Contextual Social Cognition impairments in Schizophrenia and Bipolar Disorder

Authors
Báez Buitrago, Sandra Jimena; Herrera, Eduar; Villarin, Lilian; Theil, Donna; González Gadea, María Luz; Gomez, Pedro; Mosquera, Marcela; Huepe, David; Strejilevich, Sergio; Vigliecca, Nora Silvana; Matthaüs, Franziska; Decety, Jean; Manes, Facundo Francisco; Ibanez Barassi, Agustin Mariano
Publication Year
2013
Language
English
Format
article
Status
Published version
Description
Background: The ability to integrate contextual information with social cues to generate social meaning is a key aspect of social cognition. It is widely accepted that patients with schizophrenia and bipolar disorders have deficits in social cognition; however, previous studies on these disorders did not use tasks that replicate everyday situations. Methodology/Principal Findings: This study evaluates the performance of patients with schizophrenia and bipolar disorders on social cognition tasks (emotional processing, empathy, and social norms knowledge) that incorporate different levels of contextual dependence and involvement of real-life scenarios. Furthermore, we explored the association between social cognition measures, clinical symptoms and executive functions. Using a logistic regression analysis, we explored whether the involvement of more basic skills in emotional processing predicted performance on empathy tasks. The results showed that both patient groups exhibited deficits in social cognition tasks with greater context sensitivity and involvement of real-life scenarios. These deficits were more severe in schizophrenic than in bipolar patients. Patients did not differ from controls in tasks involving explicit knowledge. Moreover, schizophrenic patients’ depression levels were negatively correlated with performance on empathy tasks. Conclusions/Significance: Overall performance on emotion recognition predicted performance on intentionality attribution during the more ambiguous situations of the empathy task. These results suggest that social cognition deficits could be related to a general impairment in the capacity to implicitly integrate contextual cues. Important implications for the assessment and treatment of individuals with schizophrenia and bipolar disorders, as well as for neurocognitive models of these pathologies are discussed.
Fil: Báez Buitrago, Sandra Jimena. Instituto de Neurología Cognitiva; Argentina. Universidad Favaloro. Facultad de Medicina. Instituto de Neurociencias; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Pontificia Universidad Católica Argentina "Santa María de Los Buenos Aires"; Argentina
Fil: Herrera, Eduar. Universidad Autónoma del Caribe; Colombia
Fil: Villarin, Lilian. University of Heidelberg; Alemania
Fil: Theil, Donna. Universitat Zu Koln; Alemania
Fil: González Gadea, María Luz. Instituto de Neurología Cognitiva; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Gomez, Pedro. CARI University Hospital; Colombia
Fil: Mosquera, Marcela. Resurgir Psychiatric Clinic; Colombia
Fil: Huepe, David. Universidad Diego Portales; Chile
Fil: Strejilevich, Sergio. Instituto de Neurología Cognitiva; Argentina
Fil: Vigliecca, Nora Silvana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Instituto de Humanidades; Argentina
Fil: Matthaüs, Franziska . University of Heidelberg; Alemania
Fil: Decety, Jean. University Of Chicago; Estados Unidos
Fil: Manes, Facundo Francisco. Instituto de Neurología Cognitiva; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Ibanez Barassi, Agustin Mariano. Instituto de Neurología Cognitiva; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Diego Portales; Chile
Subject
Social cognition
Schizophrenia
Bipolar disorders
Contextual information
Neurociencias
Medicina Básica
CIENCIAS MÉDICAS Y DE LA SALUD
Access level
Open access
License
https://creativecommons.org/licenses/by/2.5/ar/
Repository
CONICET Digital (CONICET)
Institution
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identifier
oai:ri.conicet.gov.ar:11336/10705