Influence of social cognition as a mediator between cognitive reserve and psychosocial functioning in patients with first episode psychosis
Por:
Gonzalez-Ortega, I, Gonzalez-Pinto, A, Alberich, S, Echeburua, E, Bernardo, M, Cabrera, B, Amoretti, S, Lobo, A, Arango, C, Corripio, I, Vieta, E, de la Serna, E, Rodriguez-Jimenez, R, Segarra, R, Lopez-Ilundain, JM, Sanchez-Torres, AM, Cuesta, MJ, Zorrilla, I, Lopez, P, Bioque, M, Mezquida, G, Barcones, F, De-la-Camara, C, Parellada, M, Espliego, A, Alonso-Solis, A, Grasa, EM, Varo, C, Montejo, L, Castro-Fornieles, J, Baeza, I, Dompablo, M, Torio, I, Zabala, A, Eguiluz, JI, Moreno-Izco, L, Sanjuan, J, Guirado, R, Caceres, I, Garnier, P, Contreras, F, Bobes, J, Al-Halabi, S, Usall, J, Butjosa, A, Sarro, S, Landin-Romero, R, Ibanez, A, Selva, G
Publicada:
1 dic 2020
Resumen:
Background. Social cognition has been associated with functional outcome in patients with first episode psychosis (FEP). Social cognition has also been associated with neurocognition and cognitive reserve. Although cognitive reserve, neurocognitive functioning, social cognition, and functional outcome are related, the direction of their associations is not clear. Therefore, the main aim of this study was to analyze the influence of social cognition as a mediator between cognitive reserve and cognitive domains on functioning in FEP both at baseline and at 2 years.
Methods. The sample of the study was composed of 282 FEP patients followed up for 2 years. To analyze whether social cognition mediates the influence of cognitive reserve and cognitive domains on functioning, a path analysis was performed. The statistical significance of any mediation effects was evaluated by bootstrap analysis.
Results. At baseline, as neither cognitive reserve nor the cognitive domains studied were related to functioning, the conditions for mediation were not satisfied. Nevertheless, at 2 years of follow-up, social cognition acted as a mediator between cognitive reserve and functioning. Likewise, social cognition was a mediator between verbal memory and functional outcome. The results of the bootstrap analysis confirmed these significant mediations (95% bootstrapped CI (-10.215 to -0.337) and (-4.731 to -0.605) respectively).
Conclusions. Cognitive reserve and neurocognition are related to functioning, and social cognition mediates in this relationship.
Filiaciones:
Gonzalez-Ortega, I:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Araba Univ Hosp, Bioaraba Res Inst, Dept Psychiat, Vitoria, Spain
Univ Basque Country, Dept Neurosci, Bizkaia, Spain
Natl Distance Educ Univ UNED, Vitoria, Spain
Gonzalez-Pinto, A:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Araba Univ Hosp, Bioaraba Res Inst, Dept Psychiat, Vitoria, Spain
Univ Basque Country, Dept Neurosci, Bizkaia, Spain
Alberich, S:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Araba Univ Hosp, Bioaraba Res Inst, Dept Psychiat, Vitoria, Spain
Univ Basque Country, Dept Neurosci, Bizkaia, Spain
Natl Distance Educ Univ UNED, Vitoria, Spain
Echeburua, E:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Basque Country, Dept Personal Assessment & Psychol Treatment, San Sebastian, Spain
Bernardo, M:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Hosp Clin Barcelona, Neurosci Inst, Barcelona Clin Schizophrenia Unit, Barcelona, Spain
Cabrera, B:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Hosp Clin Barcelona, Neurosci Inst, Barcelona Clin Schizophrenia Unit, Barcelona, Spain
Amoretti, S:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Hosp Clin Barcelona, Neurosci Inst, Barcelona Clin Schizophrenia Unit, Barcelona, Spain
Lobo, A:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Zaragoza, Aragon Inst Hlth Sci IIS Aragon, Dept Med & Psychiat, Zaragoza, Spain
Arango, C:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Complutense, Gregorio Maranon Gen Univ Hosp, Sch Med, Child & Adolescent Psychiat Dept,IiSGM, Madrid, Spain
Corripio, I:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Autonoma Barcelona UAB, Dept Psychiat, Inst Invest Biomed St Pau IIB ST PAU, Hosp Santa Creu & St Pau, Barcelona, Spain
Vieta, E:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Barcelona, Hosp Clin, Bipolar Disorders Unit, IDIBAPS, Barcelona, Spain
de la Serna, E:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Hosp Clin Barcelona, Child & Adolescent Psychiat Serv, Barcelona, Spain
Rodriguez-Jimenez, R:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
12 Octubre Hosp Res Inst I 12, Madrid, Spain
Segarra, R:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Basque Country, Cruces Univ Hosp, Biocruces Bizkaia Hlth Res Inst, Dept Neurosci, Vizcaya, Spain
Lopez-Ilundain, JM:
Navarre Inst Hlth Res, Dept Psychiat, IdiSNA, Navarre Hosp Complex, Pamplona, Spain
Sanchez-Torres, AM:
Navarre Inst Hlth Res, Dept Psychiat, IdiSNA, Navarre Hosp Complex, Pamplona, Spain
Cuesta, MJ:
Navarre Inst Hlth Res, Dept Psychiat, IdiSNA, Navarre Hosp Complex, Pamplona, Spain
Zorrilla, I:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Araba Univ Hosp, Bioaraba Res Inst, Dept Psychiat, Vitoria, Spain
Univ Basque Country, Dept Neurosci, Bizkaia, Spain
Lopez, P:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Araba Univ Hosp, Bioaraba Res Inst, Dept Psychiat, Vitoria, Spain
Univ Basque Country, Dept Neurosci, Bizkaia, Spain
Bioque, M:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Hosp Clin Barcelona, Neurosci Inst, Barcelona Clin Schizophrenia Unit, Barcelona, Spain
Mezquida, G:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Hosp Clin Barcelona, Neurosci Inst, Barcelona Clin Schizophrenia Unit, Barcelona, Spain
Barcones, F:
Univ Zaragoza, Aragon Inst Hlth Sci IIS Aragon, Dept Med & Psychiat, Zaragoza, Spain
Hosp Univ Miguel Servet, Dept Family Med, Zaragoza, Spain
De-la-Camara, C:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Zaragoza, Aragon Inst Hlth Sci IIS Aragon, Dept Med & Psychiat, Zaragoza, Spain
Parellada, M:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Complutense, Gregorio Maranon Gen Univ Hosp, Sch Med, Child & Adolescent Psychiat Dept,IiSGM, Madrid, Spain
Espliego, A:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Complutense, Gregorio Maranon Gen Univ Hosp, Sch Med, Child & Adolescent Psychiat Dept,IiSGM, Madrid, Spain
Alonso-Solis, A:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Autonoma Barcelona UAB, Dept Psychiat, Inst Invest Biomed St Pau IIB ST PAU, Hosp Santa Creu & St Pau, Barcelona, Spain
Grasa, EM:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Autonoma Barcelona UAB, Dept Psychiat, Inst Invest Biomed St Pau IIB ST PAU, Hosp Santa Creu & St Pau, Barcelona, Spain
Varo, C:
Univ Barcelona, Hosp Clin, Bipolar Disorders Unit, IDIBAPS, Barcelona, Spain
Montejo, L:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Barcelona, Hosp Clin, Bipolar Disorders Unit, IDIBAPS, Barcelona, Spain
Castro-Fornieles, J:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Hosp Clin Barcelona, Child & Adolescent Psychiat Serv, Barcelona, Spain
Baeza, I:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Hosp Clin Barcelona, Child & Adolescent Psychiat Serv, Barcelona, Spain
Dompablo, M:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
12 Octubre Hosp Res Inst I 12, Madrid, Spain
Torio, I:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
12 Octubre Hosp Res Inst I 12, Madrid, Spain
Zabala, A:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Basque Country, Cruces Univ Hosp, Biocruces Bizkaia Hlth Res Inst, Dept Neurosci, Vizcaya, Spain
Eguiluz, JI:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Basque Country, Cruces Univ Hosp, Biocruces Bizkaia Hlth Res Inst, Dept Neurosci, Vizcaya, Spain
Moreno-Izco, L:
Navarre Inst Hlth Res, Dept Psychiat, IdiSNA, Navarre Hosp Complex, Pamplona, Spain
Sanjuan, J:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Valencia, Hosp Clin Univ Valencia, INCLIVA, Incliva, Spain
Guirado, R:
Univ Valencia, Dept Cell Biol, Neurobiol Unit, Interdisciplinary Res Struct Biotechnol & Biomed, Valencia, Spain
Caceres, I:
Hosp del Mar, Dept Psychiat, Med Res Inst IMIM, Barcelona, Spain
Garnier, P:
Hosp del Mar, Dept Psychiat, Med Res Inst IMIM, Barcelona, Spain
Contreras, F:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Bellvitge Univ Hosp IDIBELL, Psychiat Dept, Barcelona, Spain
Univ Barcelona, Sch Med, Dept Clin Sci, Barcelona, Spain
Bobes, J:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Oviedo, Psychiat Dept, Oviedo, Spain
Al-Halabi, S:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Oviedo, Psychiat Dept, Oviedo, Spain
Inst Neurosci Principal Asturias, INEUROPA, Oviedo, Spain
Usall, J:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Barcelona UB, Res Unit, Parc Sanitari St Joan Deu, Barcelona, Spain
Butjosa, A:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Barcelona UB, Res Unit, Parc Sanitari St Joan Deu, Barcelona, Spain
Sarro, S:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
FIDMAG Hermanas Hosp Res Fdn, Barcelona, Spain
Landin-Romero, R:
FIDMAG Hermanas Hosp Res Fdn, Barcelona, Spain
Ibanez, A:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Alcala De Henares, Ramon y Cajal Univ Hosp, Ramon y Cajal Hlth Res Inst IRyCIS, Psychiat Dept, Madrid, Spain
Selva, G:
Ctr Biomed Res Mental Hlth Network CIBERSAM, Madrid, Spain
Univ Valencia, INCLIVA Hlth Res Inst, Dept Med, Teaching Unit Psychiat & Psychol Med, Valencia, Spain
Hybrid Gold, Green Published
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