Cognitive functioning and social problem-solving skills in schizophrenia

Hatashita-Wong, Michi; Smith, Thomas E.; Silverstein, Steven M.; Hull, James W.; Willson, Deborah F.

doi:10.1080/13546800143000168

Cited by 14 publications

(9 citation statements)

References 38 publications

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“…These findings are consistent with prior research on the neurocognitive correlates of social skills in younger samples (Addington & Addington, 1999, 2000; Addington et al, 1998; Bellack et al, 1994; Bowen et al, 1994; Corrigan & Toomey, 1995; Dickinson et al, 2007; Hatashita-Wong et al, 2002; Kern, Green, & Satz, 1992; Mueser et al, 1991; Penn et al, 1995; Zanello et al, 2006). The canonical correlation analysis examining the associations between the social skills and neurocognitive measures in the schizophrenia-schizoaffective disorder sample indicated that one significant canonical variate was shared across the two sets of measures.…”

Section: Discussionsupporting

confidence: 91%

“…The specific social skills that loaded most heavily on this root were interest, fluency, clarity, and focus, whereas among the cognitive measures executive functions and verbal fluency loaded most heavily. Executive functions have been shown to be related to social skills in younger samples of people with schizophrenia (Hatashita-Wong et al, 2002; Zanello et al, 2006). More recently, Sitzer et al (2008) found that conceptualization on the Dementia Rating Scale in their older sample of people with schizophrenia was strongly related to social skills performance.…”

Section: Discussionmentioning

confidence: 99%

“…The most consistent findings across studies are that impaired early information processing and attention (Addington & Addington, 2000; Addington, McClearly, & Munroe-Blum, 1998; Bowen et al, 1994; Bowie et al, 2008; Ikebuchi, Anzai, & Niwa, 1988; Penn et al, 1995; Zanello et al, 2006), verbal memory (Addington & Addington, 1999, 2000; Bellack et al, 1994; Corrigan & Toomey, 1995; Dickinson et al, 2007; Mueser et al, 1991; Yamashita et al, 2005), and executive functions (Addington & Addington, 1999, 2000; Addington et al, 1998; Dickinson et al, 2007; Hatashita-Wong, Smith, Silverstein, Hull, & Willson, 2002) are related to worse social skills. Social cognition skills such as the ability to understand the perspectives of others (i.e., theory of mind) (Champagne-Lavau et al, 2006; Frith, 2004) and emotion recognition have also been linked to worse social skill (Addington, Saeedi, & Addington, 2006; Bellack et al, 1992; Corrigan & Toomey, 1995; Mueser et al, 1996).…”

mentioning

confidence: 87%

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Neurocognition and social skill in older persons with schizophrenia and major mood disorders: An analysis of gender and diagnosis effects

Mueser

Pratt

Bartels

et al. 2010

Journal of Neurolinguistics

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Effective social interactions necessary for getting affiliative and instrumental needs met require the smooth integration of social skills, including verbal, non-verbal, and paralinguistic behaviors. Schizophrenia is characterized by prominent impairments in social and role functioning, and research on younger individuals with the illness has shown that social skills deficits are both common and distinguish the disease from other psychiatric disorders. However, less research has focused on diagnostic differences and correlates of social skills in older persons with schizophrenia. To address this question, we examined diagnostic and gender differences in social skills in a community-dwelling sample of 183 people older than age 50 with severe mental illness, and the relationships between social skills and neurocognitive functioning, symptoms, and social contact.Individuals with schizophrenia had worse social skills than those with bipolar disorder or major depression, with people with schizoaffective disorder in between. Social contact and cognitive functioning, especially executive functions and verbal fluency, were strongly predictive of social skills in people with schizophrenia and schizoaffective disorder, but not those with mood disorder. Other than blunted affect, symptoms were not predictive of social skills in either the schizophrenia spectrum or the mood disorder group. Older age was associated with worse social skills in both groups, whereas female gender was related to better skills in the mood disorder group, but not the schizophrenia group. The findings suggest that poor social skills, which are related to the cognitive impairment associated with the illness, are a fundamental feature of schizophrenia that persists from the onset of the illness into older age. Keywords NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptImpaired language skill is a characteristic feature of schizophrenia that has long been thought to contribute to the severe functional disability associated with the disorder (Bleuler, 1911(Bleuler, /1950. The broader construct of social skills refers to a complex set of behaviors and perceptual abilities, including both verbal and nonverbal communication behaviors, that are necessary for successful role performance, interpersonal functioning, and gratification of needs in adulthood (Liberman et al., 1986). Conceptualizing communication behavior in terms of social skills that can be broken down into constituent elements has proven useful in the development of interventions for improving social functioning in schizophrenia (Bellack, Mueser, Gingerich, & Agresta, 2004), other psychiatric disorders (Liberman, DeRisi, & Mueser, 1989), and non-psychiatric populations (Shapiro, 2004). These social skills training interventions involve the systematic teaching of skills based on the principles of modeling, behavioral rehearsal, positive reinforcement, and shaping.Research on social skills has often employed simulated social interactions, or role-play tests, in wh...

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 87%

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Neurocognition and social skill in older persons with schizophrenia and major mood disorders: An analysis of gender and diagnosis effects

Mueser

Pratt

Bartels

et al. 2010

Journal of Neurolinguistics

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“…For instance, some cognitive functions are considered to play an important role in processing misinformation and may be impaired in these patients, such as: fluency, 44 analytical thinking, 45,46 and numeracy skills. [47][48][49] These are also often related to accuracy in judgment and decision-making across a wide range of domains 50 and "intuitive" vs "reflective" thinking styles. 51,52 The fact that both patients with SMI and SAUD performed poorly on "the fictitious questionnaire" strongly suggests that these groups are particularly inclined to believe misinformation and that methods for making these patients less susceptible to misinformation should be developed.…”

Section: Discussionmentioning

confidence: 99%

<p>Knowledge of Prevention Measures and Information About Coronavirus in Romanian Male Patients with Severe Mental Illness and Severe Alcohol Use Disorder</p>

Matei¹,

Pavel²,

Giurgiuca³

et al. 2020

NDT

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Purpose: Patients with severe mental illness (SMI) and alcohol use disorder (AUD) are at higher risk for contracting coronavirus-19 (COVID-19) and for poor outcomes of COVID-19 infection. One reason for this could be the lack of knowledge regarding preventive measures against COVID-19 and the inability of the psychiatric patients to discern misinformation from facts. Patients and Methods: The study design was cross-sectional. We applied one questionnaire that evaluated knowledge of prevention measures and information about COVID-19 (comprised of two sections, each with five questions). The first section evaluated knowledge regarding the official WHO prevention measures against COVID-19, and the second consisted of false information about COVID-19 which examined the ability to identify misinformation about COVID-19. These questionnaires were applied face-to-face to psychiatric male inpatients from a tertiary psychiatric hospital in Bucharest diagnosed with SMI or severe alcohol disorder (SAUD) and to male controls from the community, matched by age and education. Mean scores of patients and controls were compared using Mann-Whitney test. Results: There were 115 male psychiatric patients in total (65 SMI and 50 SAUD) and 57 controls included after the matching procedure. We found statistically significant lower (P<0.05) scores for psychiatric patients compared to controls regarding the prevention and general knowledge of COVID-19 (P<0.001), the WHO information about prevention measures (P=0.041), and the ability to identify misinformation about COVID-19 (P<0.001). The fact that psychiatric patients have less knowledge about prevention measures against COVID-19 and a reduced capacity to discern misinformation suggests that we need to identify new methods to convey correct information to these patients and also to better equip them to handle misinformation regarding COVID-19. Conclusion: Patients with SMI and SAUD are less informed regarding COVID-19 infection and preventive measures compared to controls, while being prone to believing false information about COVID-19 as well.

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“…Schizophrenia patients frequently exhibit cognitive inflexibility (i.e., the inability to alter behavior in reaction to changing situational demands) (Goldberg, Weinberger, Berman, Pliskin, & Podd, 1987; Leeson et al, 2009; Morice, 1990; Murray et al, 2008), a characteristic deficit of executive functioning that contributes to the difficulties with problem solving encountered by many schizophrenia sufferers (Hatashita-Wong, Smith, Silverstein, Hull, & Willson, 2002; Nuechterlein et al, 2004). A distinguishing symptom of this deficit is perseveration in outdated behavioral strategies that are no longer rewarded.…”

Section: Introductionmentioning

confidence: 99%

Isolation rearing effects on probabilistic learning and cognitive flexibility in rats

Amitai

Young

Higa

et al. 2013

Cogn Affect Behav Neurosci

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Isolation rearing is a neurodevelopmental manipulation that produces neurochemical, structural, and behavioral alterations in rodents that have consistencies with schizophrenia. Symptoms induced by isolation rearing that mirror clinically relevant aspects of schizophrenia, such as cognitive deficits, open up the possibility of testing putative therapeutics in isolation-reared animals prior to clinical development. We investigated what effect isolation rearing would have on cognitive flexibility, a cognitive function characteristically disrupted in schizophrenia. For this purpose, we assessed cognitive flexibility using between- and within-session probabilistic reversal-learning tasks based on clinical tests. Isolation-reared rats required more sessions, though not more task trials, to acquire criterion performance in the reversal phase of the task and were slower to adjust their task strategy after reward contingencies were switched. Isolation-reared rats also completed fewer trials and exhibited lower levels of overall activity in the probabilistic reversal-learning task compared to socially reared rats. This finding contrasted with the elevated levels of unconditioned investigatory activity and reduced levels of locomotor habituation that isolation-reared rats displayed in the behavioral pattern monitor. Finally, isolation-reared rats also exhibited sensorimotor gating deficits, reflected by decreased prepulse inhibition of the startle response, consistent with previous studies. We conclude that isolation rearing constitutes a valuable, noninvasive manipulation for modeling schizophrenia-like cognitive deficits and assessing putative therapeutics.

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Cognitive functioning and social problem-solving skills in schizophrenia

Cited by 14 publications

References 38 publications

Neurocognition and social skill in older persons with schizophrenia and major mood disorders: An analysis of gender and diagnosis effects

Neurocognition and social skill in older persons with schizophrenia and major mood disorders: An analysis of gender and diagnosis effects

<p>Knowledge of Prevention Measures and Information About Coronavirus in Romanian Male Patients with Severe Mental Illness and Severe Alcohol Use Disorder</p>

Isolation rearing effects on probabilistic learning and cognitive flexibility in rats

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