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Influence of social cognition as a mediator between cognitive reserve and psychosocial functioning in patients with first episode psychosis

  • I González-Ortega (a1) (a2) (a3) (a4), A González-Pinto (a1) (a2) (a3), S Alberich (a1) (a2) (a3) (a4), E Echeburúa (a1) (a5), M Bernardo (a1) (a6), B Cabrera (a1) (a6), S Amoretti (a1) (a6), A Lobo (a1) (a7), C Arango (a1) (a8), I Corripio (a1) (a9), E Vieta (a1) (a10), E de la Serna (a1) (a11), R Rodriguez-Jimenez (a1) (a12), R Segarra (a1) (a13), JM López-Ilundain (a14), AM Sánchez-Torres (a14), MJ Cuesta (a14), PEPs Group: (a1) (a2) (a3) (a4) (a5) (a6) (a7) (a8) (a9) (a10) (a11) (a12) (a13) (a14) (a15) (a16) (a17) (a18) (a19) (a20) (a21) (a22) (a23) (a24) (a25) (a26), I Zorrilla (a1) (a2) (a3), P López (a1) (a2) (a3), M Bioque (a1) (a6), G Mezquida (a1) (a6), F Barcones (a7) (a15), C De-la-Cámara (a1) (a7), M Parellada (a1) (a8), A Espliego (a1) (a8), A Alonso-Solís (a1) (a9), EM Grasa (a1) (a9), C Varo (a10), L Montejo (a1) (a10), J Castro-Fornieles (a1) (a11), I Baeza (a1) (a11), M Dompablo (a1) (a12), I Torio (a1) (a12), A Zabala (a1) (a13), JI Eguiluz (a1) (a13), L Moreno-Izco (a14), J Sanjuan (a1) (a16), R Guirado (a17), I Cáceres (a18), P Garnier (a18), F Contreras (a1) (a19) (a20), J Bobes (a1) (a21), S Al-Halabí (a1) (a21) (a22), J Usall (a1) (a23), A Butjosa (a1) (a23), S Sarró (a1) (a24), R Landin-Romero (a24), A Ibáñez (a1) (a25) and G Selva (a1) (a26)...

Abstract

Background

Social cognition has been associated with functional outcome in patients with first episode psychosis (FEP). Social cognition has also been associated with neurocognition and cognitive reserve. Although cognitive reserve, neurocognitive functioning, social cognition, and functional outcome are related, the direction of their associations is not clear. Therefore, the main aim of this study was to analyze the influence of social cognition as a mediator between cognitive reserve and cognitive domains on functioning in FEP both at baseline and at 2 years.

Methods

The sample of the study was composed of 282 FEP patients followed up for 2 years. To analyze whether social cognition mediates the influence of cognitive reserve and cognitive domains on functioning, a path analysis was performed. The statistical significance of any mediation effects was evaluated by bootstrap analysis.

Results

At baseline, as neither cognitive reserve nor the cognitive domains studied were related to functioning, the conditions for mediation were not satisfied. Nevertheless, at 2 years of follow-up, social cognition acted as a mediator between cognitive reserve and functioning. Likewise, social cognition was a mediator between verbal memory and functional outcome. The results of the bootstrap analysis confirmed these significant mediations (95% bootstrapped CI (−10.215 to −0.337) and (−4.731 to −0.605) respectively).

Conclusions

Cognitive reserve and neurocognition are related to functioning, and social cognition mediates in this relationship.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

Author for correspondence: I González-Ortega, E-mail: itxaso.gonzalezortega@osakidetza.eus

References

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Influence of social cognition as a mediator between cognitive reserve and psychosocial functioning in patients with first episode psychosis

  • I González-Ortega (a1) (a2) (a3) (a4), A González-Pinto (a1) (a2) (a3), S Alberich (a1) (a2) (a3) (a4), E Echeburúa (a1) (a5), M Bernardo (a1) (a6), B Cabrera (a1) (a6), S Amoretti (a1) (a6), A Lobo (a1) (a7), C Arango (a1) (a8), I Corripio (a1) (a9), E Vieta (a1) (a10), E de la Serna (a1) (a11), R Rodriguez-Jimenez (a1) (a12), R Segarra (a1) (a13), JM López-Ilundain (a14), AM Sánchez-Torres (a14), MJ Cuesta (a14), PEPs Group: (a1) (a2) (a3) (a4) (a5) (a6) (a7) (a8) (a9) (a10) (a11) (a12) (a13) (a14) (a15) (a16) (a17) (a18) (a19) (a20) (a21) (a22) (a23) (a24) (a25) (a26), I Zorrilla (a1) (a2) (a3), P López (a1) (a2) (a3), M Bioque (a1) (a6), G Mezquida (a1) (a6), F Barcones (a7) (a15), C De-la-Cámara (a1) (a7), M Parellada (a1) (a8), A Espliego (a1) (a8), A Alonso-Solís (a1) (a9), EM Grasa (a1) (a9), C Varo (a10), L Montejo (a1) (a10), J Castro-Fornieles (a1) (a11), I Baeza (a1) (a11), M Dompablo (a1) (a12), I Torio (a1) (a12), A Zabala (a1) (a13), JI Eguiluz (a1) (a13), L Moreno-Izco (a14), J Sanjuan (a1) (a16), R Guirado (a17), I Cáceres (a18), P Garnier (a18), F Contreras (a1) (a19) (a20), J Bobes (a1) (a21), S Al-Halabí (a1) (a21) (a22), J Usall (a1) (a23), A Butjosa (a1) (a23), S Sarró (a1) (a24), R Landin-Romero (a24), A Ibáñez (a1) (a25) and G Selva (a1) (a26)...

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