Social
        Funciones Cognitivas
        Primer Episodio de Psicosis
        Psicosis Temprana
        Reconocimiento de Emociones
      ab:
        Introduction: Impairments in Social Cognition (SC) in First Episode Psychosis (FEP) were reported exclusively using neurocognitive tests. Aim of this study is (1) to assess subjective experience of SC in FEP adolescent and young adults compared to non-FEP help-seeking peers, (2) to investigate any significant association of SC with psychopathology and functioning in FEP individuals; and (3) to monitor longitudinally the stability of SC after a 2-year follow-up period. Methods: Participants (141 FEP and 98 non-FEP), aged 13-35 years, completed the Comprehensive Assessment of AtRisk Mental States (CAARMS) and the GEOPTE scale of SC for psychosis. Within the FEP group, a multiple linear regression analysis (with GEOPTE total scores as independent variables and CAARMS dimension subscores as dependent variables) was also performed. Results: In comparison with non-FEP, FEP patients showed significantly higher GEOPTE SC scores. After both 12 and 24 months of follow-up, FEP subjects had a significant decrease in severity on GEOPTE SC subscore. In the FEP group, GEOPTE total scores showed significant positive correlations with negative symptoms and general psychopathology. Regression analysis results showed a significant contribution of subjective SC in predicting depression. Conclusions – SC deficits are prominent in FEP patients, where at baseline seems to be associated with negative symptoms and to predict clinical depression.
        Introducción: En la literatura, se detectaron deficiencias en la Cognición Social (CS) en Primer Episodio de Psicosis (PEP) utilizando exclusivamente pruebas neurocognitivas. Los objetivos de este estudio son: (1) evaluar la experiencia subjetiva de la CS en adolescentes y adultos jóvenes con PEP en comparación con pacientes sin PEP; (2) investigar posibles asociaciones significativas de la CS con psicopatología y funcionamiento en pacientes con PEP; (3) monitorear longitudinalmente la estabilidad de la CS después de un periodo de 2 años de follow-up. Métodos: Los participantes (141 con PEP y 98 sin PEP), de 13 a 35 años, completaron la CAARMS («Comprehensive Assessment of At-Risk Mental States») y la escala GEOPTE de la CS para la psicosis. En el grupo de pacientes con PEP, también se realizó un análisis de regresión lineal múltiple con las puntuaciones totales de la escala GEOPTE como variables independientes y las dimensiones de la CAARMS como variables dependientes. Resultados: En comparación con los pacientes sin PEP, los participantes con PEP mostraron puntuaciones totales de la escala GEOPTE significativamente más altos. Después 12 y 24 meses de follow-up, los pacientes con PEP mostraron una disminución significativa en la gravedad de la subescala «Cognición Social» de la GEOPTE. En el grupo de pacientes con PEP, las puntuaciones totales de la escala GEOPTE mostraron correlaciones positivas significativas con las dimensiones «Síntomas Negativos» y «Psicopatología General» de la CAARMS. Los resultados del análisis de regresión mostraron una contribución significativa de la CS subjetiva en la predicción de la depresión. Conclusiones – Las deficiencias de CS son prominentes en los pacientes con PEP, donde en la evaluación inicial parece estar asociado con síntomas negativos y predecir la dimension depresiva.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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      custom: Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use.
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