Socially naïve self-appraisal moderates the relationship between cognitive insight and positive symptoms in schizophrenia

Guerrero, Acebo García; Lysaker, Paul H.

doi:10.1016/j.schres.2012.10.037

Cited by 17 publications

(6 citation statements)

References 35 publications

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“…However, another possibility is that patients had difficulties with our metacognitive evaluation task since one of the instructions was to reflect about “self-certainty of their decision.” Schizophrenia, however, may go along with a fundamental disturbance of self-certainty [73], and that may have altered ratings in our task. For example, delusions, doubtlessly one of the hallmark symptoms of schizophrenia, are unshiftable false beliefs and represent perturbance of certainty of an interpretation [74]. The pattern of response for certainty ratings for items judged wrong by the individual is compatible with such an effect while there is no significant difference in ratings between controls and patients with schizophrenia for items where performance was correct.…”

Section: Discussionmentioning

confidence: 99%

Irony and Proverb Comprehension in Schizophrenia: Do Female Patients “Dislike” Ironic Remarks?

Rapp

Langohr

Mutschler

et al. 2014

Schizophrenia Research and Treatment

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Difficulties in understanding irony and sarcasm are part of the social cognition deficits in patients with schizophrenia. A number of studies have reported higher error rates during comprehension in patients with schizophrenia. However, the relationships of these impairments to schizotypal personality traits and other language deficits, such as the comprehension of proverbs, are unclear. We investigated irony and proverb comprehension in an all-female sample of 20 schizophrenia patients and 27 matched controls. Subjects indicated if a statement was intended to be ironic, literal, or meaningless and furthermore rated the meanness and funniness of the stimuli and certainty of their decision. Patients made significantly more errors than controls did. Globally, there were no overall differences in the ratings. However, patients rated the subgroup of stimuli with answers given incorrectly as having significantly less meanness and in case of an error indicated a significantly higher certainty than controls. Across all of the study participants, performances in irony (r = −0.51) and proverb (r = 0.56) comprehension were significantly correlated with schizotypal personality traits, suggesting a continuum of nonliteral language understanding. Because irony is so frequent in everyday conversations, this makes irony an especially promising candidate for social cognition training in schizophrenia.

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Section: Discussionmentioning

confidence: 99%

Irony and Proverb Comprehension in Schizophrenia: Do Female Patients “Dislike” Ironic Remarks?

Rapp

Langohr

Mutschler

et al. 2014

Schizophrenia Research and Treatment

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“…The factor analysis indicated that cognitive insight is associated with metacognitive processes as opposed to social cognition. Similarly Guerrero & Lysaker (2013) propose a pathway linking insight to symptom severity and distress that is moderated by what they termed socially naïve self-appraisal. Further work to include assessments of mood in such models of insight would be fruitful.…”

Section: Introductionmentioning

confidence: 99%

The relationship between cognitive insight and depression in psychosis and schizophrenia: A review and meta-analysis

Palmer

Gilleen

David

2015

Schizophrenia Research

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“…The investigation of self-evaluation is of high clinical relevance as the way patients evaluate themselves may not only be associated with positive symptoms (Erickson and Lysaker, 2012;Guerrero and Lysaker, 2013) but it can also affect their personal well-being (e.g. Weinberg et al, 2012;Mashiach-Eizenberg et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Me, myself and I: temporal dysfunctions during self-evaluation in patients with schizophrenia

Pauly¹,

Kircher²,

Schneider³

et al. 2013

Soc Cogn Affect Neurosci

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Self-concept is deeply affected in schizophrenia. Positive symptoms in particular are related to disturbed self/other distinctions. The neural networks underlying self-evaluation in schizophrenia have barely been investigated. The study reported here involved 13 patients with schizophrenia and 13 matched controls. During functional MRI, participants decided in three conditions whether the presented positive and negative personality traits characterized themselves, an intimate person, or included a certain letter. Based on the responses, each experimental condition was designed using a flexible factorial model. Controls and patients showed a similar behavioral pattern during self-evaluation, with group comparison revealing decreased activation in patients in the left inferior temporal gyrus and both temporal poles during self-ascription of traits, and in the anterior medial prefrontal cortex during evaluation of an intimate person. In patients, positive symptoms correlated positively with brain activation in the left parahippocampus during trait self-ascription. Hence, while evaluating themselves, schizophrenia patients revealed decreased activation in areas related to self-awareness overlapping with networks involved in theory of mind, empathy and social knowledge. Moreover, patients' brain activation during self-reflection was affected by the current positive symptomatology. The close interaction between self and other highlights the clinical and social relevance of self-processing deficits in schizophrenia.

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Socially naïve self-appraisal moderates the relationship between cognitive insight and positive symptoms in schizophrenia

Cited by 17 publications

References 35 publications

Irony and Proverb Comprehension in Schizophrenia: Do Female Patients “Dislike” Ironic Remarks?

Irony and Proverb Comprehension in Schizophrenia: Do Female Patients “Dislike” Ironic Remarks?

The relationship between cognitive insight and depression in psychosis and schizophrenia: A review and meta-analysis

Me, myself and I: temporal dysfunctions during self-evaluation in patients with schizophrenia

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