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Social Cognition and Its Neural Correlates in Schizophrenia and Autism

Published online by Cambridge University Press:  07 November 2014

Abstract

The study of social cognition in psychiatric disorders has become increasingly popular in recent years. This is due to the its proposed link to social functioning and the inability of general neurocognitive skills to explain the spectrum of impairments observed in patients. This article reviews research into two of the processes thought to underlie social cognition (emotion perception and theory of mind) in schizophrenia and autism. This is followed by a look at neuroimaging studies and their efforts to localize the neural correlates of emotion perception and theory of mind in the two disorders. We concluded that while a specific impairment in emotion perception and theory of mind skills cannot be generalized to all individuals with autism and schizophrenia, there are subpopulations that have lingering deficits of social cognition tasks. Neuroimaging work consistently points to the involvement of the fusiform gyrus and amygdala in emotion processing, while the medial prefrontal and frontal cortex are implicated in tasks invoking theory of mind. We propose that deficits of social cognition may benefit from cognitive remediation therapy and pharmacological cognitive enhancers.

Type
Review Articles
Copyright
Copyright © Cambridge University Press 2004

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References

REFERENCES

1.Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Press; 1994.Google Scholar
2.Fiske, ST, Taylor, SE. Social Cognition. 2nd ed. New York, NY: McGraw-Hill; 1991.Google Scholar
3.Adolphs, R. Neurobiology of social cognition. Curr Opin Neurobiol. 2001;11:231239.CrossRefGoogle ScholarPubMed
4.Perlick, D, Stastny, P, Mattis, S, et al.Contribution of family, cognitive and clinical dimensions to long-term outcome in schizophrenia. Schizophr Res. 1992;6:257265.CrossRefGoogle ScholarPubMed
5.Green, MF, Kern, R, Braff, DL, et al.Neurocognitive deficits and functional outcome in schizophrenia: are we measuring the “right stuff”? Schizophr Bull. 2000;26:119136.CrossRefGoogle ScholarPubMed
6.Penn, DL, Corrigan, PW, Racenstein, JM. Cognitive factors and social adjustmentin schizophrenia. In: Meuser, KT, Tarrier, N, eds. Handbook of Social Functioning in Schizophrenia. Needham Heights, Mass: Allyn & Bacon; 1998:213223.Google Scholar
7.Anderson, SW, Bechara, A, Damasio, H, et al.Impairment of social and moral behavior related to early damage in human prefrontal cortex. Nat Neurosci. 1999;29:10321037.CrossRefGoogle Scholar
8.Kanwisher, N. Domain specificity in face perception. Nat Neurosci. 2000;3:759763.CrossRefGoogle ScholarPubMed
9.Wallace, CJ. Community and interpersonal functioning in the course of schizophrenic disorders. Schizophr Bull. 1984;10:233257.CrossRefGoogle ScholarPubMed
10.Premack, D, Woodruff, G. Chimpanzee problem-solving: a test for comprehension. Science. 1978;202:532535.CrossRefGoogle ScholarPubMed
11.Wimmer, H, Perner, J. Beliefs about beliefs: representation and constraining function of wrong beliefs in young children's understanding of deception. Cognition. 1983;13:103128.CrossRefGoogle ScholarPubMed
12.Mazza, M, DeRisio, A, Surian, L, et al.Selective impairments of theory of mind in people with schizophrenia. Schizophr Res. 2001;47:299308.CrossRefGoogle ScholarPubMed
13.Bleuler, E. Dementia Praecox oder die Gruppe der Schizophrenien [German]. Leipzig, Germany: Deutike; 1911.Google Scholar
14.Crow, TJ. The two-syndrome concept: origins and current states. Psychol Bull. 1985;11:471486.Google Scholar
15.Davidson, M, Reichenberg, A, Rabinowitz, J, et al.Behavioural and intellectual markers for schizophrenia in apparently healthy male adolescents. Am J Psychiatry. 1999;156:13281335.CrossRefGoogle ScholarPubMed
16.Grant, C, Addington, J, Addington, D, et al.Social functioning in first-and multiepisode schizophrenia. Can J Psychiatry. 2001;46:746749.CrossRefGoogle ScholarPubMed
17.Addington, J, Addington, D. Neurocognitive and social functioning in schizophrenia: a 2.5 year follow-up study. Schizophr Res. 2000;44:4756.CrossRefGoogle ScholarPubMed
18.Penn, D, Corrigan, P. Introduction: factors underling social functioning in schizophrenia: information processing and social perception. Psychiatry. 1997;60:279291.CrossRefGoogle Scholar
19.Kerr, SL, Neale, JM. Emotion perception in schizophrenia: specific deficit or further evidence of generalized poor performance? J Abnorm Psychol. 1993;102:312318.CrossRefGoogle ScholarPubMed
20.Kohler, CG, Bilker, W, Hagendoom, M, et al.Emotion recognition deficit in schizophrenia: association with symptomatology and cognition. Biol Psychiatry. 2000;48:127136.CrossRefGoogle ScholarPubMed
21.Salem, JE, Kring, AM, Kerr, SL. More evidence for generalized poor performance in facial emotion perception in schizophrenia. J Abnorm Psychol. 1996;105:480483.CrossRefGoogle ScholarPubMed
22.Schneider, F, Gur, RC, Shtasel, DL. Emotional processing in schizophrenia: neurobehavioural probes in relation to psychopathology. Schizophr Res. 1995;17:6775.CrossRefGoogle ScholarPubMed
23.Kline, JS, Smith, JE, Ellis, HC. Paranoid and non-paranoid schizophrenic processing of facially displayed affect. J Psychiatt Res. 1992;26:169182.CrossRefGoogle Scholar
24.Bell, M, Bryson, G, Lysaker, P. Positive and negative affect recognition in schizophrenia: a comparison with substance abuse and normal control subjects. Psychiatry Res. 1997;73:7382.CrossRefGoogle ScholarPubMed
25.Murphy, D, Cutting, J. Prosodic comprehension and expression in schizophrenia. J Neurol Neurosurg Psychiatry. 1990;53:727730.CrossRefGoogle ScholarPubMed
26.Bellack, AS, Blanchard, JJMeuser, KT. Cue availability and affect perception in schizophrenia. Schizophr Bull. 1996;22:535544.CrossRefGoogle ScholarPubMed
27.Lewis, SF, Garver, DL. Treatment and diagnostic subtype in facial affect recognition in schizophrenia. J Psychiatr Res. 1995;29:511.CrossRefGoogle ScholarPubMed
28.Chapman, LJ and Chapman, JP. The measurement of differential deficit. J Psychiatr Res. 1978;14:303311.CrossRefGoogle ScholarPubMed
29.Edwards, J, Pattison, PE, Jackson, HJ, et al.Facial affect and affective prosody recognition in first-episode schizophrenia. Schizophr Res. 2001;48:235253.CrossRefGoogle ScholarPubMed
30.Addington, J, Addington, D. Facial affect recognition and information processing in schizophrenia and bipolar disorder. Schizophr Res. 1998;32:171181.CrossRefGoogle ScholarPubMed
31.Wölwer, W, Streit, M, Polzer, U, et al.Facial affect recognition in the course of schizophrenia. Eur Arch Psyciatry Clin Neurosci. 1996;246:165170.CrossRefGoogle ScholarPubMed
32.Gessler, S, Cutting, J, Frith, CD, et al.Schizophrenic inability to judge facial emotion: a controlled study. Br J Clin Psychol. 1989;28:1929.CrossRefGoogle ScholarPubMed
33.Gabel, and Wölwer, . Facial expression and emotional face recognition in schizophrenia and depression. Eur Arch Psyciatry Clin Neurosci. 1992;242:4652.CrossRefGoogle Scholar
34.Corcoran, R, Mercer, G, Frith, CD. Schizophrenia, symptomatology and social inference: investigating ‘theory of mind’ in people with schizophrenia. Sdzophr Res. 1995;17:513.Google ScholarPubMed
35.Mitchley, NJ, Barber, J, Gray, YM, et al.Comprehension of irony in schizophrenia. Cognitive Neuropsychiatty. 1998;3:127138.CrossRefGoogle Scholar
36.Frith, CD, Corcoran, R. Exploring ‘theory of mind’ in people with schizophrenia. Psychol Med. 1996;26:521530.CrossRefGoogle ScholarPubMed
37.Pickup, GJ, Frith, CD. Theory of mind impairments in schizophrenia: symptomatology, severity and specificity. Psychol Med. 2001;31:207220.CrossRefGoogle ScholarPubMed
38.Doody, GA, Götz, M, Johnstone, EC, et al.Theory of mind and psychoses. Psychol Med. 1998;28:397405.CrossRefGoogle ScholarPubMed
39.Corcoran, R, Cahill, C, Frith, CD. The appreciation of visual jokes in people with schizophrenia. A study of ‘mentalizing’ ability. Schizophr Res. 1997;24:319327.CrossRefGoogle ScholarPubMed
40.Sarfati, Y, Passerieux, , Hardy-Baylé MC, . Can verbalization remedy the theory of mind deficit in schizophrenia. Psychopathobgy. 2000;33:246251.CrossRefGoogle ScholarPubMed
41.Sarfati, Y, Hardy-Baylé, MC. How do people with schizophrenia explain the behavior of others? A study of theory of mind and its telationship to thought and speech disorganization in schizophrenia. Psychol Med. 1999;29:613620.CrossRefGoogle ScholarPubMed
42.Liddle, PF. Schizophrenic syndromes, cognitive performance and neurological dysfunction. Psychol Med. 1987;17:4957.CrossRefGoogle ScholarPubMed
43.Drury, VM, Robinson, EJ, Birchwood, M. ‘Theory of mind’ skills during an acute episode of psychosis and following recovery. Psychol Med. 1998;28:11011112.CrossRefGoogle ScholarPubMed
44.Langdon, R, Coltheart, M. Mentalizing, schizotypy, and schizophrenia. Cognition. 1999;71:4371.CrossRefGoogle ScholarPubMed
45.Poole, JH, Tobias, FC, Vinogradov, S. The functional relevance of affect recognition errors in schizophrenia. J Int Neuropsychol Soc. 2000;6:649658.CrossRefGoogle ScholarPubMed
46.Hooker, C, Park, S. Emotion processing and its relationship to social functioning in schizophrenia patients. Psychiatry Res. 2002;112:4150.CrossRefGoogle ScholarPubMed
47.Mueser, KT, Doonan, R, Penn, DL, et al.Emotion recognition and social competence in chronic schizophrenia. J Abnorm Psychol. 1996;105:271275.CrossRefGoogle ScholarPubMed
48.Penn, DL, Spaulding, W, Reed, D, et al.The relationship of social cognition to ward behavior in chronic schizophrenia. Schizophr Res. 1996;20:114132.CrossRefGoogle ScholarPubMed
49.Ihnen, GH, Penn, DL, Corrigan, PW, et al.Social perception and social skill in schizophrenia. Psychiatry Res. 1998;80:275286.CrossRefGoogle ScholarPubMed
50.Brune, M. Social cognition and behavior in schizophrenia In: Brune, M, Ribbert, H, Schiefenhovel, W, eds. The Social Brain: Evolution and Pathology. West Sussex, England: Wiley; 2003:77313.CrossRefGoogle Scholar
51.Frith, CD, Corcoran, R. Exploring ‘theory of mind’ in people with schizophrenia. Psychol Med. 1996;26:521530.CrossRefGoogle ScholarPubMed
52.Abu-Akel, A. Impaired theory of mind in schizophrenia. Pragmatic Cognition. 1999;7:247282.CrossRefGoogle Scholar
53.Cutting, J, Murphy, D. Impaired ability of schizophrenics, relative to manics or depressives, to appreciate social knowledge about their culture. Br J Psychiatry. 1990;157:355388.CrossRefGoogle ScholarPubMed
54.Kanner, L. Autistic disturbances of affective contact. Nerv Child. 1943;217250.Google Scholar
55.Baron-Cohen, S, Leslie Frith, AM, Frith, U. Does the autistic child have a ‘theory of mind’? Cognition. 1985;21:3746.CrossRefGoogle ScholarPubMed
56.Hermelin, B, O'Connor, N. Psychological Eiperiments with Autistic Children. Oxford, England: Pergamon Press; 1970.Google Scholar
57.Fombonne, E. The epidemiology of autism: a review. Psychol Med. 1999;29:769786.CrossRefGoogle ScholarPubMed
58.Pierce, K, Muller, RA, Ambrose, J, et al.Face processing occurs outside the fusiform ‘face area’ in autism: evidence from functional MRI. Brain. 2001;124:20592073.CrossRefGoogle ScholarPubMed
59.Hohson, RP. The autistic child's appraisal of expressions of emotion. J Child Psychol Psychiatry. 1986;27:321342.Google Scholar
60.Hobson, RP. The autistic child's appraisal of expressions of emotion: a further study. J Child Psychol Psychiatry. 1986;27:671680.CrossRefGoogle ScholarPubMed
61.Tantem, D, Monaghan, L, Nicholson, H, et al.Autistic children's ability to interpret faces: a research note. J Child Psychol Psychiatry. 1989;30:623630.CrossRefGoogle Scholar
62.Weeks, SJ, Hobson, RP. The salience of facial expression for autistic children. J Child Psychol Psychiatry. 1987;28:137151.CrossRefGoogle ScholarPubMed
63.Ozonoff, S, Pennington, BF, Rogers, SJ. Are there emotion perception deficits in young autistic children? J Child Psychol Psychiatry. 1990;31:343361.CrossRefGoogle ScholarPubMed
64.Leslie, AM, Frith, U. Autistic children's understanding of seeing. Knowing and believing. British Journal of Developmental Psychology. 1988;6:315324.CrossRefGoogle Scholar
65.Perner, J, Leekam, SR, Wimmer, H. Three -year-olds' difficulty with false belief: the case for a conceptual deficit. British Journal of Developmental Psychology. 1987;5:125137.CrossRefGoogle Scholar
66.Prior, M, Dahlstrom, B, Squires, TL. Autistic children's knowledge of thinking and feeling states in other people. J Child Psychol Psychiatry. 1990;31:587601.CrossRefGoogle ScholarPubMed
67.Baron-Cohen, S. The autistic child's theory of mind: a case of specific developmental delay. J Child Psychol Psychiatry. 1989;30:285297.CrossRefGoogle ScholarPubMed
68.Dahlgren, SO, Trillingsgaard, A. Theory of mind in non-retarded children with autism and Asperger's syndrome. A research note. J Child Psychol Psychiatry. 1996;37:759763.CrossRefGoogle ScholarPubMed
69.Bowler, DM. ‘Theory of mind’ in Asperger's syndrome. J Child Psychol Psychiatry. 1992;33:877893.CrossRefGoogle ScholarPubMed
70.Ozonoff, S, Pennington, BF, Rogers, SJ. Executive function deficits in high functioning autistic individuals: relationship to theory of mind. J Child Psychol Psychiatry. 1991;32:10811105.CrossRefGoogle ScholarPubMed
71.Buitelaar, JK, van der Wees, M, Swaab-Barneveld, H, et al.Verbal memory and Performance IQ predict theory of mind and emotion recognition abilities in children with autistic spectrum disorders and in psychiatric control children. J Child Psychol Psychiatry. 1999;40:869881.CrossRefGoogle ScholarPubMed
72.Wing, L. The MRC Handicaps, Behavior and Skills schedule. Acta Psychiatr Scand. 1980;62:241247.CrossRefGoogle Scholar
73.Braverman, M, Fein, D, Lucci, D, et al.Affect comprehension in children with pervasive developmental disorders. J Autism Dev Disord. 1989;19:301316.CrossRefGoogle ScholarPubMed
74.Smith, Pk, Cowie, H, Blades, M. Understanding Children's Development. 3rd ed. Oxford, England: Blackwell Publishers; 1999:97424.Google Scholar
75.Fein, D, Lucci, D, Braverman, M, et al.Comprehension of affect in children with pervasive developmental disorders. J Child Psychol Psychiatry. 1992;33:11571167.CrossRefGoogle ScholarPubMed
76.Brothers, L. The social brain: a project for integrating primate behavior and neurophysiology in a new domain. Concepts in Neuroscience. 1990;1:2751.Google Scholar
77.Baron-Cohen, S, Ring, HA, Wheelwright, S, et al.Social intelligence in the normal and autistic brain: an fMRI study. Eur J Neurasci. 1999;11:18911898.CrossRefGoogle Scholar
78.Haxby, JV, Hoffman, EA, Gobbini, MI. The distributed human neural system for face perception. Trends Cogn Sci. 2000;4:223232.CrossRefGoogle ScholarPubMed
79.Puce, A, Allison, T, Asgari, M, et al.Differential sensitivity of human visual cortex to faces, letterstrings, and textures: a functional magnetic resonance imaging study. J Neurosci. 1996;16:52055215.CrossRefGoogle ScholarPubMed
80.Allison, T, Puce, A, McCarthy, G. Social perception from visual visual cues: role of the STS region. Trends Cogn Sci. 2000;4:267278.CrossRefGoogle ScholarPubMed
81.Blackwood, NJ, Howard, RJ, Bentall, RP, et al.Cognitive neuropsychiatric models of persecutory delusions. Am J Psychiatry. 2001;158:527539.CrossRefGoogle ScholarPubMed
82.Adolphs, R, Tranel, D, Hamann, S, et al.Recognition of facial emotion in nine individuals with bilateral amygdala damage. Neuropsychologia. 1999;37:11111117.CrossRefGoogle ScholarPubMed
83.Goel, V, Grafman, J, Sadato, N, et al.Modelling other minds. Neuroreport. 1995;6:17411746.CrossRefGoogle ScholarPubMed
84.Fletcher, PC, Happé, F, Frith, U, et al.Other minds in the brain: a functional imaging study of “theory of mind” in story comprehension. Cognition. 1995;57:109128.CrossRefGoogle Scholar
85.Vogeley, K, Bussfeld, P, Newen, A, et al.Mind reading: neural mechanisms of theory of mind and self-perspective. Neuroimage. 2001;14:170181.CrossRefGoogle ScholarPubMed
86.Gallagher, HL, Happé, F, Brunswick, N, et al.Reading the mind in cartoons and stories: an fMRI study of “theory of mind” in verbal and nonverbal tasks. Neuropsychologia. 2000;38:1121.CrossRefGoogle ScholarPubMed
87.Stone, VE, Baron-Cohen, S, Knight, RT. Frontal lobe contributions to theory of mind. J Cogn Neurosci. 1998;10:640656.CrossRefGoogle ScholarPubMed
88.McDonald, B, Highly, JR. Walker, MA, et al.Anomalous asymmetry of fusiform and parahippacampalgyrus gray matter in schizophrenia: a postmortem study. Am J Psychiatry. 2000;157:4047.CrossRefGoogle ScholarPubMed
89.Paillere-Martinot, ML, Caclin, A, Artiges, E, et al.Cerebral gray and white matter reduction and clinical correlates in patients with early-onset schizophrenia. Schizophr Res. 2001;50(1–2):1926.CrossRefGoogle ScholarPubMed
90.Lee, CU, Shenton, ME, Salisbury, DF, et al.Fusiform gyms volume reduction in first-episode schizophrenia: a magnetic resonance imaging study. Arch Gen Psychiatry. 2002;59:775781.CrossRefGoogle Scholar
91.Quintana, J, Wong, T, Ortiz-Portillo, E, et al.Right lateral fusiform gyrus dysfunction during facial information processing in schizophrenia. Biol Psychiatry. 2003;53:1099–112.CrossRefGoogle ScholarPubMed
92.Wright, IC, Rabe-Hesketh, S, Woodruff, PW, et al.Meta-analysis of regional brain volumes in schizophrenia. Am J Psychiatry. 2000;157:1625.CrossRefGoogle ScholarPubMed
93.Kosaka, H, Omori, M, Murata, T, et al.Differential amygdala response during facial recognition in patients with schizophrenia: an fMRI study. Schizophr Res. 2002;57:8795.CrossRefGoogle ScholarPubMed
94.Gur, RE, McGrath, C, Chan, RM, et al.An fMRI study of facial emotion processing in patients with schizophrenia. Am J Psychiatry. 2002;159:19921999.CrossRefGoogle ScholarPubMed
95.Hempel, A, Hempel, E, Schonknecht, P, et al.Impairment in basal limbic function in schizophrenia during affect recognition. Psychiatry Res. 2003;122:115124.CrossRefGoogle ScholarPubMed
96.Russell, TA, Rubia, K, Bullmore, E, et al.Exploring the social brain in schizophrenia: left prefrontal underactivation during mental state attribution. Am J Psychiatry. 2000;57:20402042.CrossRefGoogle Scholar
97.Brunet, E, Sarfati, Y, Hardy-Baylé, MC, et al.Abnormalities of brain function during a nonverbal theory of mind task in schizophrenia. Neuropsychologia. 2003;41:15741582.CrossRefGoogle ScholarPubMed
98.Convit, A, Wolf, OT, de Leon, MJ, et al.Volumetric analysis of the pre-frontal regions: findings in ageing and schizophrenia. Psychiatry Res. 2001;107:6173.CrossRefGoogle ScholarPubMed
99.Volz, HP, Nenadic, I, Gaser, C, et al.Time estimation in schizophrenia: an fMRI study at adjusted level of difficlulty. Neuroreport. 2001;12:313316.CrossRefGoogle Scholar
100.Hall, GB, Szechtman, H, Nahmias, C. Enhanced salience and emotion recognition in Autism: a PET study. Am J Psychiatry. 2003;160:14391441.CrossRefGoogle ScholarPubMed
101.Schultz, RT, Romanski, LM, Tsatsanis, KD. Neurofunctional models of autistic disorder and Asperger's syndrome: clues from neuroimaging. In: Klin, A, Volkmar, F, Sparrow, S, eds. Asperger's Syndrome. New York, NY: Guildford Press; 2000:172209.Google Scholar
102.Happé, F, Ehlers, S, Fletcher, P, et al.‘Theory of mind in the brain’. Evidence from a PET scan study of Asperger syndrome. Neuroreport. 1996;8:197201.CrossRefGoogle ScholarPubMed
103.Critchley, HD, Daly, EM, Bullmore, ET, et al.The functional neuroanatomy of social behavior: changes in cerebral blood flow when people with autistic disorder process facial expressions. Brain. 2000:123(pt 11):22032212.CrossRefGoogle ScholarPubMed
104.Ring, HA, Baron-Cohen, S, Wheelwright, S, et al.Cerebral correlates of preserved cognitive skills in autism: a functional MRI study of embedded figures task performance. Brain. 1999;122(pt 7):13051315.CrossRefGoogle ScholarPubMed
105.Ogai, M, Matsumoto, H, Suzuki, K, et al.fMRI study of recognition of facial expressions in high-functioning autistic patients. Neuroreport. 2003;14:559563.CrossRefGoogle ScholarPubMed
106.Russell, TA, Sharma, T. Social cognition at the neural level: investigations in autism, psychopathy and schizophrenia. In: Brune, M, Ribbert, H and Schiefenhovel, W, eds. The Social Brain: Evolution and Pathology. West Sussex, England: Wiley; 2003:253276.CrossRefGoogle Scholar
107.Baron-Cohen, S, Ring, HA, Bullmore, ET, et al.The amygdala theory of autism. Neurosci Biobehav Rev. 2000;24:355364.CrossRefGoogle ScholarPubMed