Clinical subtypes of schizophrenia based on the discrepancies between objective performance on social cognition tasks and subjective difficulties in social cognition
Rattachement africain : jp. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Intervention for social cognition could be key to improving social functioning in patients with schizophrenia. A first step towards its clinical implementation involves interviewing patients about their subjective difficulties with social cognition as they experience them in the real world. The present study focused on the clinical subtypes classified by the discrepancies between the subjective difficulties in social cognition and actual cognitive impairment. A total of 131 outpatients with schizophrenia and 68 healthy controls were included. Objective measurement of social cognition was performed using a test battery covering four representative domains, and subjective difficulties were determined by a questionnaire covering the same domains. A two-step cluster analysis explored the potential classification of social cognition in patients with schizophrenia. There was little correlation between the objective performance on social cognition tasks and subjective difficulties in social cognition. The analysis yielded three clusters: the low-impact group (low objective impairment and low subjective difficulties), the unaware group (high objective impairment but low subjective difficulties), and the perceptive group (moderate objective impairment and high subjective difficulties). Positive, negative, and general symptoms were more severe in the two groups that showed impaired performance on the social cognition tasks (i.e., the unaware and perceptive groups) than those in the low-impact group. Neurocognition and functional capacity were the lowest in the unaware group, and social functioning was the lowest in the perceptive group. Awareness about the clinical subtypes of social cognition could serve as a guidepost for providing individualized, targeted interventions.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Clinical subtypes of schizophrenia based on the discrepancies between objective performance on social cognition tasks and subjective difficulties in social cognition
- Date Crossref
- 29/10/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Toho University Department of Neuropsychiatry pays non établi dans la noticeUniversité ou école supérieure
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Hokkaido University Department of Psychiatry pays non établi dans la noticeUniversité ou école supérieure
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Miwa Hospital pays non établi dans la noticeÉtablissement de santé
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National Center of Neurology and Psychiatry pays non établi dans la noticeÉtablissement de santé
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National Institute of Mental Health Department of Behavioral Medicine pays non établi dans la noticeOrganisme public
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Iwamizawa Municipal General Hospital Department of Psychiatry pays non établi dans la noticeÉtablissement de santé
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Department of Clinical Epidemiology pays non établi dans la noticeÉtablissement de santé
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Department of Forensic Psychiatry pays non établi dans la noticeInstitution
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National Center Hospital Department of Psychiatry pays non établi dans la noticeÉtablissement de santé
Department of Neuropsychiatry — Toho University, Department of Psychiatry — Hokkaido University et Miwa Hospital, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.