Psychiatria Danubina, Vol. 30 No. 3, 2018.
Original scientific paper
https://doi.org/10.24869/psyd.2018.292
THEORY OF MIND - NOT EMOTION RECOGNITION - MEDIATES THE RELATIONSHIP BETWEEN EXECUTIVE FUNCTIONS AND SOCIAL FUNCTIONING IN PATIENTS WITH SCHIZOPHRENIA
Michal Hajduk
orcid.org/0000-0002-7073-7564
; Department of Psychology, Faculty of Arts, Comenius University, Bratislava, Slovak Republic; Clinic of Psychiatry, Faculty of Medicine, Comenius University, Bratislava, Slovak Republic
Dana Krajcovicova
orcid.org/0000-0001-5202-8409
; Clinic of Psychiatry, Faculty of Medicine, Comenius University, Bratislava, Slovak Republic
Miroslava Zimanyiova
; Clinic of Psychiatry, Faculty of Medicine, Comenius University, Bratislava, Slovak Republic
Viera Korinkova
; Clinic of Psychiatry, Faculty of Medicine, Comenius University, Bratislava, Slovak Republic
Anton Heretik
orcid.org/0000-0001-9440-6586
; Department of Psychology, Faculty of Arts, Comenius University, Bratislava, Slovak Republic
Jan Peceank
orcid.org/0000-0003-0681-8383
; Clinic of Psychiatry, Faculty of Medicine, Comenius University, Bratislava, Slovak Republic
Abstract
Background: Dysfunction of social-cognitive abilities is one of the hallmark features of schizophrenia and is associated with neurocognition and social functioning. The Green and Nuechterlein model proposed that social cognition mediates the relationship between neurocognition and functional outcome. We tested this hypothesis in schizophrenia patients in the everyday clinical setting.
Subjects and methods: Social cognition, executive function and social functioning were assessed in a group of 43 patients with schizophrenia or schizoaffective disorder using a range of measures.
Results: Theory of mind was associated with executive functions and social functioning. Results of our mediation analysis suggested that the relationship between executive functions and social functioning was mediated by theory of mind. No relationships between emotion recognition and the domains of social functioning were found.
Conclusions: In line with prior research, zero-order associations were found between theory of mind and social functioning. Theory of mind was a mediator of the relationships between neurocognition and social functioning. Our results suggest that theory of mind should be a potential target of interventions to improve social functioning.
Keywords
social cognition; theory of mind; emotion recognition; neurocognition; social functioning
Hrčak ID:
206429
URI
Publication date:
1.10.2018.
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