Social Cognition Psychometric Evaluation: Results of the Final Validation Study

Pinkham, Amy E.; Harvey, Philip D.; Penn, David L.

doi:10.1093/schbul/sbx117

Cited by 230 publications

(258 citation statements)

References 47 publications

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“…Only the GAF scale was available for the characterization of psychosocial functions. However, evidence supports the appropriateness of social cognitive and neurocognitive tests used in our study [41,42,[46][47][48][49]. The DSST is one of the best measures of general cognitive dysfunctions in schizophrenia.…”

Section: Discussionsupporting

confidence: 59%

Improvement of Theory of Mind in Schizophrenia: A 15-Year Follow-Up Study

Kelemen

Máttyássy

Kéri

2019

Psych

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Neurocognitive and social cognitive deficits are a hallmark of schizophrenia. The purpose of the present study was to investigate long-term changes in theory of mind (ToM), executive functions, lexical retrieval, and speed of information processing/attention in schizophrenia. We followed-up 31 outpatients with schizophrenia and 31 healthy control subjects for 15 years. ToM was assessed with the Reading the Mind from the Eyes Test (RMET), whereas neurocognitive functions were measured with the verbal fluency (VF) task (executive functions and lexical retrieval) and with the Digit-Symbol Substitution Test (DSST) (speed of information processing/attention). Clinical symptoms and general functioning were rated with the Positive and Negative Syndrome Scale (PANSS) and with the Global Assessment of Functioning (GAF) scale, respectively. At baseline assessment, patients with schizophrenia exhibited significant and generalized impairments on all measures. At follow-up, relative to the baseline, we observed marked improvements in ToM (RMET), stability in executive functions and lexical retrieval (VF), and a significant decline in psychomotor speed/attention (DSST) in schizophrenia. Clinical symptoms and psychosocial functions did not differ at baseline and at follow-up examinations (mild-to-moderate symptoms on the PANSS and moderate difficulty in social and occupational functions on the GAF). These results indicate that patients with schizophrenia with mild-to-moderate symptoms and functional deficits are characterized by improved ToM during over a decade.

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Section: Discussionsupporting

confidence: 59%

Improvement of Theory of Mind in Schizophrenia: A 15-Year Follow-Up Study

Kelemen

Máttyássy

Kéri

2019

Psych

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“…It is worth highlighting that there was an overall greater impairment on measures of capacity than bias in this sample. This is consistent with previous results in first-episode psychosis (Healey et al, 2016;Ludwig, 2017). These results and the positive correlation between the bias-based task and positive symptoms indicate that social-cognitive bias is not a general characteristic of schizophrenia, but specifically present in a subgroup characterized by more paranoid ideation and persecutory delusions, as has been previously suggested (Pinkham et al, 2016).…”

Section: Social and Non-social Cognitive Predictors Of Informant-reposupporting

confidence: 93%

“…Also, it is important to consider the methodological limitations of the social‐cognitive measures when interpreting the results. The limitations in social‐cognitive assessment are well known (Pinkham, Harvey & Penn, ), and the contrasting nature of some of our results in comparison with previous work highlights the need for a comprehensive social‐cognitive battery for early psychosis.…”

Section: Discussonmentioning

confidence: 99%

“…This may appear contradictory to the argument that positive symptoms affect the relationship between bias and self-reported functional outcome. However, evaluations of the psychometric properties of the AIHQ aggression scale have reported that this subscale does not adequately distinguish patients from controls (Buck, Iwanski, Healey et al, 2017;Ludwig, 2017;€ Ossurard ottir, 2018). It may be that scores on the aggression scale that are higher than average but still close to midpoint may be considered more "assertive" than "aggressive" and in this sense may actually indicate a greater awareness and self-perceived ability to take appropriate assertive social action to proactively solve interpersonal issues.…”

Section: Social and Non-social Cognitive Predictors Of Informant-repomentioning

confidence: 99%

“…Whereas, some studies have found similar deficits between early psychosis samples and those with chronic schizophrenia (Addington, Saeedi & Addington, 2006a,2006bBertrand, 2007;Bora & Pantelis, 2013;Clayson, Kern, Nuechterlein et al, 2019;Green, Bearden, Cannon et al, 2012), others have found that social-cognitive deficits are of lesser magnitude in early psychosis samples than in chronic schizophrenia samples, in particular for emotion recognition (Healey, Bartholomeusz & Penn, 2016;Kucharska-Pietura, David, Masiak & Phillips, 2005;Ludwig, 2017;Savla, Vella, Armstrong, Penn & Twamley, 2013). Similar to results in chronic schizophrenia, evidence suggests that social cognition accounts for more variance in functional outcome than neurocognition, and is a mediator of the relationship between neurocognition and poor functional outcome (Addington, 2010;Ludwig, 2017;Ventura et al, 2015). However, more research is needed to make firm conclusions about whether the functional relevance of specific social-cognitive domains in chronic schizophrenia can be generalized to early psychosis samples.…”

Section: Introductionmentioning

confidence: 99%

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Social and non‐social measures of cognition for predicting self‐reported and informant‐reported functional outcomes in early psychosis

Vidarsdottir

Twamley

Roberts

et al. 2019

Scandinavian J Psychology

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The main aim of this study was to investigate the individual contributions of neurocognitive and social‐cognitive domains to self‐reported and informant‐reported functional outcome in early psychosis. We also sought to further characterize the nature of cognitive impairments in this sample and explore the interrelationships between the social‐cognitive measures and how they correlate with measures of neurocognition and clinical symptoms. In this study, 70 patients (mean age: 24.1; 87.1% males) with primary psychotic disorder diagnosed in the previous 5 years were assessed on multiple neurocognitive (processing speed, attention, working memory, immediate verbal memory, delayed recall, visual reasoning, inhibition, planning, cognitive flexibility), and social‐cognitive domains (theory of mind (ToM), emotion recognition, attributional style, metacognitive overconfidence) as well as measures of clinical symptoms. Functional outcome was assessed with three self‐reports and two informant‐reports. On average, patients performed one or more SD below healthy controls on measures of delayed recall, ToM and metacognitive overconfidence. Emotion recognition and ToM were intercorrelated and correlated with multiple neurocognitive domains and negative symptoms. Attributional style correlated with positive symptoms. In the context of multiple variables, self‐reported functional outcomes were predicted by attributional style, whereas emotion recognition and immediate verbal memory predicted variance in informant‐reported community functioning. These results support the suggestion of a likely distinction between the predictive factors for self‐reported and informant‐reported functional outcome in early psychosis and suggest that consideration of self‐assessment of functional outcome is critical when attempting to evaluate the effects attributional style has on functional disability.

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Psychometric Evaluation of Social Cognitive Measures for Adults with Autism

et al. 2019

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Although social cognition is frequently identified as a target in clinical trials and psychosocial interventions for adults with autism spectrum disorder (ASD), these efforts are hampered by a lack of consensus and validation of social cognitive measures. The current study provides psychometric evaluation of 11 frequently used measures encompassing different subdomains of social cognition. Adults with autism (N = 103) and typically developing controls (N = 95) completed 11 commonly used social cognitive tasks spanning the domains of emotion processing, social perception, and mentalizing/theory of mind. We examined each measure's internal reliability and sensitivity to group differences, how performance related to general intellectual ability, and alignment of measures with a proposed two‐factor structure of social cognition in ASD. Controls outperformed the ASD group on 8 of the 11 social cognitive tasks, with the largest group differences occurring on two mentalizing measures, The awareness of social inference task (TASIT) and hinting task. In ASD, all tasks demonstrated strong internal consistency and avoided ceiling and floor effects. Social cognitive performance was also related to, but not redundant with, intellectual functioning. We also found support for a two‐factor structure of social cognition, with basic social perception and emotional processing aligning into a lower‐order social perception factor, while mentalizing tasks aligned into a higher‐order social appraisal factor. In sum, eight tasks showed adequate to strong psychometric properties. The psychometric data, effect size estimates, and correlations between measures reported here can be used for study planning for social cognitive interventions in autism. Autism Research 2019, 12: 766–778. © 2019 The Authors. Autism Research published by International Society for Autism Research published by Wiley Periodicals, Inc. Lay Summary We examined 11 tasks that measure how adults with autism perceive and interpret social information. Eight of the tasks were reliable and showed lower performance in adults with autism compared to typically‐developing controls. Task performance was related to but distinguishable from IQ. These measures evaluated here may be useful in assessing the effectiveness of interventions and treatments to improve social abilities in adults with autism.

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Social Cognition Psychometric Evaluation: Results of the Final Validation Study

Cited by 230 publications

References 47 publications

Improvement of Theory of Mind in Schizophrenia: A 15-Year Follow-Up Study

Improvement of Theory of Mind in Schizophrenia: A 15-Year Follow-Up Study

Social and non‐social measures of cognition for predicting self‐reported and informant‐reported functional outcomes in early psychosis

Psychometric Evaluation of Social Cognitive Measures for Adults with Autism

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