Social cognition and functional capacity in bipolar disorder and schizophrenia

Document Type

Article

Publication Date

12-15-2014

Publication Title

Psychiatry Research

Volume

220

Issue

1-2

First page number:

309

Last page number:

314

Abstract

Social cognition is a functionally relevant predictor of capacity in schizophrenia (SZ), though research concerning its value for bipolar disorder (BD) is limited. The current investigation examined the relationship between two social cognitive factors and functional capacity in bipolar disorder. This study included 48 individuals with bipolar disorder (24 with psychotic features) and 30 patients with schizophrenia. Multiple regression controlling for estimated IQ scores was used to assess the predictive value of social cognitive factors on the UCSD Performance-Based Functional Skills Assessment (UPSA). Results found that for the bipolar with psychosis and schizophrenia groups, the social/emotion processing factor predicted the UPSA. The theory of mind factor only predicted the UPSA for the schizophrenia group.. Findings support the clinical utility of evaluating emotion processing in individuals with a history of psychosis. For BD, theory of mind may be better explained by a generalized cognitive deficit. In contrast, social/emotion processing may be linked to distinct neurobiological processes associated with psychosis.

Keywords

Functional capacity; Bipolar disorder; Schizophrenia; Social cognition

Disciplines

Behavioral Disciplines and Activities | Medicine and Health Sciences | Mental and Social Health | Psychiatric and Mental Health | Psychiatry and Psychology | Psychoanalysis and Psychotherapy | Psychological Phenomena and Processes

Language

English

Permissions

Use Find in Your Library, contact the author, or interlibrary loan to garner a copy of the item. Publisher policy does not allow archiving the final published version. If a post-print (author's peer-reviewed manuscript) is allowed and available, or publisher policy changes, the item will be deposited.

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