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Working Memory, Jumping to Conclusions and Emotion Recognition: a Possible Link in First Episode Psychosis (Fep)

Published online by Cambridge University Press:  15 April 2020

G. Tripoli ,
E. Loi ,
C. Sartorio ,
C. La Cascia ,
F. Seminerio ,
L. Sideli ,
A.M. Marinaro ,
L. Ferraro ,
A. Mulè  and
D. La Barbera
G. Tripoli
Affiliation:
BIONEC, University of Palermo, Palermo, Italy
E. Loi
Affiliation:
BIONEC, University of Palermo, Palermo, Italy
C. Sartorio
Affiliation:
BIONEC, University of Palermo, Palermo, Italy
C. La Cascia
Affiliation:
BIONEC, University of Palermo, Palermo, Italy
F. Seminerio
Affiliation:
BIONEC, University of Palermo, Palermo, Italy
L. Sideli
Affiliation:
BIONEC, University of Palermo, Palermo, Italy
A.M. Marinaro
Affiliation:
BIONEC, University of Palermo, Palermo, Italy
L. Ferraro
Affiliation:
BIONEC, University of Palermo, Palermo, Italy
A. Mulè
Affiliation:
UOC Psichiatria, AOUP P. Giaccone Palermo, Palermo, Italy
D. La Barbera
Affiliation:
BIONEC, University of Palermo, Palermo, Italy

Abstract

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Introduction

A large body of literature has demonstrated that people affected by psychotic disorders show deficits in working memory, in Emotion Recognition (ER) and in data-gathering to reach a decision (Jumping To Conclusions – JTC).

Aims

To investigate a possible correlation between working memory, JTC and ER in FEP.

Methods

41 patients and 89 healthy controls completed assessments of working memory using WAIS shortened version, JTC using the 60:40 Beads Task and ER using Degraded Facial Affect Recognition Task.

Results

According to the literature, cases had poorer performance in working memory tasks (Digit Span: μ7,72 [ds=2,98] vs μ10,14 [ds=3,10], U=865,00, p=0,00; Digit Symbol: μ5,36 [ds=2,43] vs μ10,05 [ds=3,10], U=455,50, p=0,00; Arithmetic: μ5,46 [ds=2,76] vs μ8,74 [ds=3,24], U=865,50, p=0,00; Block Design: μ4,82 [ds=2,72] vs μ7,60 [ds=3,18], U=912,00, p=0,00), in Beads Task (81,6% vs 51,1%, χ2=10,27, p=0,001, μ2,53 [ds=3,57] vs μ4,23 [ds=4,77], U=1171,00, p=0,006) and in DFAR (total errors: μ21,62 [ds=7,43] vs μ16,58 [ds=8,69], U=554,50, p=0,002). Furthermore working memory tasks in cases group correlated significantly with JTC (Digit Span: r<sub>rho</sub>=0,276, p=0,003; Digit Symbol: r<sub>rho</sub>=0,275, p=0,002; Arithmetic: r<sub>rho</sub>=0,265, p=0,003; Block Design: r<sub>rho</sub>=0,292, p=0,001), but only Digit Span with ER (r<sub>rho</sub>=-0,239; p=0,021). In addition, we found that JTC and ER were significantly associated (r<sub>rho</sub>=-0,281; p=0,004).

Conclusions

Data show that working memory impairments, JTC style and dysfunctions in the facial emotions recognition are phenomena strongly correlated in the group of patients. Preliminary results suggest the importance of early rehabilitation as the impairments detected may lead to difficulties in social and relational adaptation in psychotic patients.

Type
Article: 0918
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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