A quasi-randomized feasibility pilot study of specific treatments to improve emotion recognition and mental-state reasoning impairments in schizophrenia

Pamela Jane Marsh, Vince Polito, Subba Singh, Max Coltheart, Robyn Langdon, Anthony W. Harris

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Impaired ability to make inferences about what another person might think or feel (i.e., social cognition impairment) is recognised as a core feature of schizophrenia and a key determinant of the poor social functioning that characterizes this illness. The development of treatments to target social cognitive impairments as a causal factor of impaired functioning in schizophrenia is of high priority. In this study, we investigated the acceptability, feasibility, and limited efficacy of 2 programs targeted at specific domains of social cognition in schizophrenia: "SoCog" Mental-State Reasoning Training (SoCog-MSRT) and "SoCog" Emotion Recognition Training (SoCog-ERT). Method: Thirty-one participants with schizophrenia or schizoaffective disorder were allocated to either SoCog-MSRT (n = 19) or SoCog-ERT (n = 12). Treatment comprised 12 twice-weekly sessions for 6 weeks. Participants underwent assessments of social cognition, neurocognition and symptoms at baseline, post-training and 3-months after completing training. Results: Attendance at training sessions was high with an average of 89.29 % attendance in the SoCog-MSRT groups and 85.42 % in the SoCog-ERT groups. Participants also reported the 2 programs as enjoyable and beneficial. Both SoCog-MSRT and SoCog-ERT groups showed increased scores on a false belief reasoning task and the Reading the Mind in the Eyes test. The SoCog-MSRT group also showed reduced personalising attributional biases in a small number of participants, while the SoCog-ERT group showed improved emotion recognition. Conclusions: The results are promising and support the feasibility and acceptability of the 2 SoCog programs as well as limited efficacy to improve social cognitive abilities in schizophrenia. There is also some evidence that skills for the recognition of basic facial expressions need specific training. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12613000978763. Retrospectively registered 3/09/2013.

LanguageEnglish
Article number360
Pages1-15
Number of pages15
JournalBMC Psychiatry
Volume16
DOIs
Publication statusPublished - 24 Oct 2016

Fingerprint

Feasibility Studies
Schizophrenia
Emotions
Cognition
Facial Expression
Aptitude
Recognition (Psychology)
New Zealand
Psychotic Disorders
Registries
Reading
Clinical Trials

Bibliographical note

Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Schizophrenia
  • Social cognition
  • Theory of mind
  • Emotion recognition
  • Mental state reasoning
  • Remediation
  • Social cognitive training

Cite this

@article{aad0cf97ca48444e879ed33dcb345896,
title = "A quasi-randomized feasibility pilot study of specific treatments to improve emotion recognition and mental-state reasoning impairments in schizophrenia",
abstract = "Background: Impaired ability to make inferences about what another person might think or feel (i.e., social cognition impairment) is recognised as a core feature of schizophrenia and a key determinant of the poor social functioning that characterizes this illness. The development of treatments to target social cognitive impairments as a causal factor of impaired functioning in schizophrenia is of high priority. In this study, we investigated the acceptability, feasibility, and limited efficacy of 2 programs targeted at specific domains of social cognition in schizophrenia: {"}SoCog{"} Mental-State Reasoning Training (SoCog-MSRT) and {"}SoCog{"} Emotion Recognition Training (SoCog-ERT). Method: Thirty-one participants with schizophrenia or schizoaffective disorder were allocated to either SoCog-MSRT (n = 19) or SoCog-ERT (n = 12). Treatment comprised 12 twice-weekly sessions for 6 weeks. Participants underwent assessments of social cognition, neurocognition and symptoms at baseline, post-training and 3-months after completing training. Results: Attendance at training sessions was high with an average of 89.29 {\%} attendance in the SoCog-MSRT groups and 85.42 {\%} in the SoCog-ERT groups. Participants also reported the 2 programs as enjoyable and beneficial. Both SoCog-MSRT and SoCog-ERT groups showed increased scores on a false belief reasoning task and the Reading the Mind in the Eyes test. The SoCog-MSRT group also showed reduced personalising attributional biases in a small number of participants, while the SoCog-ERT group showed improved emotion recognition. Conclusions: The results are promising and support the feasibility and acceptability of the 2 SoCog programs as well as limited efficacy to improve social cognitive abilities in schizophrenia. There is also some evidence that skills for the recognition of basic facial expressions need specific training. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12613000978763. Retrospectively registered 3/09/2013.",
keywords = "Schizophrenia, Social cognition, Theory of mind, Emotion recognition, Mental state reasoning, Remediation, Social cognitive training",
author = "Marsh, {Pamela Jane} and Vince Polito and Subba Singh and Max Coltheart and Robyn Langdon and Harris, {Anthony W.}",
note = "Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",
year = "2016",
month = "10",
day = "24",
doi = "10.1186/s12888-016-1064-6",
language = "English",
volume = "16",
pages = "1--15",
journal = "BMC Psychiatry",
issn = "1471-244X",
publisher = "Springer, Springer Nature",

}

A quasi-randomized feasibility pilot study of specific treatments to improve emotion recognition and mental-state reasoning impairments in schizophrenia. / Marsh, Pamela Jane; Polito, Vince; Singh, Subba; Coltheart, Max; Langdon, Robyn; Harris, Anthony W.

In: BMC Psychiatry, Vol. 16, 360, 24.10.2016, p. 1-15.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - A quasi-randomized feasibility pilot study of specific treatments to improve emotion recognition and mental-state reasoning impairments in schizophrenia

AU - Marsh, Pamela Jane

AU - Polito, Vince

AU - Singh, Subba

AU - Coltheart, Max

AU - Langdon, Robyn

AU - Harris, Anthony W.

N1 - Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2016/10/24

Y1 - 2016/10/24

N2 - Background: Impaired ability to make inferences about what another person might think or feel (i.e., social cognition impairment) is recognised as a core feature of schizophrenia and a key determinant of the poor social functioning that characterizes this illness. The development of treatments to target social cognitive impairments as a causal factor of impaired functioning in schizophrenia is of high priority. In this study, we investigated the acceptability, feasibility, and limited efficacy of 2 programs targeted at specific domains of social cognition in schizophrenia: "SoCog" Mental-State Reasoning Training (SoCog-MSRT) and "SoCog" Emotion Recognition Training (SoCog-ERT). Method: Thirty-one participants with schizophrenia or schizoaffective disorder were allocated to either SoCog-MSRT (n = 19) or SoCog-ERT (n = 12). Treatment comprised 12 twice-weekly sessions for 6 weeks. Participants underwent assessments of social cognition, neurocognition and symptoms at baseline, post-training and 3-months after completing training. Results: Attendance at training sessions was high with an average of 89.29 % attendance in the SoCog-MSRT groups and 85.42 % in the SoCog-ERT groups. Participants also reported the 2 programs as enjoyable and beneficial. Both SoCog-MSRT and SoCog-ERT groups showed increased scores on a false belief reasoning task and the Reading the Mind in the Eyes test. The SoCog-MSRT group also showed reduced personalising attributional biases in a small number of participants, while the SoCog-ERT group showed improved emotion recognition. Conclusions: The results are promising and support the feasibility and acceptability of the 2 SoCog programs as well as limited efficacy to improve social cognitive abilities in schizophrenia. There is also some evidence that skills for the recognition of basic facial expressions need specific training. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12613000978763. Retrospectively registered 3/09/2013.

AB - Background: Impaired ability to make inferences about what another person might think or feel (i.e., social cognition impairment) is recognised as a core feature of schizophrenia and a key determinant of the poor social functioning that characterizes this illness. The development of treatments to target social cognitive impairments as a causal factor of impaired functioning in schizophrenia is of high priority. In this study, we investigated the acceptability, feasibility, and limited efficacy of 2 programs targeted at specific domains of social cognition in schizophrenia: "SoCog" Mental-State Reasoning Training (SoCog-MSRT) and "SoCog" Emotion Recognition Training (SoCog-ERT). Method: Thirty-one participants with schizophrenia or schizoaffective disorder were allocated to either SoCog-MSRT (n = 19) or SoCog-ERT (n = 12). Treatment comprised 12 twice-weekly sessions for 6 weeks. Participants underwent assessments of social cognition, neurocognition and symptoms at baseline, post-training and 3-months after completing training. Results: Attendance at training sessions was high with an average of 89.29 % attendance in the SoCog-MSRT groups and 85.42 % in the SoCog-ERT groups. Participants also reported the 2 programs as enjoyable and beneficial. Both SoCog-MSRT and SoCog-ERT groups showed increased scores on a false belief reasoning task and the Reading the Mind in the Eyes test. The SoCog-MSRT group also showed reduced personalising attributional biases in a small number of participants, while the SoCog-ERT group showed improved emotion recognition. Conclusions: The results are promising and support the feasibility and acceptability of the 2 SoCog programs as well as limited efficacy to improve social cognitive abilities in schizophrenia. There is also some evidence that skills for the recognition of basic facial expressions need specific training. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12613000978763. Retrospectively registered 3/09/2013.

KW - Schizophrenia

KW - Social cognition

KW - Theory of mind

KW - Emotion recognition

KW - Mental state reasoning

KW - Remediation

KW - Social cognitive training

UR - http://www.scopus.com/inward/record.url?scp=84992385136&partnerID=8YFLogxK

U2 - 10.1186/s12888-016-1064-6

DO - 10.1186/s12888-016-1064-6

M3 - Article

VL - 16

SP - 1

EP - 15

JO - BMC Psychiatry

T2 - BMC Psychiatry

JF - BMC Psychiatry

SN - 1471-244X

M1 - 360

ER -