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Efficacy of a Social Cognition Training Program for Schizophrenic Patients: A Pilot Study

Published online by Cambridge University Press:  10 January 2013

David Gil Sanz ,
Marián Diego Lorenzo ,
Rosario Bengochea Seco ,
Marta Arrieta Rodríguez ,
Ismael Lastra Martínez ,
Raúl Sánchez Calleja  and
Ana Álvarez Soltero
David Gil Sanz*
Affiliation:
Centro de Rehabilitación Psicosocial Padre Menni (Spain)
Marián Diego Lorenzo
Affiliation:
Centro de Rehabilitación Psicosocial Padre Menni (Spain)
Rosario Bengochea Seco
Affiliation:
Centro de Rehabilitación Psicosocial Padre Menni (Spain)
Marta Arrieta Rodríguez
Affiliation:
Centro de Rehabilitación Psicosocial Padre Menni (Spain)
Ismael Lastra Martínez
Affiliation:
Hospital Universitario Marqués de Valdecilla (Spain)
Raúl Sánchez Calleja
Affiliation:
Centro de Rehabilitación Psicosocial Padre Menni (Spain)
Ana Álvarez Soltero
Affiliation:
Centro de Rehabilitación Psicosocial Padre Menni (Spain)
*
Correspondence concerning this article should be addressed to David Gil, Centro de Rehabilitación Psicosocial Padre Menni, C/Andrés del Río, 7 bajo. 39004 Santander (Spain). E-mail: [email protected]
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Abstract

Psychosocial functioning impairment is recognized as a core feature of schizophrenia. Numerous studies have assessed the process that may underlie this impairment. In the last years, one of these processes that has been studied more is social cognition, which has been proposed as a mediator variable between neurocognition and functional outcome. Social cognition includes the subdomains of emotion recognition and social perception, and in recent years several authors have developed diverse training programs in these areas.

The purpose of the present article is to assess the efficacy of the Social Cognition Training Program, a program that includes emotion recognition training and social perception training. The sample was made up of 14 outpatients with a diagnosis of schizophrenia according to CIE-10 criteria, randomly divided into two groups: experimental and control. All patients were assessed before and after the training program. Cognitive and psychopathological variables, social functioning, emotion recognition and social perception performance were assessed. Results suggest improvement in social perception and interpretation in the experimental group, in comparison with the control group, but not in emotion recognition. No significant correlations were obtained between social cognition training and other variables tested.

El deterioro en el funcionamiento psicosocial es un rasgo característico de la esquizofrenia. Diferentes estudios han valorado los procesos que se relacionan con este deterioro, destacando el papel de la cognición social como variable mediadora entre la neurocognición y el desempeño funcional de los pacientes con esquizofrenia. Dentro de la cognición social, dos de las áreas más estudiadas han sido la percepción de emociones y la percepción social, desarrollándose diferentes programas de entrenamiento en estas áreas.

El presente artículo tiene como objetivo valorar la eficacia del Programa de Entrenamiento en Cognición Social, un programa que combina el entrenamiento en percepción de emociones y percepción social. La muestra estuvo compuesta por catorce pacientes, diagnosticados de esquizofrenia según criterios CIE-10, asignados de manera aleatoria a dos grupos: experimental y control. Todos los pacientes fueron valorados al inicio y al final del entrenamiento. Se evaluó el rendimiento en percepción de emociones y percepción social, así como variables cognitivas, psicopatológicas y de funcionamiento social. El grupo experimental obtuvo una mejora en percepción social en comparación con el grupo control, pero no en percepción de emociones. El entrenamiento en cognición social no tuvo ningún efecto significativo en las demás variables valoradas.

Keywords

schizophreniasocial cognitionsocial perceptionemotion perceptionpsychosocial rehabilitationesquizofreniacognición socialpercepción socialpercepción de emocionesrehabilitación psicosocial
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 12 , Issue 1 , May 2009 , pp. 184 - 191
Copyright
Copyright © Cambridge University Press 2009

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References

Addington, J., Saeedi, H, & Addington, D. (2006). Influence of social perception and social knowledge on cognitive and social functioning in early psychosis. British Journal of Psychiatry, 189, 373–378.Google Scholar
Bediou, B., Krolak-Salmon, P., Saoud, M., Henaff, M. A., Burt, M., Dalery, J., & D'Amato, T. (2005). Facial expression and sex recognition in schizophrenia and depression. Canadian Journal of Psychiatry, 50, 269–274.CrossRefGoogle ScholarPubMed
Bediou, B., Asri, F., Brunelin, J., Krolak-Salmon, P., D'Amato, T., Saoud, M., & Tazi, I. (2007). Emotion recognition and genetic vulnerability to schizophrenia. British Journal of Psychiatry, 191, 126–130.Google Scholar
Bozikas, V. P., Kosmidis, M. H., Anezoulaki, D., Giannakou, M., & Karavatos, A. (2004). Relationship of affect recognition with psychopathology and cognitive performance in schizophrenia. Journal of the International Neuropsychological Society, 10, 549–558, 2004.Google Scholar
Brekke, J. S., Kay, D., Lee, K., & Green, M. F. (2005). Biosocial pathways to functional outcome in schizophrenia: A path analytic model. International Congress Schizophrenia Research, Colorado Springs, CO.Google Scholar
Brothers, L. (1990). The social brain: a project for integrating primate behaviour and neurophysiology in new domain. Concepts in Neuroscience, 1, 27–61.Google Scholar
Brüne, M. (2005). Emotion recognition, theory of mind, and social behavior in schizophrenia. Psychiatric Research, 133, 135–147.Google Scholar
Corrigan, P. W. (1997). The social perceptual deficits in schizophrenia. Psychiatry, 60, 309–326.Google Scholar
Ekman, P. (1973). Darwin and facial expression: A century of research in review. New York: Academic Press.Google Scholar
Ekman, P. (1982). Emotion in the human face. New York: Cambridge University Press.Google Scholar
Ekman, P. (1994). Are these basic emotions? In Ekman, P. & Davidson, R. J. (Eds.), The nature of emotions: Fundamental questions (pp.46–47). Oxford, UK: Oxford University Press.Google Scholar
Frommann, N., Streit, M. & Wölwer, W. (2003). Remediation of facial affect recognition impairments in patients with schizophrenia: A new training program. Psychiatry Research, 117, 281–284.Google Scholar
García, S. (2003). Rehabilitación de enfermos mentales crónicos: Entrenamiento en percepción social. Valencia, Spain: Universidad de Valencia.Google Scholar
García, S., Fuentes, I., Ruíz, J. C., Gallach, E., & Roder, V. (2003). Application of the IPT in a Spanish sample: Evaluation of the “social perception subprogramme”. International Journal of Psychology and Psychological Therapy, 3, 299–310.Google Scholar
Green, M. F., & Nuechterlein, K. H. (1999). Should schizophrenia be treated as a neurocognitive disorder? Schizophrenia Bulletin, 25, 309–318.Google Scholar
Green, M. F., Olivier, B., Crawley, J. N., Penn, D. L., & Silverstein, S. (2005). Social cognition in schizophrenia: Recommendations from the measurement and treatment research to improve cognition in schizophrenia new approaches conference. Schizophrenia Bulletin, 31, 882–887.Google Scholar
Hooker, C., & Park, S. (2002). Emotion processing and its relationship to social functioning in schizophrenia patients. Psychiatry Research, 112, 41–50.Google Scholar
Johnston, P., Stojanov, W., Devir, H., & Schall, U. (2005). Functional MRI of facial emotion recognition deficits in schizophrenia and their electrophysiological correlates. European Journal of Neuroscience, 22, 1221–1232.Google Scholar
Kohler, C. G., Bilker, W., Hagendoorn, M., Gur, R. C., & Gur, R. E. (2000). Emotion recognition deficit in schizophrenia: Association with symptomatology and cognition. Biological Psychiatry, 48, 127–136.Google Scholar
Kucharska-Pietura, K., & Klimkowski, M. (2002). Perception of facial affect in chronic schizophrenia and right brain damage. Acta Neurobiologiae Experimentalis, 62, 33–43.CrossRefGoogle ScholarPubMed
Lancaster, R.S., Evans, J. D., Bond, G. R., & Lysaker, P. H. (2003). Social cognition and neurocognitive deficits in schizophrenia. Journal of Nervous and Mental Disease, 191, 295–299.CrossRefGoogle ScholarPubMed
Langdon, R., Coltheart, M., Ward, P. B., & Catts, S. V. (2002). Disturbed communication in schizophrenia: The role of poor pragmatics and poor mind-reading. Psychological Medicine, 32, 1273–1284.Google Scholar
Ostrom, T. M. (1984). The sovereignty of social cognition. In Wyer, R.S. & Skrull, T. K. (Eds.), Handbook of social cognition, Vol. 1 (pp. 1–37). Hillsdale, NJ: Erlbaum.Google Scholar
Penn, D. L., Addington, J., & Pinkham, A. (2005). Social cognitive impairments. In Lieberman, J. A. Stroup, T. S. Perkins, D. O. (Eds.), American Psychiatric Association textbook of schizophrenia (pp.261–274). Washington, DC: American Psychiatric Publishing Press.Google Scholar
Penn, D., Roberts, D. L., Munt, E., Silverstein, E., Jones, N., & Sheitman, B. (2005). A pilot study of social cognition and interaction training (SCIT) for schizophrenia. Schizophrenia Research, 80, 357–359.Google Scholar
Peña-Casanova, J. (1990). Programa integrado de exploración neuropsicológica. Masson, Barcelona.Google Scholar
Peralta, V., & Cuesta, M. J. (1994). Validación de la Escala de los Síndromes Positivo y Negativo (PANSS) en una muestra de esquizofrénicos españoles. Actas Luso Españolas de Neurología, Psiquiatría y Ciencias Afines, 22, 171–177.Google Scholar
Poole, J. H., Tobias, F., & Vinogradov, S. (2000). The functional relevance of affect recognition errors in schizophrenia. Journal of the International Neuropsychological Society, 6, 649–658.Google Scholar
Roder, V., Brenner, H. D., Hodel, B., & Kienzle, N. (1996). Terapia integrada de la esquizofrenia. Barcelona, Ariel.Google Scholar
Ruiz, J. C., García, S., & Fuentes, I. (2006). La relevancia de la cognición social en la esquizofrenia. Apuntes de Psicología, 24, 137–155.Google Scholar
Sachs, G., Steger-Wuchse, D., Kryspin-Exner, I., Gur, R. C., & Katschnig, H. (2004). Facial recognition deficits and cognition in schizophrenia. Schizophrenia Research, 68, 27–35.Google Scholar
Sergi, M. J., Rassovski, Y., Nuechterlein, K. H., & Green, M. F. (2006). Social perception as a mediator of the influence of early visual processing on functional status in schizophrenia. American Journal of Psychiatry, 163, 448–454.Google Scholar
Shean, G., Murphy, A., & Meyer, J. (2005). Social cognition and symptom dimensions. Journal of Nervous and Mental Disease, 193, 751–755.CrossRefGoogle ScholarPubMed
Silver, H., & Shlomo, N. (2001). Perception of facial emotions in chronic schizophrenia does not correlate with negative symptoms but correlates with cognitive and motor dysfunction. Schizophrenia Research, 52, 265–273.CrossRefGoogle Scholar
Silver, H., Goodman, C., Knoll, G., & Isakov, V. (2004). Brief emotion training improves recognition of facial emotions in chronic schizophrenia. A pilot study. Psychiatry Research, 128, 147–154.Google Scholar
Tottenham, N. (1998). MacBrain Face Stimulus Set. John D. and Catherine T. MacArthur Foundation Research Network on Early Experience and Brain Development.Google Scholar
Vauth, R., Rüsch, N., Wirtz, M., & Corrigan, P. W. (2004). Does social cognitive influence the relation between neurocognitive deficits and vocational functioning in schizophrenia? Psychiatry Research, 128, 155–165.Google Scholar
Vázquez-Barquero, J. L., Herrera, S., Vázquez, E., & Gaite, L. (2006). Cuestionario para la Evaluación de Discapacidad de la Organización Mundial de la Salud. Versión española del World Health Organization Disability Assessment Schedule II. WHO-DAS II. Ministerio de Trabajo y Asuntos Sociales, Madrid.Google Scholar
World Health Organization. (1985). A procedure and schedule for assessment of disability in patients with severe psychiatric disorders. Disability Assessment Schedule DAS-II. Geneva: Author.Google Scholar
World Health Organization. (1992). The ICD-10 Classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines (10th revision). Geneva: Author. (Spanish translation: CIE-10. Trastornos Mentales del Comportamiento. Meditor, Madrid, 1992.)Google Scholar