Influence of social cognition as a mediator between cognitive reserve and psychosocial functioning in patients with first episode psychosis

González-Ortega, I. ; González-Pinto, A. ; Alberich, S. ; Echeburuá, E. ; Bernardo, M. ; Cabrera, B. ; Amoretti, S. ; Lobo, A. (Universidad de Zaragoza) ; Arango, C. ; Corripio, I. ; Vieta, E. ; De La Serna, E. ; Rodriguez-Jimenez, R. ; Segarra, R. ; López-Ilundain, J.M. ; Sánchez-Torres, A.M. ; Cuesta, M.J. ; Zorrilla, I. ; López, P. ; Bioque, M. ; Mezquida, G. ; Barcones, F. ; De-La-Cámara, C. ; Parellada, M. ; Espliego, A. ; Alonso-Solís, A. ; Grasa, E.M. ; Varo, C. ; Montejo, L. ; Castro-Fornieles, J. ; Baeza, I. ; Dompablo, M. ; Torio, I. ; Zabala, A. ; Eguiluz, J.I. ; Moreno-Izco, L. ; Sanjuan, J. ; Guirado, R. ; Cáceres, I. ; Garnier, P. ; Contreras, F. ; Bobes, J. ; Al-Halabí, S. ; Usall, J. ; Butjosa, A. ; Sarró, S. ; Landin-Romero, R. ; Ibáñez, A. ; Selva, G.

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.

Idioma: Inglés

DOI: 10.1017/S0033291719002794

Año: 2019

Publicado en: Psychological Medicine 50 (2019), 2702–2710
ISSN: 0033-2917

Factor impacto JCR: 5.813 (2019)

Categ. JCR: PSYCHIATRY rank: 17 / 154 = 0.11 (2019) - Q1 - T1
Categ. JCR: PSYCHOLOGY, CLINICAL rank: 4 / 131 = 0.031 (2019) - Q1 - T1
Categ. JCR: PSYCHIATRY rank: 13 / 140 = 0.093 (2019) - Q1 - T1
Categ. JCR: PSYCHOLOGY rank: 7 / 77 = 0.091 (2019) - Q1 - T1

Factor impacto SCIMAGO: 2.903 - Psychiatry and Mental Health (Q1) - Applied Psychology (Q1)

Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI08-01026
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI08-1161
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI08-1213
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI11-01977
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI11-02831
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI14-01621
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI14-01900
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI16-00359
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI16-01164
Financiación: info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI18-00805

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Area Psiquiatría (Dpto. Medicina, Psiqu. y Derm.)