Subjective experience of social cognition in adolescents at ultra-high risk of psychosis: findings from a 24-month follo
- PDF / 627,852 Bytes
- 13 Pages / 595.276 x 790.866 pts Page_size
- 46 Downloads / 142 Views
ORIGINAL CONTRIBUTION
Subjective experience of social cognition in adolescents at ultra‑high risk of psychosis: findings from a 24‑month follow‑up study Lorenzo Pelizza1,2 · Michele Poletti1 · Silvia Azzali1 · Sara Garlassi1 · Ilaria Scazza1 · Federica Paterlini1 · Luigi Rocco Chiri1,3 · Simona Pupo4,5 · Andrea Raballo6,7 Received: 7 August 2019 / Accepted: 23 January 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Deficits in social cognition have been reported in people at ultra-high risk (UHR) of psychosis exclusively using sociocognitive tasks and in adolescent and young adult mixed population. Aim of this study was (1) to assess subjective experience of social cognition in adolescent help-seekers identified through UHR criteria, (2) to explore its significant correlations with psychopathology and functioning in UHR individuals; and (3) to monitor longitudinally its stability after a 24-month follow-up period. Participants [51 UHR, 91 first-episode psychosis (FEP), and 48 non-UHR/FEP patients], aged 13–18 years, completed the comprehensive assessment of at-risk mental states and the GEOPTE scale of social cognition for psychosis. In comparison with non-UHR/FEP patients, both UHR and FEP adolescents showed significantly higher GEOPTE total scores. After 12 months of follow-up, UHR individuals had a significant decrease in severity on GEOPTE “Social Cognition” subscore. In the UHR group at baseline, GEOPTE scores had significant positive correlations with general psychopathology, positive and negative dimensions. Across the 2-year follow-up period, social cognition subscores specifically showed more stable associations with general psychopathology and negative symptoms. Social cognition deficits are prominent in UHR adolescents and similar in severity to those of FEP patients at baseline. However, these impairments decreased over time, presumably together with delivery of targeted, specialized models for early intervention in psychosis. Keywords Social cognition · Emotion recognition · Ultra-high risk · Psychosis · Prodrome
Introduction
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00787-020-01482-y) contains supplementary material, which is available to authorized users. * Lorenzo Pelizza [email protected] 1
Department of Mental Health and Pathological Addiction, Azienda USL-IRCCS di Reggio Emilia, Via Amendola n.2, 42100 Reggio Emilia, RE, Italy
2
Department of Mental Health and Pathological Addiction, Azienda USL di Parma, Strada del Quartiere n.2, 43100 Parma, PR, Italy
3
Department of Primary Care, Azienda USL di Parma, Strada del Quartiere n.2, 43100 Parma, PR, Italy
4
Service of Anesthesiology and Resuscitaton, Azienda Ospedaliera-Universitaria di Parma, Via Gramsci n.1, 43100 Parma, PR, Italy
Social cognition is composed by a set of cognitive functions concerning perception, processing, and interpretation of social information, which are supposed to generate a
5
Intensive Care Unit, Guastalla C
Data Loading...
