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Social cognition in adolescents at risk for psychosis: A 2-year follow-up study

Published online by Cambridge University Press:  13 August 2021

L. Pelizza*
Affiliation:
Department Of Mental Health, Azienda USL di Parma, Parma, Italy
S. Azzali
Affiliation:
Department Of Mental Health, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
S. Garlasdi
Affiliation:
Department Of Mental Health, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
I. Scazza
Affiliation:
Department Of Mental Health, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
F. Paterlini
Affiliation:
Department Of Mental Health, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
M. Poletti
Affiliation:
Department Of Mental Health, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
S. Pupo
Affiliation:
Anrsthesia And Resuscitation Service, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy
A. Raballo
Affiliation:
Center For Translational, Phenomenological And Developmental Psychopathology (ctpdp), Perugia University Hospital, Perugia, Italy
*
*Corresponding author.

Abstract

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Introduction

Deficits in social cognition have been reported in people at ultra-high risk (UHR) of psychosis exclusively using socio-cognitive tasks and in adolescent and young adult mixed population.

Objectives

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.

Methods

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.

Results

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.

Conclusions

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.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
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 re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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