Cognitive deconstruction of parenting in schizophrenia: The role of theory of mind

Mehta, Urvakhsh Meherwan; Bhagyavathi, Haralahalli D; Kumar, Channaveerachari Naveen; Thirthalli, Jagadisha; Gangadhar, Bangalore N.

doi:10.1177/0004867413500350

Cited by 20 publications

(18 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a study investigating the association between functional ability in the parental role (i.e., active involvement and affective relationship) and cognitive performance, and level of insight and motivation, individuals with schizophrenia who were parents underwent comprehensive assessments for neurocognition, social cognition (ToM, emotion processing, social perception, and attributional bias), motivation and insight, and social functioning (using the Groningen Social Disabilities Schedule) [ 78 ]. The results demonstrated that deficits in first- and second-order ToM were significantly associated with parental role dysfunction, as were cognitive flexibility, speed of processing, and motivation [ 78 ]. Second-order ToM was found to be a specific predictor of parental role on logistic regression analysis [ 78 ].…”

Section: Core Domains Of Social Cognition In Schizophreniamentioning

confidence: 99%

“…The results demonstrated that deficits in first- and second-order ToM were significantly associated with parental role dysfunction, as were cognitive flexibility, speed of processing, and motivation [ 78 ]. Second-order ToM was found to be a specific predictor of parental role on logistic regression analysis [ 78 ].…”

Section: Core Domains Of Social Cognition In Schizophreniamentioning

confidence: 99%

See 1 more Smart Citation

The Importance of Social Cognition in Improving Functional Outcomes in Schizophrenia

2018

View full text Add to dashboard Cite

Social cognition has become recognized as an important driver of functional outcomes and overall recovery in patients with schizophrenia, mediating the relationship between neurocognition and social functioning. Since antipsychotic therapy targeting remission of clinical symptoms has been shown to have a limited impact on social cognition, there has been an increasing drive to develop therapeutic strategies to specifically improve social cognition in schizophrenia. We sought to review current evidence relating to social cognition in schizophrenia and its clinical implications, including interventions designed to target the core domains of social cognition (emotion processing, theory of mind, attributional bias, and social perception) as a means of improving functional outcomes and thereby increasing the likelihood of recovery. Relevant articles were identified by conducting a literature search in PubMed using the search terms “schizophrenia” AND “cognition” AND “social functioning,” limited to Title/Abstract, over a time period of the past 10 years. Current evidence demonstrates that schizophrenia is associated with impairments in all four core domains of social cognition, during the pre-first-episode, first-episode, early, and chronic phases of the disease, and that such impairments are important determinants of functional outcome. Interventions targeting the four core domains of social cognition comprise psychosocial approaches (social cognition training programs) and pharmacological therapies. Social cognition training programs targeting multiple and specific core domains of social cognition have shown promise in improving social cognition skills, which, in some cases, has translated into improvements in functional outcomes. Use of some psychosocial interventions has additionally resulted in improvements in clinical symptoms and/or quality of life. Pharmacological therapies, including oxytocin and certain antipsychotics, have yielded more mixed results, due in part to the confounding impact of factors including variation in receptor genetics, bioavailability, pharmacokinetics, and drug–drug interactions, and inconsistencies between study designs and medication dosages. Additional research is required to advance our understanding of the role of social cognition in schizophrenia, and to further establish the utility of targeted interventions in this setting.

show abstract

Section: Core Domains Of Social Cognition In Schizophreniamentioning

confidence: 99%

Section: Core Domains Of Social Cognition In Schizophreniamentioning

confidence: 99%

The Importance of Social Cognition in Improving Functional Outcomes in Schizophrenia

2018

View full text Add to dashboard Cite

show abstract

“…[168][169][170][171] Such subtle social and cognitive deficits from schizophrenia possibly affect parental sensitivity more so than other illness features. 172 Reduced parenting capacity may lead parents to be less responsive, sensitive or energetic, remote, intrusive, or overprotective with their child. 4,36,152,159,167,[173][174][175][176] Importantly, adoptees at FHR for schizophrenia spectrum disorder, when exposed to parental communication deviance of adoptive parents were more likely to show psychiatric disorders, including schizophrenia spectrum disorders.…”

Section: Postpartum and Childhood Environmental Risks And Mechanismsmentioning

confidence: 99%

Perinatal Risks and Childhood Premorbid Indicators of Later Psychosis: Next Steps for Early Psychosocial Interventions

Liu

Keshavan

Tronick

et al. 2015

SCHBUL

View full text Add to dashboard Cite

Schizophrenia and affective psychoses are debilitating disorders that together affect 2%-3% of the adult population. Approximately 50%-70% of the offspring of parents with schizophrenia manifest a range of observable difficulties including socioemotional, cognitive, neuromotor, speech-language problems, and psychopathology, and roughly 10% will develop psychosis. Despite the voluminous work on premorbid vulnerabilities to psychosis, especially on schizophrenia, the work on premorbid intervention approaches is scarce. While later interventions during the clinical high-risk (CHR) phase of psychosis, characterized primarily by attenuated positive symptoms, are promising, the CHR period is a relatively late phase of developmental derailment. This article reviews and proposes potential targets for psychosocial interventions during the premorbid period, complementing biological interventions described by others in this Special Theme issue. Beginning with pregnancy, parents with psychoses may benefit from enhanced prenatal care, social support, parenting skills, reduction of symptoms, and programs that are family-centered. For children at risk, we propose preemptive early intervention and cognitive remediation. Empirical research is needed to evaluate these interventions for parents and determine whether interventions for parents and children positively influence the developmental course of the offspring.

show abstract

“…More recently, Mehta et al (2014) studied the relationship between various indices of social cognition, including ToM, and ‘parenting role function’ (i.e. the extent to which a parent is involved in his or her child's life, and the quality of the parent–child relationship) in a sample of parents with schizophrenia.…”

Section: Introductionmentioning

confidence: 99%

Theory of mind as a predictor of maternal sensitivity in women with severe mental illness

et al. 2016

View full text Add to dashboard Cite

show abstract

Cognitive deconstruction of parenting in schizophrenia: The role of theory of mind

Abstract: Second-order theory of mind deficits are specifically associated with parental role dysfunction of patients with schizophrenia. Novel treatment strategies targeting theory of mind may improve parenting abilities in individuals with schizophrenia.

Cited by 20 publications

References 62 publications

The Importance of Social Cognition in Improving Functional Outcomes in Schizophrenia

The Importance of Social Cognition in Improving Functional Outcomes in Schizophrenia

Perinatal Risks and Childhood Premorbid Indicators of Later Psychosis: Next Steps for Early Psychosocial Interventions

Theory of mind as a predictor of maternal sensitivity in women with severe mental illness

Contact Info

Product

Resources

About