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Neurocognitive and social cognitive correlates of social exclusion in psychotic disorders: a 20-year follow-up cohort study.

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Title: Neurocognitive and social cognitive correlates of social exclusion in psychotic disorders: a 20-year follow-up cohort study.
Authors: Peralta, Victor (AUTHOR), Sánchez-Torres, Ana M. (AUTHOR), Gil-Berrozpe, Gustavo (AUTHOR), de Jalón, Elena García (AUTHOR), Moreno-Izco, Lucía (AUTHOR), Peralta, David (AUTHOR), Janda, Lucía (AUTHOR), Cuesta, Manuel J. (AUTHOR), Ballesteros, A. (AUTHOR), Fañanás, L. (AUTHOR), Gil-Berrozpe, G. (AUTHOR), Hernández, R. (AUTHOR), Lorente, R. (AUTHOR), Papiol, S. (AUTHOR), Ribeiro, M. (AUTHOR), Rosero, A. (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Feb2025, Vol. 60 Issue 2, p413-426. 14p.
Subjects: Cognitive psychology, Social marginality, Cognitive testing, Cognition, Social perception
Abstract: Purpose: Little is known about the relationship between social exclusion and cognitive impairment in psychosis. We conducted a long-term cohort study of first-episode psychosis to examine the association between comprehensive measures of cognitive impairment and social exclusion assessed at follow-up. Methods: A total of 173 subjects with first-episode psychosis were assessed after a 20-year follow-up for 7 cognitive domains and 12 social exclusion indicators. Associations between sets of variables were modeled using multivariate regression, where social exclusion indicators were the dependent variables, cognitive domains were the independent variables, and age, gender, and duration of follow-up were covariates. Results: The total scores on the measures of cognition and social exclusion were strongly associated (β = −.469, ∆R2 = 0.215). Participants with high social exclusion were 4.24 times more likely to have cognitive impairment than those with low social exclusion. Verbal learning was the cognitive function most related to social exclusion domains, and legal capacity was the exclusion domain that showed the strongest relationships with individual cognitive tests. Neurocognition uniquely contributed to housing, work activity, income, and educational attainment, whereas social cognition uniquely contributed to neighborhood deprivation, family and social contacts, and discrimination/stigma. Neurocognition explained more unique variance (11.5%) in social exclusion than social cognition (5.5%). Conclusion: The domains of cognitive impairment were strongly and differentially related to those of social exclusion. Given that such an association pattern is likely bidirectional, a combined approach, both social and cognitive, is of paramount relevance in addressing the social exclusion experienced by individuals with psychotic disorders. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Neurocognitive and social cognitive correlates of social exclusion in psychotic disorders: a 20-year follow-up cohort study.
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  Data: <searchLink fieldCode="AR" term="%22Peralta%2C+Victor%22">Peralta, Victor</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sánchez-Torres%2C+Ana+M%2E%22">Sánchez-Torres, Ana M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gil-Berrozpe%2C+Gustavo%22">Gil-Berrozpe, Gustavo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Jalón%2C+Elena+García%22">de Jalón, Elena García</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moreno-Izco%2C+Lucía%22">Moreno-Izco, Lucía</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Peralta%2C+David%22">Peralta, David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Janda%2C+Lucía%22">Janda, Lucía</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cuesta%2C+Manuel+J%2E%22">Cuesta, Manuel J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ballesteros%2C+A%2E%22">Ballesteros, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fañanás%2C+L%2E%22">Fañanás, L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gil-Berrozpe%2C+G%2E%22">Gil-Berrozpe, G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hernández%2C+R%2E%22">Hernández, R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lorente%2C+R%2E%22">Lorente, R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Papiol%2C+S%2E%22">Papiol, S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ribeiro%2C+M%2E%22">Ribeiro, M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rosero%2C+A%2E%22">Rosero, A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Feb2025, Vol. 60 Issue 2, p413-426. 14p.
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  Data: Purpose: Little is known about the relationship between social exclusion and cognitive impairment in psychosis. We conducted a long-term cohort study of first-episode psychosis to examine the association between comprehensive measures of cognitive impairment and social exclusion assessed at follow-up. Methods: A total of 173 subjects with first-episode psychosis were assessed after a 20-year follow-up for 7 cognitive domains and 12 social exclusion indicators. Associations between sets of variables were modeled using multivariate regression, where social exclusion indicators were the dependent variables, cognitive domains were the independent variables, and age, gender, and duration of follow-up were covariates. Results: The total scores on the measures of cognition and social exclusion were strongly associated (β = −.469, ∆R2 = 0.215). Participants with high social exclusion were 4.24 times more likely to have cognitive impairment than those with low social exclusion. Verbal learning was the cognitive function most related to social exclusion domains, and legal capacity was the exclusion domain that showed the strongest relationships with individual cognitive tests. Neurocognition uniquely contributed to housing, work activity, income, and educational attainment, whereas social cognition uniquely contributed to neighborhood deprivation, family and social contacts, and discrimination/stigma. Neurocognition explained more unique variance (11.5%) in social exclusion than social cognition (5.5%). Conclusion: The domains of cognitive impairment were strongly and differentially related to those of social exclusion. Given that such an association pattern is likely bidirectional, a combined approach, both social and cognitive, is of paramount relevance in addressing the social exclusion experienced by individuals with psychotic disorders. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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