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Bottiroli S, Rosi A, Sances G, Allena M, De Icco R, Lecce S, Vecchi T, Tassorelli C, Cavallini E. Social cognition in chronic migraine with medication overuse: a cross-sectional study on different aspects of mentalization and social relationships. J Headache Pain 2023; 24:47. [PMID: 37106347 PMCID: PMC10139829 DOI: 10.1186/s10194-023-01578-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Accepted: 04/13/2023] [Indexed: 04/29/2023] Open
Abstract
BACKGROUND Social cognition refers to all mental operations to decipher information needed in social interactions. Here we aimed to outline the socio-cognitive profile of Chronic Migraine with Medication Overuse (CM + MO), given they are recognized to be at risk of socio-cognitive difficulties. Given the multidimensionality of this construct, we considered: (1) socio-cognitive abilities, (2) socio-cognitive beliefs, (3) alexithymia and autism traits, and (4) social relationships. METHODS Seventy-one patients suffering from CM + MO, 61 from episodic migraine (EM), and 80 healthy controls (HC) were assessed with a comprehensive battery: (1) the Faux Pas test (FP), the Strange Stories task (SS), the Reading Mind in the Eyes test (RMET), (2) the Tromsø Social Intelligence Scale, (3) the Toronto Alexithymia Scale, the Autism Spectrum Quotient, (4) the Lubben Social Network Scale, the Friendship Scale. RESULTS CM + MO: (1) performed similar to EM but worse than HC in the FP and SS, while they were worse than EM and HC in the RMET; (2) were similar to EM and HC in social intelligence; (3) had more alexithymic/autistic traits than EM and HC; (4) reported higher levels of contact with their family members but felt little support from the people around them than HC. CONCLUSIONS CM + MO results characterized by a profile of compromised socio-cognitive abilities that affects different dimensions. These findings may have a relevant role in multiple fields related to chronic headache: from the assessment to the management.
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Affiliation(s)
- Sara Bottiroli
- Giustino Fortunato University, Benevento, Italy.
- IRCCS Mondino Foundation, Pavia, Italy.
| | - Alessia Rosi
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | | | | | - Roberto De Icco
- IRCCS Mondino Foundation, Pavia, Italy
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Serena Lecce
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Tomaso Vecchi
- IRCCS Mondino Foundation, Pavia, Italy
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Cristina Tassorelli
- IRCCS Mondino Foundation, Pavia, Italy
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Elena Cavallini
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
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Chen KL, Yang HC, Lin YC, Yu YT, Lai SS. Cognitive Predictors of Social Interaction in Daily Contexts Among Children With Autism Spectrum Disorder. Am J Occup Ther 2022; 76:23278. [PMID: 35648117 DOI: 10.5014/ajot.2022.042556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
IMPORTANCE Theory of mind (ToM) and executive function (EF) are often used to explain social interaction deficits in children with autism spectrum disorder (ASD), but no behavioral studies have specifically examined their relationship. OBJECTIVE To investigate the cognitive correlates of social interaction in daily contexts by ToM as well as cool and hot EFs among children with ASD. DESIGN Cross-sectional study. SETTING Teaching hospitals, clinics, and developmental centers. PARTICIPANTS One hundred thirty-two children with ASD and their caregivers. OUTCOMES AND MEASURES Measurements included the Vineland Adaptive Behavior Scales, Theory of Mind Task Battery, Dimensional Change Card Sort, and Children's Gambling Task, respectively, for children's daily social interaction, ToM, cool EF, and hot EF. Pearson's correlation analyses and three hierarchical regression models were conducted to identify the significant predictors of daily social interaction while controlling for verbal comprehension, measured using the Verbal Comprehension Index (VCI) of two Wechsler scales. RESULTS ToM and cool EF were significant cognitive predictors of social interaction in daily contexts in children with ASD whose verbal comprehension was average or above average. CONCLUSIONS AND RELEVANCE Our results suggest that ToM and cool EF are predictors of social interaction in daily contexts when considering children's verbal comprehension. Hot EF was not a significant predictor, contrary to our hypothesis. This behavioral study fills a research gap by enhancing the understanding of important cognitive correlates of social interaction in daily contexts for children with ASD to improve evaluation and intervention planning with this population. What This Article Adds: This study identified two cognitive predictors, ToM and cool EF, of social interaction in daily contexts for children with ASD. In addition to verbal comprehension, occupational therapy practitioners should assess ToM and cool EF to inform more comprehensive evaluation and intervention planning to improve social interaction in daily contexts for children with ASD.
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Affiliation(s)
- Kuan-Lin Chen
- Kuan-Lin Chen, PhD, OTR, is Associate Professor, Department of Occupational Therapy and Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan City, Taiwan, and Occupational Therapist, Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, Tainan City, Taiwan;
| | - Hsiu-Ching Yang
- Hsiu-Ching Yang, MS, OTR, is Lecturer, Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan City, Taiwan, and Occupational Therapist, Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, Tainan City, Taiwan
| | - Yu-Ching Lin
- Yu-Ching Lin, MS, MD, is Associate Professor, Department of Physical Medicine and Rehabilitation, National Cheng Kung University, Tainan City, Taiwan, and Visiting Physician, Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City, Taiwan
| | - Yen-Ting Yu
- Yen-Ting Yu, PhD, is Postdoctoral Fellow, Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan City, Taiwan, and School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei City, Taiwan
| | - Szu-Shen Lai
- Szu-Shen Lai, MS, OTR, is Occupational Therapist, Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital Taoyuan Branch, Taoyuan, Taiwan
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Hermans KSFM, Kirtley OJ, Kasanova Z, Achterhof R, Hagemann N, Hiekkaranta AP, Lecei A, Zapata‐Fonseca L, Lafit G, Fossion R, Froese T, Myin‐Germeys I. Capacity for social contingency detection continues to develop across adolescence. SOCIAL DEVELOPMENT 2021. [DOI: 10.1111/sode.12567] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
| | - Olivia J. Kirtley
- Department of Neurosciences Center for Contextual Psychiatry KU Leuven Leuven Belgium
| | - Zuzana Kasanova
- Department of Neurosciences Center for Contextual Psychiatry KU Leuven Leuven Belgium
| | - Robin Achterhof
- Department of Neurosciences Center for Contextual Psychiatry KU Leuven Leuven Belgium
| | - Noëmi Hagemann
- Department of Neurosciences Center for Contextual Psychiatry KU Leuven Leuven Belgium
| | - Anu P. Hiekkaranta
- Department of Neurosciences Center for Contextual Psychiatry KU Leuven Leuven Belgium
| | - Aleksandra Lecei
- Department of Neurosciences Center for Clinical Psychiatry KU Leuven Leuven Belgium
| | - Leonardo Zapata‐Fonseca
- Plan of Combined Studies in Medicine (PECEM) Faculty of Medicine National Autonomous University of Mexico Mexico City Mexico
- Center for the Sciences of Complexity (C3) National Autonomous University of Mexico Mexico City Mexico
- Section Phenomenological Psychopathology and Psychotherapy Department of General Psychiatry Centre of Psychosocial Medicine University of Heidelberg Heidelberg Germany
| | - Ginette Lafit
- Department of Neurosciences Center for Contextual Psychiatry KU Leuven Leuven Belgium
- Department of Psychology Research Group of Quantitative Psychology and Individual Differences KU Leuven Leuven Belgium
| | - Ruben Fossion
- Center for the Sciences of Complexity (C3) National Autonomous University of Mexico Mexico City Mexico
- Institute of Nuclear Science National Autonomous University of Mexico Mexico City Mexico
| | - Tom Froese
- Embodied Cognitive Science Unit Okinawa Institute of Science and Technology Graduate University Onna‐son Okinawa Japan
| | - Inez Myin‐Germeys
- Department of Neurosciences Center for Contextual Psychiatry KU Leuven Leuven Belgium
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Moseley RL, Liu CH, Gregory NJ, Smith P, Baron-Cohen S, Sui J. Levels of Self-representation and Their Sociocognitive Correlates in Late-Diagnosed Autistic Adults. J Autism Dev Disord 2021; 52:3246-3259. [PMID: 34460052 PMCID: PMC9213305 DOI: 10.1007/s10803-021-05251-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/21/2021] [Indexed: 12/18/2022]
Abstract
The cognitive representation of oneself is central to other sociocognitive processes, including relations with others. It is reflected in faster, more accurate processing of self-relevant information, a “self-prioritisation effect” (SPE) which is inconsistent across studies in autism. Across two tasks with autistic and non-autistic participants, we explored the SPE and its relationship to autistic traits, mentalizing ability and loneliness. A SPE was intact in both groups, but together the two tasks suggested a reduced tendency of late-diagnosed autistic participants to differentiate between familiar and unfamiliar others and greater ease disengaging from the self-concept. Correlations too revealed a complex picture, which we attempt to explore and disentangle with reference to the inconsistency across self-processing studies in autism, highlighting implications for future research.
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Affiliation(s)
- R L Moseley
- Department of Psychology, Bournemouth University, Bournemouth University, Talbot Campus, Fern Barrow, Poole, Dorset, BH12 5BB, UK.
| | - C H Liu
- Department of Psychology, Bournemouth University, Bournemouth University, Talbot Campus, Fern Barrow, Poole, Dorset, BH12 5BB, UK
| | - N J Gregory
- Department of Psychology, Bournemouth University, Bournemouth University, Talbot Campus, Fern Barrow, Poole, Dorset, BH12 5BB, UK
| | - P Smith
- Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - S Baron-Cohen
- Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - J Sui
- School of Psychology, University of Aberdeen, Aberdeenshire, UK
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Milic B, Feller C, Schneider M, Debbané M, Loeffler-Stastka H. Social cognition in individuals with 22q11.2 deletion syndrome and its link with psychopathology and social outcomes: a review. BMC Psychiatry 2021; 21:130. [PMID: 33676445 PMCID: PMC7936464 DOI: 10.1186/s12888-020-02975-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2019] [Accepted: 11/18/2020] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND The 22q11.2 deletion syndrome (22q11DS) is a genetic syndrome that results in a highly variable profile of affected individuals of which impairments in the social domain and increased psychopathology are the most prominent. Notably, 25-30% of affected individuals eventually develop schizophrenia/psychosis, predisposing persons with the syndrome to increased risk for this disorder. Because social cognition is considered to underlie social behavior and to be related to psychopathology, this systematic review investigated social cognition in individuals with 22q11DS and examined reported links across its domains with psychopathology and social outcomes. This can provide the basis for a closer understanding of the path from risk to disorder and will inform on the specific domains that can be targeted with preventive intervention strategies. METHOD Systematic literature review of studies that reported the links between social cognitive domains and psychopathology and/or social outcomes in individuals with 22q11DS. Electronic databases searched were PubMed and PsycINFO. RESULTS Defined eligibility criteria identified a total of ten studies to be included in the present review. Selected studies investigated links between two domains of social cognition (emotion processing and theory of mind (ToM)) and psychopathology and/or social outcomes. With respect to the links to psychopathology, two aspects of social cognition were related primarily to negative symptoms. Results regarding the associations to positive and emotional symptoms (anxiety/depression) are limited and require further investigation. Even though both aspects of social cognition were associated with social outcomes, several studies also found no links between these two domains. Both reports invite for an additional examination of reported results and specific considerations regarding chosen constructs. CONCLUSION Although equivocal, results of the present review provide sufficient evidence that social cognition is a useful domain for the closer elucidation of clinical outcomes and social difficulties in this population. At the same time, longitudinal studies and consideration of other variables are also necessary for a timely understanding of affected persons in this respect.
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Affiliation(s)
- Branka Milic
- Clinic for Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.
| | - Clémence Feller
- Clinical Psychology Unit for Intellectual and Developmental Disabilities, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - Maude Schneider
- Clinical Psychology Unit for Intellectual and Developmental Disabilities, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - Martin Debbané
- Developmental Clinical Psychology Unit, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
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Kuis DJ, van de Giessen T, de Jong S, Sportel BE, Boonstra N, van Donkersgoed R, Lysaker PH, Hasson-Ohayon I, Pijnenborg GHM. Empathy and Its Relationship With Social Functioning in Individuals at Ultra-High Risk for Psychosis. Front Psychiatry 2021; 12:730092. [PMID: 34858222 PMCID: PMC8632546 DOI: 10.3389/fpsyt.2021.730092] [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: 06/24/2021] [Accepted: 10/21/2021] [Indexed: 11/20/2022] Open
Abstract
Introduction: Social functioning is often impaired in the ultra-high-risk (UHR) phase of psychosis. There is some evidence that empathy is also impaired in this phase and that these impairments may underlie difficulties in social functioning. The main aim of this study was to investigate whether cognitive and affective empathy are lower in people in the UHR phase of psychosis in comparison to healthy controls, and whether possible impairments have the same magnitude as in people with schizophrenia. A second aim was to examine whether there is a relationship between empathy and social functioning in individuals in the UHR phase. Method: Forty-three individuals at UHR for psychosis, 92 people with a schizophrenia spectrum disorder, and 49 persons without a psychiatric disorder completed the Interpersonal Reactivity Index (IRI), Questionnaire of Cognitive and Affective Empathy (QCAE), and Faux Pas as instruments to measure empathy. The Time Use survey was used to measure social functioning. MAN(C)OVA was used to analyse differences between groups on empathy and social functioning, and correlations were calculated between empathy measures and social functioning for each group. Results: The UHR group presented significantly lower levels of self-reported cognitive empathy than the healthy controls, but not compared to patients with SSD, while performance-based cognitive empathy was unimpaired in the UHR group. On the affective measures, we found that people with UHR and patients with SSD had significantly higher levels of self-reported distress in interpersonal settings compared to healthy controls. In the UHR group, perspective-taking was negatively associated with time spent on structured social activities. In the SSD group, we found that structured social activities were positively associated with perspective-taking and negatively associated with personal distress in interactions with others. Lastly, in people without mental illness, social activities were positively associated with performance-based perspective-taking. Conclusion: Impairments in subjective cognitive empathy appear to be present in the UHR phase, suggesting that difficulties in interpreting the thoughts and feelings of others precede the onset of psychotic disorders. This can inform future interventions in the UHR phase.
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Affiliation(s)
- Daan Jan Kuis
- Geestelijke Gezondheidszorg (GGZ) Drenthe Mental Health Institute, Department of Psychotic Disorders, GGZ Drenthe, Assen, Netherlands
| | - Tara van de Giessen
- Geestelijke Gezondheidszorg (GGZ) Drenthe Mental Health Institute, Department of Psychotic Disorders, GGZ Drenthe, Assen, Netherlands
| | - Steven de Jong
- Lentis Research, Lentis Psychiatric Institute, Groningen, Netherlands
| | - Bouwina Esther Sportel
- Geestelijke Gezondheidszorg (GGZ) Drenthe Mental Health Institute, Department of Psychotic Disorders, GGZ Drenthe, Assen, Netherlands
| | - Nynke Boonstra
- Research Group Care and Innovation in Psychiatry, NHL Stenden University for Applied Sciences, Leeuwarden, Netherlands.,KieN Early Intervention Service, Leeuwarden, Netherlands
| | - Rozanne van Donkersgoed
- Department of Clinical and Developmental Neuropsychology, Faculty of Behavioural and Social Sciences (BSS), University of Groningen, Groningen, Netherlands
| | - Paul H Lysaker
- Richard L. Roudebush VA Medical Center, Indianapolis, IN, United States
| | | | - Gerdina Hendrika Maria Pijnenborg
- Geestelijke Gezondheidszorg (GGZ) Drenthe Mental Health Institute, Department of Psychotic Disorders, GGZ Drenthe, Assen, Netherlands.,Department of Clinical and Developmental Neuropsychology, Faculty of Behavioural and Social Sciences (BSS), University of Groningen, Groningen, Netherlands
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Gourlay C, Collin P, Caron PO, D'Auteuil C, Scherzer PB. Psychometric assessment of social cognitive tasks. APPLIED NEUROPSYCHOLOGY-ADULT 2020; 29:731-749. [PMID: 32841055 DOI: 10.1080/23279095.2020.1807348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Although there has been a marked increase in interest in social cognition (SC) in recent years, psychometric data relating to many tasks used to measure its components remain limited in healthy populations with only five articles published to date. It is accordingly premature to speak of a consensus concerning the specific components, or best tests of the components, and possible cultural differences. The present study sought to partially fill that gap, examining the psychometric properties of a battery of SC tasks in a sample of 100 healthy adults aged 18-85 years old. Initially, nine tasks assessing four SC components were selected: emotion recognition, theory of mind, attributional bias, and social judgment. Construct validity and criterion-related validity were assessed using factor and correlational analyses. Performance across age and sex groups was also investigated. Reliability was assessed through internal consistency, interrater and intercoder agreement. Results indicated satisfactory properties for the Ambiguous Intentions Hostility Questionnaire-blame score, the Social Judgment Task, the Facial Emotions Recognition Test, and a modified version of the Strange Stories Task. Statistically significant differences were found between the groups with regard to age and sex after accounting for demographic and cognitive factors. However, the correlations of these measures with relationship quality were mostly very low, raising questions about their concomitant validity. Other tasks showed sub-optimal properties, suggesting that some frequently used tests require further validation or modifications to ensure the quality of research findings. Based on the results, recommended measures for future studies and limitations are discussed.
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Affiliation(s)
- Catherine Gourlay
- Department of Psychology, Université du Québec à Montréal, Montréal, Canada
| | - Pascal Collin
- Department of Psychology, Université du Québec à Montréal, Montréal, Canada
| | | | - Camille D'Auteuil
- Department of Psychology, Université du Québec à Montréal, Montréal, Canada
| | - Peter B Scherzer
- Department of Psychology, Université du Québec à Montréal, Montréal, Canada
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Investigating real-time social interaction in pairs of adolescents with the Perceptual Crossing Experiment. Behav Res Methods 2020; 52:1929-1938. [PMID: 32077080 DOI: 10.3758/s13428-020-01378-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The study of real-time social interaction provides ecologically valid insight into social behavior. The objective of the current research is to experimentally assess real-time social contingency detection in an adolescent population, using a shortened version of the Perceptual Crossing Experiment (PCE). Pairs of 148 adolescents aged between 12 and 19 were instructed to find each other in a virtual environment interspersed with other objects by interacting with each other using tactile feedback only. Across six rounds, participants demonstrated increasing accuracy in social contingency detection, which was associated with increasing subjective experience of the mutual interaction. Subjective experience was highest in rounds when both participants were simultaneously accurate in detecting each other's presence. The six-round version yielded comparable social contingency detection outcome measures to a ten-round version of the task. The shortened six-round version of the PCE has therefore enabled us to extend the previous findings on social contingency detection in adults to an adolescent population, enabling implementation in prospective research designs to assess the development of social contingency detection over time.
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