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Lemmers-Jansen I, Velthorst E, Fett AK. The social cognitive and neural mechanisms that underlie social functioning in individuals with schizophrenia - a review. Transl Psychiatry 2023; 13:327. [PMID: 37865631 PMCID: PMC10590451 DOI: 10.1038/s41398-023-02593-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 08/31/2023] [Accepted: 09/06/2023] [Indexed: 10/23/2023] Open
Abstract
In many individuals with a diagnosis of schizophrenia social functioning is impaired across the lifespan. Social cognition has emerged as one of the possible factors that may contribute to these challenges. Neuroimaging research can give further insights into the underlying mechanisms of social (cognitive) difficulties. This review summarises the evidence on the associations between social cognition in the domains of theory of mind and emotion perception and processing, and individuals' social functioning and social skills, as well as associated neural mechanisms. Eighteen behavioural studies were conducted since the last major review and meta-analysis in the field (inclusion between 7/2017 and 1/2022). No major review has investigated the link between the neural mechanisms of social cognition and their association with social functioning in schizophrenia. Fourteen relevant studies were included (from 1/2000 to 1/2022). The findings of the behavioural studies showed that associations with social outcomes were slightly stronger for theory of mind than for emotion perception and processing. Moreover, performance in both social cognitive domains was more strongly associated with performance on social skill measures than questionnaire-based assessment of social functioning in the community. Studies on the underlying neural substrate of these associations presented mixed findings. In general, higher activation in various regions of the social brain was associated with better social functioning. The available evidence suggests some shared regions that might underlie the social cognition-social outcome link between different domains. However, due to the heterogeneity in approaches and findings, the current knowledge base will need to be expanded before firm conclusions can be drawn.
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Affiliation(s)
- Imke Lemmers-Jansen
- Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioural and Movement Sciences, Institute for Brain and Behaviour (iBBA) Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Eva Velthorst
- GGZ Noord-Holland-Noord, Heerhugowaard, The Netherlands
| | - Anne-Kathrin Fett
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
- Department of Psychology, City, University of London, London, UK.
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Mouchlianitis ED, Tracy DK, Wigton R, Vanes LD, Fett AK, Shergill SS. Neuroimaging oxytocin modulation of social reward learning in schizophrenia. BJPsych Open 2022; 8:e175. [PMID: 36156189 PMCID: PMC9534925 DOI: 10.1192/bjo.2022.577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Conventional pharmacological approaches have limited effectiveness for schizophrenia. There is interest in the application of oxytocin, which is involved in social cognition. Clinical trials have yielded mixed results, with a gap in understanding neural mechanisms. AIMS To evaluate the behavioural impact of oxytocin administration on a social learning task in individuals with schizophrenia, and elucidate any differential neural activity produced. METHOD We recruited 20 clinically stable right-handed men diagnosed with schizophrenia or schizoaffective disorder. In a double-blind cross-over randomised controlled study, 40 IU of oxytocin or placebo were administered before functional magnetic resonance imaging of participants playing a multi-round economic exchange game of trust. Participants had the role of investors (investment trials) receiving repayment on their investments (repayment trials), playing one session against a computer and a second against a player believed to be human. RESULTS During investment trials, oxytocin increased neural signalling in the right lateral parietal cortex for both human and computer player trials, and attenuated signalling in the right insula for human player trials. For repayment trials, oxytocin elicited signal increases in left insula and left ventral caudate, and a signal decrease in right amygdala during the human player trials; conversely it resulted in right dorsal caudate activation during the computer player trials. We did not find a significant change in behavioural performance associated with oxytocin administration, or any associations with symptoms. CONCLUSIONS During a social learning task oxytocin modulates cortical and limbic substrates of the reward-processing network. These perturbations can be putatively linked to the pathoaetiology of schizophrenia.
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Affiliation(s)
- Elias D Mouchlianitis
- Cognition, Schizophrenia and Imaging Laboratory, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK; and School of Psychology, University of East London, UK
| | - Derek K Tracy
- Cognition, Schizophrenia and Imaging Laboratory, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK; and West London NHS Trust, London, UK
| | - Rebekah Wigton
- Department of Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
| | - Lucy D Vanes
- Cognition, Schizophrenia and Imaging Laboratory, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK
| | | | - Sukhi S Shergill
- Cognition, Schizophrenia and Imaging Laboratory, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK; Kent and Medway Medical School, University of Kent, Canterbury, UK; and Kent and Medway NHS and Social Care Partnership Trust, Gillingham, UK
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Kim SH, An K, Namkung H, Saito A, Rannals MD, Moore JR, Mihaljevic M, Saha S, Oh S, Kondo MA, Ishizuka K, Yang K, Maher BJ, Niwa M, Sawa A. Anterior Insula-Associated Social Novelty Recognition: Pivotal Roles of a Local Retinoic Acid Cascade and Oxytocin Signaling. Am J Psychiatry 2022; 180:305-317. [PMID: 36128683 DOI: 10.1176/appi.ajp.21010053] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Deficits in social cognition consistently underlie functional disabilities in a wide range of psychiatric disorders. Neuroimaging studies have suggested that the anterior insula is a "common core" brain region that is impaired across neurological and psychiatric disorders, which include social cognition deficits. Nevertheless, neurobiological mechanisms of the anterior insula for social cognition remain elusive. This study aims to fill this knowledge gap. METHODS To determine the role of the anterior insula in social cognition, the authors manipulated expression of Cyp26B1, an anterior insula-enriched molecule that is crucial for retinoic acid degradation and is involved in the pathology of neuropsychiatric conditions. Social cognition was mainly assayed using the three-chamber social interaction test. Multimodal analyses were conducted at the molecular, cellular, circuitry, and behavioral levels. RESULTS At the molecular and cellular level, anterior insula-mediated social novelty recognition is maintained by proper activity of the layer 5 pyramidal neurons, for which retinoic acid-mediated gene transcription can play a role. The authors also demonstrate that oxytocin influences the anterior insula-mediated social novelty recognition, although not by direct projection of oxytocin neurons, nor by direct diffusion of oxytocin to the anterior insula, which contrasts with the modes of oxytocin regulation onto the posterior insula. Instead, oxytocin affects oxytocin receptor-expressing neurons in the dorsal raphe nucleus, where serotonergic neurons are projected to the anterior insula. Furthermore, the authors show that serotonin 5-HT2C receptor expressed in the anterior insula influences social novelty recognition. CONCLUSIONS The anterior insula plays a pivotal role in social novelty recognition that is partly regulated by a local retinoic acid cascade but also remotely regulated by oxytocin via a long-range circuit mechanism.
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Affiliation(s)
- Sun-Hong Kim
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Kyongman An
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Ho Namkung
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Atsushi Saito
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Matthew D Rannals
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - James R Moore
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Marina Mihaljevic
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Sneha Saha
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Seyun Oh
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Mari A Kondo
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Koko Ishizuka
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Kun Yang
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Brady J Maher
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Minae Niwa
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
| | - Akira Sawa
- Departments of Psychiatry (Kim, An, Namkung, Saito, Moore, Mihaljevic, Saha, Oh, Kondo, Ishizuka, Yang, Maher, Niwa, Sawa), Neuroscience (Maher, Sawa), Biomedical Engineering (Namkung, Sawa), Pharmacology (Sawa), and Genetic Medicine (Sawa), Johns Hopkins University School of Medicine, Baltimore; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore (Sawa); Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore (Rannals, Oh, Maher); Neuroscience Research Australia, Sydney (Kondo); Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham School of Medicine, Birmingham (Niwa)
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Bosch OG, Halm S, Seifritz E. Psychedelics in the treatment of unipolar and bipolar depression. Int J Bipolar Disord 2022; 10:18. [PMID: 35788817 PMCID: PMC9256889 DOI: 10.1186/s40345-022-00265-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Accepted: 06/09/2022] [Indexed: 11/10/2022] Open
Abstract
This is a narrative review about the role of classic and two atypical psychedelics in the treatment of unipolar and bipolar depression. Since the 1990s, psychedelics experience a renaissance in biomedical research. The so-called classic psychedelics include lysergic acid diethylamide (LSD), psilocybin, mescaline and ayahuasca. Characteristic effects like alterations in sensory perception, as well as emotion- and self-processing are induced by stimulation of serotonin 2A receptors in cortical areas. The new paradigm of psychedelic-assisted psychotherapy suggests a therapeutic framework in which a safely conducted psychedelic experience is integrated into a continuous psychotherapeutic process. First randomized, controlled trials with psilocybin show promising efficacy, tolerability, and adherence in the treatment of unipolar depression. On the other hand, classic psychedelics seem to be associated with the induction of mania, which is an important issue to consider for the design of research and clinical protocols. So called atypical psychedelics are a heterogeneous group with overlapping subjective effects but different neurobiological mechanisms. Two examples of therapeutic value in psychiatry are 3,4-methylenedioxymethamphetamine (MDMA) and ketamine. Since 2020 the ketamine enantiomer esketamine has been granted international approval for treatment-resistant unipolar depression, and also first evidence exists for the therapeutic efficacy of ketamine in bipolar depression. Whether psychedelics will fulfil current expectations and find their way into broader clinical use will depend on future rigorous clinical trials with larger sample sizes. A well-considered therapeutic and legal framework will be crucial for these substances to create new treatment settings and a potential paradigm shift.
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Affiliation(s)
- Oliver G Bosch
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Lenggstrasse 31, PO Box 1931, 8032, Zurich, Switzerland.
| | - Simon Halm
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Lenggstrasse 31, PO Box 1931, 8032, Zurich, Switzerland
| | - Erich Seifritz
- Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Lenggstrasse 31, PO Box 1931, 8032, Zurich, Switzerland
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Palmer CA, Powell SL, Deutchman DR, Tintzman C, Poppler A, Oosterhoff B. Sleepy and Secluded: Sleep Disturbances are Associated With Connectedness in Early Adolescent Social Networks. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2022; 32:756-768. [PMID: 34338382 DOI: 10.1111/jora.12670] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 07/01/2021] [Accepted: 07/14/2021] [Indexed: 06/13/2023]
Abstract
Studies in adults suggest that sleep disturbances predict poorer socioemotional skills and impaired social interactions. However, little is known regarding how sleep disturbances are associated with social processes during adolescence, a period when both sleep neurobiology and social relationships are undergoing dramatic developmental changes. The current study examined associations among sleep disturbances and peer connectedness in a sample of middle-school students (N = 213, 11-15 years old, 57% female) using a social network approach. Findings suggested that youth with greater sleep disturbances reported having fewer social connections, were rated as a social connection by fewer peers, and were less likely to have reciprocated nominations, even after controlling for sociodemographic characteristics and mental health symptoms.
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Hanssen E, van Buuren M, Van Atteveldt N, Lemmers-Jansen ILJ, Fett AKJ. Neural, behavioural and real-life correlates of social context sensitivity and social reward learning during interpersonal interactions in the schizophrenia spectrum. Aust N Z J Psychiatry 2022; 56:59-70. [PMID: 34006142 PMCID: PMC8721616 DOI: 10.1177/00048674211010327] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Recent findings suggest that diminished processing of positive contextual information about others during interactions may contribute to social impairment in the schizophrenia spectrum. This could be due to general social context processing deficits or specific biases against positive information. We studied the impact of positive and negative social contextual information during social interactions using functional neuroimaging and probed whether these neural mechanisms were associated with real-life social functioning in schizophrenia spectrum disorders. METHODS Patients with a schizophrenia spectrum disorder (N = 23) and controls disorder (N = 25) played three multi-round trust games during functional magnetic resonance imaging scanning, with no, positive and negative information about the counterpart's trustworthiness, while all counterparts were programmed to behave trustworthy. The main outcome variable was the height of the shared amount in the trust game, i.e. investment, representing an indication of trust. The first investment in the game was considered to be basic trust, since no behavioural feedback was given yet. We performed region-of-interest analyses and examined the association with real-life social functioning using the experience sampling method. RESULTS Social contextual information had no effect on patients' first investments, whereas controls made the lowest investment after negative and the highest investments after positive contextual information was provided. Over trials, patients decreased investments, suggesting reduced social reward learning, whereas controls increased investments in response to behavioural feedback in the negative context. Patients engaged the dorsolateral prefrontal cortex less than controls during context presentation and showed reduced activity within the caudate during repayments. In patients, lower investments were associated with more time spent alone and social exclusion and lower caudate activation was marginally significantly associated with higher perceived social exclusion. CONCLUSION The failure to adapt trust to positive and negative social contexts suggests that patients have a general insensitivity to prior social information, indicating top-down processing impairments. In addition, patients show reduced sensitivity to social reward, i.e. bottom-up processing deficits. Moreover, lower trust and lower neural activation were related to lower real-life social functioning. Together, these findings indicate that improving trust and social interactions in schizophrenia spectrum needs a multi-faceted approach that targets both mechanisms.
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Affiliation(s)
- Esther Hanssen
- Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioural and Movement Sciences, and Institute for Brain and Behaviour (IBBA) Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands,CSI Lab, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychosis Studies, King’s College London, London, UK,Hersencentrum Mental Health Institute, Amsterdam, The Netherlands,Esther Hanssen, Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioural and Movement Sciences, and Institute for Brain and Behaviour (IBBA) Amsterdam, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
| | - Mariët van Buuren
- Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioural and Movement Sciences, and Institute for Brain and Behaviour (IBBA) Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Nienke Van Atteveldt
- Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioural and Movement Sciences, and Institute for Brain and Behaviour (IBBA) Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Imke LJ Lemmers-Jansen
- Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioural and Movement Sciences, and Institute for Brain and Behaviour (IBBA) Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands,CSI Lab, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychosis Studies, King’s College London, London, UK
| | - Anne-Kathrin J Fett
- Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioural and Movement Sciences, and Institute for Brain and Behaviour (IBBA) Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands,CSI Lab, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychosis Studies, King’s College London, London, UK,Department of Psychology, City, University of London, London, UK
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Abstract
The oxytocin receptor plays a significant role in peripheral regulation of parturition and lactation. Given this important role, multiple drug discovery programs have been conducted to develop agonists and antagonists for peripheral activity. The role of the oxytocin receptor in the central nervous system is also significant, promoting social interaction, trust, and empathy in humans. As such, molecules that can access the central nervous system and target the oxytocin receptor are of significant interest. Due to the role of the oxytocin receptor in regulating social function and psychological well-being, agonists of this receptor have considerable promise for the treatment of numerous neuropsychiatric conditions. The poor pharmacokinetic properties and blood-brain barrier penetration of peptide-based molecules means nonpeptide compounds have more commonly been the focus for central nervous system activity. This chapter aims to summarize the current standing of peptide and nonpeptide drug discovery for antagonists and agonists of the oxytocin receptor and focusses on centrally active nonpeptidic agonists.
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Abstract
Although autism spectrum disorder (ASD) is the prototypical psychiatric disorder of social impairment, several if not most psychiatric disorders are characterized by prominent impairments in social functioning. A challenge in clinically assessing and describing social impairment is that it has been variably defined and can be difficult to measure. In this article we consider the psychiatric differential diagnosis of social impairment within the DSM-5 framework. We describe the features of social impairment in 13 DSM-5 disorders from a developmental perspective and highlight diagnostic factors that differentiate among the disorders, including the main features of social impairment, verbal communication, nonverbal communication, course of social impairment, social cognition, and key features of accompanying neuropsychiatric symptoms. We conclude by describing an approach for assessing social impairment across the lifespan.
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Terenzi D, Liu L, Bellucci G, Park SQ. Determinants and modulators of human social decisions. Neurosci Biobehav Rev 2021; 128:383-393. [PMID: 34216653 DOI: 10.1016/j.neubiorev.2021.06.041] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 06/21/2021] [Accepted: 06/28/2021] [Indexed: 12/17/2022]
Abstract
Social decision making is a highly complex process that involves diverse cognitive mechanisms, and it is driven by the precise processing of information from both the environment and from the internal state. On the one hand, successful social decisions require close monitoring of others' behavior, in order to track their intentions; this can guide not only decisions involving other people, but also one's own choices and preferences. On the other hand, internal states such as own reward or changes in hormonal and neurotransmitter states shape social decisions and their underlying neural function. Here, we review the current literature on modulators and determinants of human social decisions.
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Affiliation(s)
- Damiano Terenzi
- Department of Decision Neuroscience and Nutrition, German Institute of Human Nutrition (DIfE), Potsdam-Rehbrücke, Germany; Charité-Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, 10117, Berlin, Germany; Berlin Institute of Health, Neuroscience Research Center, 10117, Berlin, Germany; Deutsches Zentrum für Diabetes, Neuherberg, Germany.
| | - Lu Liu
- Department of Decision Neuroscience and Nutrition, German Institute of Human Nutrition (DIfE), Potsdam-Rehbrücke, Germany; Charité-Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, 10117, Berlin, Germany; Berlin Institute of Health, Neuroscience Research Center, 10117, Berlin, Germany; Deutsches Zentrum für Diabetes, Neuherberg, Germany; Department of Psychology, Sun Yat-sen University, Guangzhou, China.
| | - Gabriele Bellucci
- Department of Computational Neuroscience, Max Planck Institute for Biological Cybernetics Tübingen, Germany
| | - Soyoung Q Park
- Department of Decision Neuroscience and Nutrition, German Institute of Human Nutrition (DIfE), Potsdam-Rehbrücke, Germany; Charité-Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, 10117, Berlin, Germany; Berlin Institute of Health, Neuroscience Research Center, 10117, Berlin, Germany; Deutsches Zentrum für Diabetes, Neuherberg, Germany
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Ciarrusta J, Dimitrova R, McAlonan G. Early maturation of the social brain: How brain development provides a platform for the acquisition of social-cognitive competence. PROGRESS IN BRAIN RESEARCH 2020; 254:49-70. [PMID: 32859293 DOI: 10.1016/bs.pbr.2020.05.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Across the last century psychology has provided a lot of insight about social-cognitive competence. Recognizing facial expressions, joint attention, discrimination of cues and experiencing empathy are just a few examples of the social skills humans acquire from birth to adolescence. However, how very early brain maturation provides a platform to support the attainment of highly complex social behavior later in development remains poorly understood. Magnetic Resonance Imaging provides a safe means to investigate the typical and atypical maturation of regions of the brain responsible for social cognition in as early as the perinatal period. Here, we first review some technical challenges and advances of using functional magnetic resonance imaging on developing infants to then describe current knowledge on the development of diverse systems associated with social function. We will then explain how these characteristics might differ in infants with genetic or environmental risk factors, who are vulnerable to atypical neurodevelopment. Finally, given the rapid early development of systems necessary for social skills, we propose a new framework to investigate sensitive time windows of development when neural substrates might be more vulnerable to impairment due to a genetic or environmental insult.
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Affiliation(s)
- Judit Ciarrusta
- Centre for the Developing Brain, School Biomedical Engineering & Imaging Sciences, King's College London, St Thomas' Hospital, London, United Kingdom; Sackler Institute for Translational Neurodevelopment and Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Ralica Dimitrova
- Centre for the Developing Brain, School Biomedical Engineering & Imaging Sciences, King's College London, St Thomas' Hospital, London, United Kingdom; Sackler Institute for Translational Neurodevelopment and Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Grainne McAlonan
- Sackler Institute for Translational Neurodevelopment and Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom; MRC Centre for Neurodevelopmental Disorders, King's College London, London, United Kingdom; South London and Maudsley NHS Foundation Trust, London, United Kingdom.
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11
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Kuo SS, Wojtalik JA, Mesholam-Gately RI, Keshavan MS, Eack SM. Transdiagnostic validity of the MATRICS Consensus Cognitive Battery across the autism-schizophrenia spectrum. Psychol Med 2020; 50:1623-1632. [PMID: 31298174 PMCID: PMC9812023 DOI: 10.1017/s0033291719001582] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
BACKGROUND Autism Spectrum Disorder (ASD) and schizophrenia are neurodevelopmental disorders which share substantial overlap in cognitive deficits during adulthood. However, treatment evaluation in ASD and treatment comparisons across ASD and schizophrenia are limited by a dearth of empirical work establishing the validity of a standard cognitive battery across ASD and schizophrenia. Promisingly, the MATRICS Consensus Cognitive Battery (MCCB) has been validated in schizophrenia and encompasses cognitive domains that are impacted in ASD. Thus, this study aimed to establish MCCB's generalizability from schizophrenia to ASD. METHODS Community-residing adults with schizophrenia (N = 100) and ASD (N = 113) underwent MCCB assessment. Using multigroup confirmatory factor analysis, MCCB's transdiagnostic validity was evaluated by examining whether schizophrenia and ASD demonstrate the same configuration, magnitude, and directionality of relationships within and among measures and their underlying cognitive domains. RESULTS Across schizophrenia and ASD, the same subsets of MCCB measures inform three cognitive domains: processing speed, attention/working memory, and learning. Except for group means in category fluency, continuous performance, and spatial span, both groups show vastly comparable factor structures and characteristics. CONCLUSIONS To our knowledge, this study is the first to establish the validity of a standard cognitive battery in adults with ASD and furthermore the first to establish a cognitive battery's comparability across ASD and schizophrenia. Cognitive domain scores can be compared across new samples using weighted sums of MCCB scores resulting from this study. These findings highlight MCCB's applicability to ASD and support its utility for standardizing treatment evaluation of cognitive outcomes across the autism-schizophrenia spectrum.
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Affiliation(s)
- Susan S. Kuo
- Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA
| | | | - Raquelle I. Mesholam-Gately
- Massachusetts Mental Health Center Public Psychiatry Division, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - Matcheri S. Keshavan
- Massachusetts Mental Health Center Public Psychiatry Division, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - Shaun M. Eack
- School of Social Work, University of Pittsburgh, Pittsburgh, PA, USA
- Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
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12
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Fett AKJ, Mouchlianitis E, Gromann PM, Vanes L, Shergill SS, Krabbendam L. The neural mechanisms of social reward in early psychosis. Soc Cogn Affect Neurosci 2020; 14:861-870. [PMID: 31506672 PMCID: PMC6847053 DOI: 10.1093/scan/nsz058] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2018] [Revised: 05/08/2019] [Accepted: 07/23/2019] [Indexed: 12/28/2022] Open
Abstract
In chronic psychosis, reduced trust is associated with a neural insensitivity to social reward and reduced theory of mind (ToM). Here we investigate whether these mechanisms could underlie emerging social impairments in early psychosis. Twenty-two participants with early psychosis and 25 controls (male, 13–19 years) participated in two interactive trust games against a cooperative and unfair partner. Region of interest neuroimaging analyses included right caudate, medial prefrontal cortex (mPFC) and right temporoparietal junction (rTPJ), involved in reward and ToM processing. Both groups showed similar levels of trust (i.e. investments). However, individuals with psychosis failed to activate the caudate differentially in response to cooperation and unfairness while making decisions to trust. During cooperative returns, patients showed reduced and controls increased caudate activation. Patients demonstrated greater rTPJ activation than controls, possibly pointing towards compensatory mechanisms. Effects were associated with Wechsler Abbreviated Scale of Intelligence vocabulary scores. No group differences emerged in mPFC activation. Early psychosis is associated with an aberrant neural sensitivity to social reward. This could foster reduced social motivation and social isolation. Absent behavioural differences in early, relative to chronic psychosis could indicate that trust is achieved through increased compensatory demand on ToM.
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Affiliation(s)
- Anne-Kathrin J Fett
- Department of Psychology, City University of London, London ECIV 0HB, United Kingdom.,King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychosis Studies, De Crespigny Park, SE5 8AF, London, United Kingdom.,Wellcome Centre for Human Neuroimaging, Institute of Neurology, University College London, 12 Queen Square, London, United Kingdom
| | - Elias Mouchlianitis
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychosis Studies, De Crespigny Park, SE5 8AF, London, United Kingdom
| | - Paula M Gromann
- Department of Psychology, City University of London, London ECIV 0HB, United Kingdom
| | - Lucy Vanes
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychosis Studies, De Crespigny Park, SE5 8AF, London, United Kingdom.,Wellcome Centre for Human Neuroimaging, Institute of Neurology, University College London, 12 Queen Square, London, United Kingdom
| | - Sukhi S Shergill
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychosis Studies, De Crespigny Park, SE5 8AF, London, United Kingdom
| | - Lydia Krabbendam
- Department of Developmental and Clinical Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Van der Boechorststraat 1s, 1081 BT Amsterdam, the Netherlands
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13
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Bradley ER, Brustkern J, De Coster L, van den Bos W, McClure SM, Seitz A, Woolley JD. Victory is its own reward: oxytocin increases costly competitive behavior in schizophrenia. Psychol Med 2020; 50:674-682. [PMID: 30944045 DOI: 10.1017/s0033291719000552] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
BACKGROUND Aberrant sensitivity to social reward may be an important contributor to abnormal social behavior that is a core feature of schizophrenia. The neuropeptide oxytocin impacts the salience of social information across species, but its effect on social reward in schizophrenia is unknown. METHODS We used a competitive economic game and computational modeling to examine behavioral dynamics and oxytocin effects on sensitivity to social reward among 39 men with schizophrenia and 54 matched healthy controls. In a randomized, double-blind study, participants received one dose of oxytocin (40 IU) or placebo and completed a 35-trial Auction Game that quantifies preferences for monetary v. social reward. We analyzed bidding behavior using multilevel linear mixed models and reinforcement learning models. RESULTS Bidding was motivated by preferences for both monetary and social reward in both groups, but bidding dynamics differed: patients initially overbid less compared to controls, and across trials, controls decreased their bids while patients did not. Oxytocin administration was associated with sustained overbidding across trials, particularly in patients. This drug effect was driven by a stronger preference for winning the auction, regardless of monetary consequences. Learning rate and response variability did not differ between groups or drug condition, suggesting that differences in bidding derive primarily from differences in the subjective value of social rewards. CONCLUSIONS Our findings suggest that schizophrenia is associated with diminished motivation for social reward that may be increased by oxytocin administration.
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Affiliation(s)
- Ellen R Bradley
- Department of Psychiatry, University of California, San Francisco, CA94110, USA
- Mental Health Service, San Francisco Veterans Administration Medical Center, San Francisco, CA, USA
| | | | - Lize De Coster
- Department of Psychiatry, University of California, San Francisco, CA94110, USA
- Mental Health Service, San Francisco Veterans Administration Medical Center, San Francisco, CA, USA
| | - Wouter van den Bos
- Center for Adaptive Rationality, Max Planck Institute for Human Development, Berlin, Germany
| | - Samuel M McClure
- Department of Psychology, Arizona State University, TempeAZ, USA
| | - Alison Seitz
- Department of Psychiatry, University of California, San Francisco, CA94110, USA
- Mental Health Service, San Francisco Veterans Administration Medical Center, San Francisco, CA, USA
| | - Joshua D Woolley
- Department of Psychiatry, University of California, San Francisco, CA94110, USA
- Mental Health Service, San Francisco Veterans Administration Medical Center, San Francisco, CA, USA
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14
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Sijtsma H, Lee NC, Hollarek M, Walsh RJ, van Buuren M, Braams BR, Krabbendam L. Social Cognition and Friendships in Adolescents With Autistic-Like Experiences and Psychotic-Like Experiences. Front Psychiatry 2020; 11:589824. [PMID: 33519546 PMCID: PMC7843702 DOI: 10.3389/fpsyt.2020.589824] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 12/15/2020] [Indexed: 12/19/2022] Open
Abstract
Autism spectrum conditions (ASC) and schizophrenia spectrum conditions (SSC) are both characterized by changes in social-cognitive functioning. Less is known about the overlap and the differences in social-cognitive functioning when comparing individuals with subclinical levels of ASC and SSC, while studies in non-clinical samples have the benefit of avoiding confounds that are present in clinical groups. Therefore, we first examined how autistic-like experiences, positive psychotic-like experiences and the co-occurrence of both correlated with the performance on an extensive battery of social cognition tasks in young adolescents. Second, we examined the effect of autistic-like experiences, psychotic-like experiences and their co-occurrence on friendships in daily life. A total of 305 adolescents (Mage = 12.6, sd = 0.4, 147 boys) participated in the current study. A battery of social cognition tasks, comprising the Reading the Mind in the Eyes task, Dot perspective task and trust game were individually administered in a classroom setting, along with a friendship peer nomination questionnaire. Results indicated no evidence for a relationship between the performance on the social cognition battery and subclinical experiences of autism and/or psychosis. However, results did show that the amount of autistic-like experiences of adolescents were associated with being less often selected as a friend by their peers. By contrast, no relationship between self-reported friendships and autistic-like experiences was found. Neither a relationship between friendships and psychotic-like experiences was reported. This study provides initial evidence that information provided by peers may shed light on (altered) social behavior associated with autistic-like experiences that is not apparent on performance measures, as well as elucidate possible differences between autistic- and psychotic-like experiences.
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Affiliation(s)
- Hester Sijtsma
- Section of Clinical Developmental Psychology, Faculty of Behavioral and Movement Sciences, Research Institute LEARN!, Institute of Brain and Behavior, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Nikki C Lee
- Section of Clinical Developmental Psychology, Faculty of Behavioral and Movement Sciences, Research Institute LEARN!, Institute of Brain and Behavior, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Miriam Hollarek
- Section of Clinical Developmental Psychology, Faculty of Behavioral and Movement Sciences, Research Institute LEARN!, Institute of Brain and Behavior, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Reubs J Walsh
- Section of Clinical Developmental Psychology, Faculty of Behavioral and Movement Sciences, Research Institute LEARN!, Institute of Brain and Behavior, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Mariët van Buuren
- Section of Clinical Developmental Psychology, Faculty of Behavioral and Movement Sciences, Research Institute LEARN!, Institute of Brain and Behavior, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Barbara R Braams
- Section of Clinical Developmental Psychology, Faculty of Behavioral and Movement Sciences, Research Institute LEARN!, Institute of Brain and Behavior, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Lydia Krabbendam
- Section of Clinical Developmental Psychology, Faculty of Behavioral and Movement Sciences, Research Institute LEARN!, Institute of Brain and Behavior, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
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15
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Arioli M, Canessa N. Neural processing of social interaction: Coordinate-based meta-analytic evidence from human neuroimaging studies. Hum Brain Mapp 2019; 40:3712-3737. [PMID: 31077492 DOI: 10.1002/hbm.24627] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Revised: 05/01/2019] [Accepted: 05/02/2019] [Indexed: 12/13/2022] Open
Abstract
While the action observation and mentalizing networks are considered to play complementary roles in understanding others' goals and intentions, they might be concurrently engaged when processing social interactions. We assessed this hypothesis via three activation-likelihood-estimation meta-analyses of neuroimaging studies on the neural processing of: (a) social interactions, (b) individual actions by the action observation network, and (c) mental states by the mentalizing network. Conjunction analyses and direct comparisons unveiled overlapping and specific regions among the resulting maps. We report quantitative meta-analytic evidence for a "social interaction network" including key nodes of the action observation and mentalizing networks. An action-social interaction-mentalizing gradient of activity along the posterior temporal cortex highlighted a hierarchical processing of interactions, from visuomotor analyses decoding individual and shared intentions to in-depth inferences on actors' intentional states. The medial prefrontal cortex, possibly in conjunction with the amygdala, might provide additional information concerning the affective valence of the interaction. This evidence suggests that the functional architecture underlying the neural processing of interactions involves the joint involvement of the action observation and mentalizing networks. These data might inform the design of rehabilitative treatments for social cognition disorders in pathological conditions, and the assessment of their outcome in randomized controlled trials.
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Affiliation(s)
- Maria Arioli
- Department of Humanities and Life Sciences, Scuola Universitaria Superiore IUSS, Pavia, Italy.,Cognitive Neuroscience Laboratory, IRCCS ICS Maugeri, Pavia, Italy
| | - Nicola Canessa
- Department of Humanities and Life Sciences, Scuola Universitaria Superiore IUSS, Pavia, Italy.,Cognitive Neuroscience Laboratory, IRCCS ICS Maugeri, Pavia, Italy
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16
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Bell V, Robinson B, Katona C, Fett AK, Shergill S. When trust is lost: the impact of interpersonal trauma on social interactions. Psychol Med 2019; 49:1041-1046. [PMID: 30043717 DOI: 10.1017/s0033291718001800] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND Trauma due to deliberate harm by others is known to increase the likelihood of developing Post-Traumatic Stress Disorder (PTSD). This is the first study investigating basic and dynamic trust in 'interpersonal' PTSD. METHODS Thirty-two participants with PTSD and 22 healthy controls played a novel multi-round version of a monetary investment protocol, the so-called 'Trust Game', a task from the behavioural economics literature, which is considered to involve trust and reciprocity. We used two 'Trust Games' including cooperative and unfair partners. RESULTS Findings showed an effect for lower basic investment in PTSD compared to healthy controls, that trended towards significance (p = 0.09). All participants showed behavioural flexibility and modified their trust based on behavioural cues from their cooperative and unfair game partners. However, participants with PTSD made significantly lower investments towards the cooperative partner than controls. Investments towards the unfair partner did not differ between groups. Higher trauma scores were associated with lower levels of trust-related investments towards the cooperative but not the unfair game partner. CONCLUSION The association between reduced trust towards cooperative others in individuals who experienced interpersonal trauma could indicate acquired insensitivity to social rewards or inflexible negative beliefs about others as a sequel of the traumatic experience, which increases in a dose response relationship with the severity of the trauma. A specific focus on cooperation and trusting behaviour could provide a treatment target for future cognitive and pharmacological interventions.
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Affiliation(s)
- Victoria Bell
- Department of Psychosis Studies,Institute of Psychiatry, Psychology and Neuroscience, King's College London,London,UK
| | - Benjamin Robinson
- Adult Psychiatry,South London and Maudsley NHS Foundation Trust,London,UK
| | | | - Anne-Kathrin Fett
- Department of Psychosis Studies,Institute of Psychiatry, Psychology and Neuroscience, King's College London,London,UK
| | - Sukhi Shergill
- Department of Psychosis Studies,Institute of Psychiatry, Psychology and Neuroscience, King's College London,London,UK
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17
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De Rosa C, Sampogna G, Luciano M, Del Vecchio V, Fabrazzo M, Fiorillo A. Social versus biological psychiatry: It's time for integration! Int J Soc Psychiatry 2018; 64:617-621. [PMID: 29649926 DOI: 10.1177/0020764017752969] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Corrado De Rosa
- Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Gaia Sampogna
- Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Mario Luciano
- Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Valeria Del Vecchio
- Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Michele Fabrazzo
- Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Andrea Fiorillo
- Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy
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18
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Campellone TR, Truong B, Gard D, Schlosser DA. Social motivation in people with recent-onset schizophrenia spectrum disorders. J Psychiatr Res 2018; 99:96-103. [PMID: 29428842 PMCID: PMC5849532 DOI: 10.1016/j.jpsychires.2018.01.006] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Revised: 12/21/2017] [Accepted: 01/11/2018] [Indexed: 12/21/2022]
Abstract
People with schizophrenia-spectrum disorders (SSD) often experience impairments in non-social motivation. In this study, we extended this line of investigation by examining specific components of social motivation and the extent to which these components work together in people with and without a recent-onset SSD. Sixty-four people with a recent-onset SSD and 26 controls completed a task that allowed us to examine changes in anticipated pleasure, decisions to trust, and effort expenditure over the course of repeated interactions with positive or negative outcomes. Compared to controls, we found that people in the SSD group placed less trust, tended to anticipate less pleasure, and expended less effort to increase the likelihood of future interactions with positive outcomes. Further, in the SSD group, effort expenditure was not associated with either anticipated pleasure or decisions to trust. While there were no group differences in anticipated pleasure or trust placed during interactions with negative outcomes, people in the SSD group expended less effort to decrease to the likelihood of future interactions. Taken together, our findings suggest that people with a recent-onset SSD may experience both impairment and disconnection between various components of social motivation for interactions with positive outcomes. Implications for interventions for social engagement in people with SSD are discussed.
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Affiliation(s)
- Timothy R Campellone
- San Francisco Veterans Affairs Medical Center, San Francisco, USA; Department of Psychiatry, University of California, San Francisco, USA.
| | - Brandy Truong
- Department of Psychiatry, University of California, San Francisco, USA
| | - David Gard
- Department of Psychology, San Francisco State University, San Francisco, USA
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19
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Okruszek Ł. It Is Not Just in Faces! Processing of Emotion and Intention from Biological Motion in Psychiatric Disorders. Front Hum Neurosci 2018; 12:48. [PMID: 29472852 PMCID: PMC5809469 DOI: 10.3389/fnhum.2018.00048] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2017] [Accepted: 01/26/2018] [Indexed: 01/29/2023] Open
Abstract
Social neuroscience offers a wide range of techniques that may be applied to study the social cognitive deficits that may underlie reduced social functioning—a common feature across many psychiatric disorders. At the same time, a significant proportion of research in this area has been conducted using paradigms that utilize static displays of faces or eyes. The use of point-light displays (PLDs) offers a viable alternative for studying recognition of emotion or intention inference while minimizing the amount of information presented to participants. This mini-review aims to summarize studies that have used PLD to study emotion and intention processing in schizophrenia (SCZ), affective disorders, anxiety and personality disorders, eating disorders and neurodegenerative disorders. Two main conclusions can be drawn from the reviewed studies: first, the social cognitive problems found in most of the psychiatric samples using PLD were of smaller magnitude than those found in studies presenting social information using faces or voices. Second, even though the information presented in PLDs is extremely limited, presentation of these types of stimuli is sufficient to elicit the disorder-specific, social cognitive biases (e.g., mood-congruent bias in depression, increased threat perception in anxious individuals, aberrant body size perception in eating disorders) documented using other methodologies. Taken together, these findings suggest that point-light stimuli may be a useful method of studying social information processing in psychiatry. At the same time, some limitations of using this methodology are also outlined.
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Affiliation(s)
- Łukasz Okruszek
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
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20
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Ibáñez A, García AM, Esteves S, Yoris A, Muñoz E, Reynaldo L, Pietto ML, Adolfi F, Manes F. Social neuroscience: undoing the schism between neurology and psychiatry. Soc Neurosci 2018; 13:1-39. [PMID: 27707008 PMCID: PMC11177280 DOI: 10.1080/17470919.2016.1245214] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Multiple disorders once jointly conceived as "nervous diseases" became segregated by the distinct institutional traditions forged in neurology and psychiatry. As a result, each field specialized in the study and treatment of a subset of such conditions. Here we propose new avenues for interdisciplinary interaction through a triangulation of both fields with social neuroscience. To this end, we review evidence from five relevant domains (facial emotion recognition, empathy, theory of mind, moral cognition, and social context assessment), highlighting their common disturbances across neurological and psychiatric conditions and discussing their multiple pathophysiological mechanisms. Our proposal is anchored in multidimensional evidence, including behavioral, neurocognitive, and genetic findings. From a clinical perspective, this work paves the way for dimensional and transdiagnostic approaches, new pharmacological treatments, and educational innovations rooted in a combined neuropsychiatric training. Research-wise, it fosters new models of the social brain and a novel platform to explore the interplay of cognitive and social functions. Finally, we identify new challenges for this synergistic framework.
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Affiliation(s)
- Agustín Ibáñez
- a Laboratory of Experimental Psychology and Neuroscience (LPEN), Institute of Cognitive and Translational Neuroscience (INCyT), INECO Foundation , Favaloro University , Buenos Aires , Argentina
- b National Scientific and Technical Research Council (CONICET) , Buenos Aires , Argentina
- c Center for Social and Cognitive Neuroscience (CSCN), School of Psychology , Universidad Adolfo Ibáñez , Santiago de Chile , Chile
- d Universidad Autónoma del Caribe , Barranquilla , Colombia
- e Centre of Excellence in Cognition and its Disorders , Australian Research Council (ACR) , Sydney , Australia
| | - Adolfo M García
- a Laboratory of Experimental Psychology and Neuroscience (LPEN), Institute of Cognitive and Translational Neuroscience (INCyT), INECO Foundation , Favaloro University , Buenos Aires , Argentina
- b National Scientific and Technical Research Council (CONICET) , Buenos Aires , Argentina
- f Faculty of Elementary and Special Education (FEEyE) , National University of Cuyo (UNCuyo) , Mendoza , Argentina
| | - Sol Esteves
- a Laboratory of Experimental Psychology and Neuroscience (LPEN), Institute of Cognitive and Translational Neuroscience (INCyT), INECO Foundation , Favaloro University , Buenos Aires , Argentina
| | - Adrián Yoris
- a Laboratory of Experimental Psychology and Neuroscience (LPEN), Institute of Cognitive and Translational Neuroscience (INCyT), INECO Foundation , Favaloro University , Buenos Aires , Argentina
- b National Scientific and Technical Research Council (CONICET) , Buenos Aires , Argentina
| | - Edinson Muñoz
- g Departamento de Lingüística y Literatura, Facultad de Humanidades , Universidad de Santiago de Chile , Santiago , Chile
| | - Lucila Reynaldo
- a Laboratory of Experimental Psychology and Neuroscience (LPEN), Institute of Cognitive and Translational Neuroscience (INCyT), INECO Foundation , Favaloro University , Buenos Aires , Argentina
| | | | - Federico Adolfi
- a Laboratory of Experimental Psychology and Neuroscience (LPEN), Institute of Cognitive and Translational Neuroscience (INCyT), INECO Foundation , Favaloro University , Buenos Aires , Argentina
| | - Facundo Manes
- a Laboratory of Experimental Psychology and Neuroscience (LPEN), Institute of Cognitive and Translational Neuroscience (INCyT), INECO Foundation , Favaloro University , Buenos Aires , Argentina
- b National Scientific and Technical Research Council (CONICET) , Buenos Aires , Argentina
- e Centre of Excellence in Cognition and its Disorders , Australian Research Council (ACR) , Sydney , Australia
- i Department of Experimental Psychology , University of South Carolina , Columbia , SC , USA
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21
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Okruszek Ł, Piejka A, Wysokiński A, Szczepocka E, Manera V. The second agent effect: Interpersonal predictive coding in people with schizophrenia. Soc Neurosci 2017; 14:208-213. [DOI: 10.1080/17470919.2017.1415969] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Łukasz Okruszek
- Clinical Neuroscience Lab, Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
| | | | - Adam Wysokiński
- Department of Old Age Psychiatry and Psychotic Disorders, Medical University of Łódź, Łódź, Poland
| | - Ewa Szczepocka
- Department of Old Age Psychiatry and Psychotic Disorders, Medical University of Łódź, Łódź, Poland
| | - Valeria Manera
- Spatio-Temporal Activity Recognition Systems Research team, INRIA, Sophia Antipolis, France
- Cognition Behavior Technologies (CoBTeK), Université Côte d’Azur, Nice, France
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22
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Parellada M, Pina-Camacho L, Moreno C, Aleman Y, Krebs MO, Desco M, Merchán-Naranjo J, Del Rey-Mejías A, Boada L, Llorente C, Moreno D, Arango C, Janssen J. Insular pathology in young people with high-functioning autism and first-episode psychosis. Psychol Med 2017; 47:2472-2482. [PMID: 28436341 DOI: 10.1017/s0033291717000988] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND Autism Spectrum Disorders (ASD) and psychosis share deficits in social cognition. The insular region has been associated with awareness of self and reality, which may be basic for proper social interactions. METHODS Total and regional insular volume and thickness measurements were obtained from a sample of 30 children and adolescents with ASD, 29 with early onset first-episode psychosis (FEP), and 26 healthy controls (HC). Total, regional, and voxel-level volume and thickness measurements were compared between groups (with correction for multiple comparisons), and the relationship between these measurements and symptom severity was explored. RESULTS Compared with HC, a shared volume deficit was observed for the right (but not the left) anterior insula (ASD: p = 0.007, FEP: p = 0.032), and for the bilateral posterior insula: (left, ASD: p = 0.011, FEP: p = 0.033; right, ASD: p = 0.004, FEP: p = 0.028). A voxel-based morphometry (VBM) conjunction analysis showed that ASD and FEP patients shared a gray matter volume and thickness deficit in the left posterior insula. Within patients, right anterior (r = -0.28, p = 0.041) and left posterior (r = -0.29, p = 0.030) insular volumes negatively correlated with the severity of insight deficits, and left posterior insular volume negatively correlated with the severity of 'autistic-like' symptoms (r = -0.30, p = 0.028). CONCLUSIONS The shared reduced volume and thickness in the anterior and posterior regions of the insula in ASD and FEP provides the first tentative evidence that these conditions share structural pathology that may be linked to shared symptomatology.
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Affiliation(s)
- M Parellada
- Child and Adolescent Psychiatry Department,Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense,IiSGM, CIBERSAM. Ibiza 43,28009 Madrid,Spain
| | - L Pina-Camacho
- Child and Adolescent Psychiatry Department,Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense,IiSGM, CIBERSAM. Ibiza 43,28009 Madrid,Spain
| | - C Moreno
- Child and Adolescent Psychiatry Department,Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense,IiSGM, CIBERSAM. Ibiza 43,28009 Madrid,Spain
| | - Y Aleman
- Department of Experimental Medicine,Hospital General Universitario Gregorio Marañón,IiSGM, CIBERSAM,Ibiza 43, 28009 Madrid,Spain
| | - M-O Krebs
- INSERM, U894, "Psychophysiology of psychiatric disorders Lab," Center for psychiatry and neurosciences, University Paris Descartes, Sorbonne Paris Cité; Institut de Psychiatrie-GDR 3557; and Service Hospitalo-Universitaire, Centre Hospitalier Sainte-Anne,Paris,France
| | - M Desco
- Department of Experimental Medicine,Hospital General Universitario Gregorio Marañón,IiSGM, CIBERSAM,Ibiza 43, 28009 Madrid,Spain
| | - J Merchán-Naranjo
- Child and Adolescent Psychiatry Department,Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense,IiSGM, CIBERSAM. Ibiza 43,28009 Madrid,Spain
| | - A Del Rey-Mejías
- Child and Adolescent Psychiatry Department,Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense,IiSGM, CIBERSAM. Ibiza 43,28009 Madrid,Spain
| | - L Boada
- Child and Adolescent Psychiatry Department,Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense,IiSGM, CIBERSAM. Ibiza 43,28009 Madrid,Spain
| | - C Llorente
- Child and Adolescent Psychiatry Department,Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense,IiSGM, CIBERSAM. Ibiza 43,28009 Madrid,Spain
| | - D Moreno
- Child and Adolescent Psychiatry Department,Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense,IiSGM, CIBERSAM. Ibiza 43,28009 Madrid,Spain
| | - C Arango
- Child and Adolescent Psychiatry Department,Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense,IiSGM, CIBERSAM. Ibiza 43,28009 Madrid,Spain
| | - J Janssen
- Child and Adolescent Psychiatry Department,Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense,IiSGM, CIBERSAM. Ibiza 43,28009 Madrid,Spain
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Lamblin M, Murawski C, Whittle S, Fornito A. Social connectedness, mental health and the adolescent brain. Neurosci Biobehav Rev 2017; 80:57-68. [DOI: 10.1016/j.neubiorev.2017.05.010] [Citation(s) in RCA: 97] [Impact Index Per Article: 13.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Revised: 05/09/2017] [Accepted: 05/09/2017] [Indexed: 12/26/2022]
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24
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Exploring functioning in schizophrenia: Predictors of functional capacity and real-world behaviour. Psychiatry Res 2017; 251:118-124. [PMID: 28199909 DOI: 10.1016/j.psychres.2017.02.019] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Revised: 01/19/2017] [Accepted: 02/08/2017] [Indexed: 02/06/2023]
Abstract
Impairment in daily functioning still represents a major treatment issue in schizophrenia and a more in-depth knowledge of underlying constructs is crucial for interventions to translate into better outcomes. This study aims to model factors influencing both functional capacity and real-life behaviour in a sample of outpatients with chronic schizophrenia, through a comprehensive assessment including evaluations of psychopathology, cognitive and social cognitive abilities, premorbid adjustment, family environment and early childhood experiences. No significant correlation was observed between functional capacity and real-life behaviour. Functional capacity was significantly predicted by IQ, while real-life behaviour was significantly predicted by empathy, affect recognition and symptoms. Functional capacity seems mainly related to neurocognition, whereas real-life behaviour appears more complex, requiring the integration of different factors including symptoms, with a major role of empathy. Results thus support a divergence between the two constructs of functioning and their underlying components and highlight the need to target both dimensions through individualized sequential rehabilitation programs in order to optimize functional outcome.
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25
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Yahata N, Kasai K, Kawato M. Computational neuroscience approach to biomarkers and treatments for mental disorders. Psychiatry Clin Neurosci 2017; 71:215-237. [PMID: 28032396 DOI: 10.1111/pcn.12502] [Citation(s) in RCA: 60] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2016] [Revised: 12/19/2016] [Accepted: 12/25/2016] [Indexed: 01/21/2023]
Abstract
Psychiatry research has long experienced a stagnation stemming from a lack of understanding of the neurobiological underpinnings of phenomenologically defined mental disorders. Recently, the application of computational neuroscience to psychiatry research has shown great promise in establishing a link between phenomenological and pathophysiological aspects of mental disorders, thereby recasting current nosology in more biologically meaningful dimensions. In this review, we highlight recent investigations into computational neuroscience that have undertaken either theory- or data-driven approaches to quantitatively delineate the mechanisms of mental disorders. The theory-driven approach, including reinforcement learning models, plays an integrative role in this process by enabling correspondence between behavior and disorder-specific alterations at multiple levels of brain organization, ranging from molecules to cells to circuits. Previous studies have explicated a plethora of defining symptoms of mental disorders, including anhedonia, inattention, and poor executive function. The data-driven approach, on the other hand, is an emerging field in computational neuroscience seeking to identify disorder-specific features among high-dimensional big data. Remarkably, various machine-learning techniques have been applied to neuroimaging data, and the extracted disorder-specific features have been used for automatic case-control classification. For many disorders, the reported accuracies have reached 90% or more. However, we note that rigorous tests on independent cohorts are critically required to translate this research into clinical applications. Finally, we discuss the utility of the disorder-specific features found by the data-driven approach to psychiatric therapies, including neurofeedback. Such developments will allow simultaneous diagnosis and treatment of mental disorders using neuroimaging, thereby establishing 'theranostics' for the first time in clinical psychiatry.
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Affiliation(s)
- Noriaki Yahata
- Department of Youth Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.,Department of Molecular Imaging and Theranostics, National Institute of Radiological Sciences, National Institutes for Quantum and Radiological Science and Technology, Chiba, Japan.,ATR Brain Information Communication Research Laboratory Group, Kyoto, Japan
| | - Kiyoto Kasai
- Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Mitsuo Kawato
- ATR Brain Information Communication Research Laboratory Group, Kyoto, Japan
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26
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Abram SV, Wisner KM, Fox JM, Barch DM, Wang L, Csernansky JG, MacDonald AW, Smith MJ. Fronto-temporal connectivity predicts cognitive empathy deficits and experiential negative symptoms in schizophrenia. Hum Brain Mapp 2017; 38:1111-1124. [PMID: 27774734 PMCID: PMC6866816 DOI: 10.1002/hbm.23439] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Revised: 09/03/2016] [Accepted: 10/05/2016] [Indexed: 01/10/2023] Open
Abstract
Impaired cognitive empathy is a core social cognitive deficit in schizophrenia associated with negative symptoms and social functioning. Cognitive empathy and negative symptoms have also been linked to medial prefrontal and temporal brain networks. While shared behavioral and neural underpinnings are suspected for cognitive empathy and negative symptoms, research is needed to test these hypotheses. In two studies, we evaluated whether resting-state functional connectivity between data-driven networks, or components (referred to as, inter-component connectivity), predicted cognitive empathy and experiential and expressive negative symptoms in schizophrenia subjects. Study 1: We examined associations between cognitive empathy and medial prefrontal and temporal inter-component connectivity at rest using a group-matched schizophrenia and control sample. We then assessed whether inter-component connectivity metrics associated with cognitive empathy were also related to negative symptoms. Study 2: We sought to replicate the connectivity-symptom associations observed in Study 1 using an independent schizophrenia sample. Study 1 results revealed that while the groups did not differ in average inter-component connectivity, a medial-fronto-temporal metric and an orbito-fronto-temporal metric were related to cognitive empathy. Moreover, the medial-fronto-temporal metric was associated with experiential negative symptoms in both schizophrenia samples. These findings support recent models that link social cognition and negative symptoms in schizophrenia. Hum Brain Mapp 38:1111-1124, 2017. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Samantha V. Abram
- Department of PsychologyUniversity of Minnesota, Twin Cities75 East River ParkwayMinneapolisMinnesota
| | - Krista M. Wisner
- Department of PsychologyUniversity of Minnesota, Twin Cities75 East River ParkwayMinneapolisMinnesota
| | - Jaclyn M. Fox
- Department of Psychiatry and Behavioral SciencesNorthwestern University Feinberg School of Medicine710 North Lakeshore DriveChicagoIllinois
| | - Deanna M. Barch
- Department of PsychologyWashington University School of MedicineSt. LouisMissouri
- Department of PsychiatryWashington University School of MedicineSt. LouisMissouri
- Department of RadiologyWashington University School of MedicineSt. LouisMissouri
| | - Lei Wang
- Department of Psychiatry and Behavioral SciencesNorthwestern University Feinberg School of Medicine710 North Lakeshore DriveChicagoIllinois
| | - John G. Csernansky
- Department of Psychiatry and Behavioral SciencesNorthwestern University Feinberg School of Medicine710 North Lakeshore DriveChicagoIllinois
| | - Angus W. MacDonald
- Department of PsychologyUniversity of Minnesota, Twin Cities75 East River ParkwayMinneapolisMinnesota
- Department of PsychiatryUniversity of Minnesota, Twin CitiesMinneapolisMinnesota
| | - Matthew J. Smith
- Department of Psychiatry and Behavioral SciencesNorthwestern University Feinberg School of Medicine710 North Lakeshore DriveChicagoIllinois
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27
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Peñagarikano O. Oxytocin in animal models of autism spectrum disorder. Dev Neurobiol 2017; 77:202-213. [DOI: 10.1002/dneu.22449] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2016] [Revised: 07/30/2016] [Accepted: 09/04/2016] [Indexed: 12/22/2022]
Affiliation(s)
- Olga Peñagarikano
- Department of Pharmacology, School of Medicine; University of the Basque Country; Sarriena s/n Leioa 48940 Spain
- Center for Biomedical Research Network in Mental Health (CIBERSAM), ISCIII; Spain
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28
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Cognitive behavioral therapy in 22q11.2 microdeletion with psychotic symptoms: What do we learn from schizophrenia? Eur J Med Genet 2016; 59:596-603. [PMID: 27639442 DOI: 10.1016/j.ejmg.2016.09.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Accepted: 09/11/2016] [Indexed: 11/20/2022]
Abstract
The 22q11.2 deletion syndrome (22q11.2DS) is one of the most common microdeletion syndromes, with a widely underestimated prevalence between 1 per 2000 and 1 per 6000. Since childhood, patients with 22q11.2DS are described as having difficulties to initiate and maintain peer relationships. This lack of social skills has been linked to attention deficits/hyperactivity disorder, anxiety and depression. A high incidence of psychosis and positive symptoms is observed in patients with 22q11.2DS and remains correlated with poor social functioning, anxiety and depressive symptoms. Because 22q11.2DS and schizophrenia share several major clinical features, 22q11.2DS is sometimes considered as a genetic model for schizophrenia. Surprisingly, almost no study suggests the use of cognitive and behavioral therapy (CBT) in this indication. We reviewed what should be learned from schizophrenia to develop specific intervention for 22q11.2DS. In our opinion, the first step of CBT approach in 22q11.2DS with psychotic symptoms is to identify precisely which tools can be used among the already available ones. Cognitive behavioral therapy (CBT) targets integrated disorders, i.e. reasoning biases and behavior disorders. In 22q11.2DS, CBT-targeted behavior disorders may take the form of social avoidance and withdrawal or, in the contrary, a more unusual disinhibition and aggressiveness. In our experience, other negative symptoms observed in 22q11.2DS, such as motivation deficit or anhedonia, may also be reduced by CBT. Controlled trials have been studying the benefits of CBT in schizophrenia and several meta-analyses proved its effectiveness. Therefore, it is legitimate to propose this tool in 22q11.2DS, considering symptoms similarities. Overall, CBT is the most effective psychosocial intervention on psychotic symptoms and remains a relevant complement to pharmacological treatments such as antipsychotics.
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29
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Homberg JR, Olivier JDA, VandenBroeke M, Youn J, Ellenbroek AK, Karel P, Shan L, van Boxtel R, Ooms S, Balemans M, Langedijk J, Muller M, Vriend G, Cools AR, Cuppen E, Ellenbroek BA. The role of the dopamine D1 receptor in social cognition: studies using a novel genetic rat model. Dis Model Mech 2016; 9:1147-1158. [PMID: 27483345 PMCID: PMC5087833 DOI: 10.1242/dmm.024752] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Accepted: 05/04/2016] [Indexed: 01/25/2023] Open
Abstract
Social cognition is an endophenotype that is impaired in schizophrenia and several other (comorbid) psychiatric disorders. One of the modulators of social cognition is dopamine, but its role is not clear. The effects of dopamine are mediated through dopamine receptors, including the dopamine D1 receptor (Drd1). Because current Drd1 receptor agonists are not Drd1 selective, pharmacological tools are not sufficient to delineate the role of the Drd1. Here, we describe a novel rat model with a genetic mutation in Drd1 in which we measured basic behavioural phenotypes and social cognition. The I116S mutation was predicted to render the receptor less stable. In line with this computational prediction, this Drd1 mutation led to a decreased transmembrane insertion of Drd1, whereas Drd1 expression, as measured by Drd1 mRNA levels, remained unaffected. Owing to decreased transmembrane Drd1 insertion, the mutant rats displayed normal basic motoric and neurological parameters, as well as locomotor activity and anxiety-like behaviour. However, measures of social cognition like social interaction, scent marking, pup ultrasonic vocalizations and sociability, were strongly reduced in the mutant rats. This profile of the Drd1 mutant rat offers the field of neuroscience a novel genetic rat model to study a series of psychiatric disorders including schizophrenia, autism, depression, bipolar disorder and drug addiction.
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Affiliation(s)
- Judith R Homberg
- Donders Institute for Brain, Cognition and Behaviour, Department of Cognitive Neuroscience, Radboud University Medical Centre, Nijmegen 6525 EZ, The Netherlands
| | - Jocelien D A Olivier
- Department of Neurobiology, Unit Behavioural Neuroscience, Groningen Institute for Evolutionary Life Sciences, University of Groningen, Groningen 9700 CC, The Netherlands
| | - Marie VandenBroeke
- Victoria University of Wellington, School of Psychology, PO Box 600, Wellington 6040, New Zealand
| | - Jiun Youn
- Victoria University of Wellington, School of Psychology, PO Box 600, Wellington 6040, New Zealand
| | - Arabella K Ellenbroek
- Victoria University of Wellington, School of Psychology, PO Box 600, Wellington 6040, New Zealand
| | - Peter Karel
- Donders Institute for Brain, Cognition and Behaviour, Department of Cognitive Neuroscience, Radboud University Medical Centre, Nijmegen 6525 EZ, The Netherlands
| | - Ling Shan
- Donders Institute for Brain, Cognition and Behaviour, Department of Cognitive Neuroscience, Radboud University Medical Centre, Nijmegen 6525 EZ, The Netherlands
| | - Ruben van Boxtel
- Hubrecht Institute, KNAW and University Medical Centre Utrecht, Utrecht 3584 CT, The Netherlands
| | - Sharon Ooms
- Donders Institute for Brain, Cognition and Behaviour, Department of Cognitive Neuroscience, Radboud University Medical Centre, Nijmegen 6525 EZ, The Netherlands
| | - Monique Balemans
- Donders Institute for Brain, Cognition and Behaviour, Department of Cognitive Neuroscience, Radboud University Medical Centre, Nijmegen 6525 EZ, The Netherlands
| | - Jacqueline Langedijk
- Donders Institute for Brain, Cognition and Behaviour, Department of Cognitive Neuroscience, Radboud University Medical Centre, Nijmegen 6525 EZ, The Netherlands
| | - Mareike Muller
- Donders Institute for Brain, Cognition and Behaviour, Department of Cognitive Neuroscience, Radboud University Medical Centre, Nijmegen 6525 EZ, The Netherlands
| | - Gert Vriend
- CMBI, Radboud University Nijmegen Medical Centre, Geert Grooteplein 26-28, Nijmegen 6525 GA, The Netherlands
| | - Alexander R Cools
- Donders Institute for Brain, Cognition and Behaviour, Department of Cognitive Neuroscience, Radboud University Medical Centre, Nijmegen 6525 EZ, The Netherlands
| | - Edwin Cuppen
- Hubrecht Institute, KNAW and University Medical Centre Utrecht, Utrecht 3584 CT, The Netherlands
| | - Bart A Ellenbroek
- Victoria University of Wellington, School of Psychology, PO Box 600, Wellington 6040, New Zealand
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30
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Abstract
BACKGROUND Deficits in the perception of social cues are common in schizophrenia and predict functional outcome. While effective communication depends on deciphering both verbal and non-verbal features, work on non-verbal communication in the disorder is scarce. METHOD This behavioural study of 29 individuals with schizophrenia and 25 demographically matched controls used silent video-clips to examine gestural identification, its contextual modulation and related metacognitive representations. RESULTS In accord with our principal hypothesis, we observed that individuals with schizophrenia exhibited a preserved ability to identify archetypal gestures and did not differentially infer communicative intent from incidental movements. However, patients were more likely than controls to perceive gestures as self-referential when confirmatory evidence was ambiguous. Furthermore, the severity of their current hallucinatory experience inversely predicted their confidence ratings associated with these self-referential judgements. CONCLUSIONS These findings suggest a deficit in the contextual refinement of social-cue processing in schizophrenia that is potentially attributable to impaired monitoring of a mirror mechanism underlying intentional judgements, or to an incomplete semantic representation of gestural actions. Non-verbal communication may be improved in patients through psychotherapeutic interventions that include performance and perception of gestures in group interactions.
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Affiliation(s)
- T P White
- Institute of Psychiatry, Psychology and Neuroscience,De Crespigny Park,London,UK
| | - F Borgan
- Institute of Psychiatry, Psychology and Neuroscience,De Crespigny Park,London,UK
| | - O Ralley
- Institute of Psychiatry, Psychology and Neuroscience,De Crespigny Park,London,UK
| | - S S Shergill
- Institute of Psychiatry, Psychology and Neuroscience,De Crespigny Park,London,UK
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31
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Billeke P, Armijo A, Castillo D, López T, Zamorano F, Cosmelli D, Aboitiz F. Paradoxical Expectation: Oscillatory Brain Activity Reveals Social Interaction Impairment in Schizophrenia. Biol Psychiatry 2015; 78:421-31. [PMID: 25861703 DOI: 10.1016/j.biopsych.2015.02.012] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2014] [Revised: 12/23/2014] [Accepted: 02/06/2015] [Indexed: 02/08/2023]
Abstract
BACKGROUND People with schizophrenia show social impairments that are related to functional outcomes. We tested the hypothesis that social interaction impairments in people with schizophrenia are related to alterations in the predictions of others' behavior and explored their underlying neurobiological mechanisms. METHODS Electroencephalography was performed in 20 patients with schizophrenia and 25 well-matched control subjects. Participants played as proposers in the repeated version of the Ultimatum Game believing that they were playing with another human or with a computer. The power of oscillatory brain activity was obtained by means of the wavelet transform. We performed a trial-by-trial correlation between the oscillatory activity and the risk of the offer. RESULTS Control subjects adapted their offers when playing with computers and tended to maintain their offers when playing with humans, as such revealing learning and bargaining strategies, respectively. People with schizophrenia presented the opposite pattern of behavior in both games. During the anticipation of others' responses, the power of alpha oscillations correlated with the risk of the offers made, in a different way in both games. Patients with schizophrenia presented a greater correlation in computer games than in human games; control subjects showed the opposite pattern. The alpha activity correlated with positive symptoms. CONCLUSIONS Our results reveal an alteration in social interaction in patients with schizophrenia that is related to oscillatory brain activity, suggesting maladjustment of expectation when patients face social and nonsocial agents. This alteration is related to psychotic symptoms and could guide further therapies for improving social functioning in patients with schizophrenia.
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Affiliation(s)
- Pablo Billeke
- Centro de Investigación en Complejidad Social, Facultad de Gobierno, Universidad del Desarrollo, Santiago, Chile; Laboratorio de Neurociencias Cognitivas, Departamento de Psiquiatría, Facultad de Medicina, and Interdisciplinary Center for Neuroscience, Santiago, Chile.
| | - Alejandra Armijo
- Instituto Psiquiátrico Dr. Horwitz Barak, Servicio de Salud Metropolitano Norte, Santiago, Chile
| | - Daniel Castillo
- Instituto Psiquiátrico Dr. Horwitz Barak, Servicio de Salud Metropolitano Norte, Santiago, Chile
| | - Tamara López
- Instituto Psiquiátrico Dr. Horwitz Barak, Servicio de Salud Metropolitano Norte, Santiago, Chile
| | - Francisco Zamorano
- Centro de Investigación en Complejidad Social, Facultad de Gobierno, Universidad del Desarrollo, Santiago, Chile; Laboratorio de Neurociencias Cognitivas, Departamento de Psiquiatría, Facultad de Medicina, and Interdisciplinary Center for Neuroscience, Santiago, Chile
| | - Diego Cosmelli
- Departamento de Psicología, Facultad de Ciencias Sociales, Pontificia Universidad Católica de Chile
| | - Francisco Aboitiz
- Laboratorio de Neurociencias Cognitivas, Departamento de Psiquiatría, Facultad de Medicina, and Interdisciplinary Center for Neuroscience, Santiago, Chile
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