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The predictive value of measures of social cognition for community functioning in schizophrenia: Implications for neuropsychological assessment

Published online by Cambridge University Press:  01 March 2009

G.H.M. PIJNENBORG ,
F.K. WITHAAR ,
J.J. EVANS ,
R.J. VAN DEN BOSCH ,
M.E. TIMMERMAN  and
W.H. BROUWER
G.H.M. PIJNENBORG*
Affiliation:
Department of Psychotic Disorders, GGZ Drenthe, Assen, The Netherlands Department of Psychology, University of Groningen, Groningen, The Netherlands School for Behavioral and Cognitive Neurosciences (BCN), University Medical Centre, Groningen, The Netherlands
F.K. WITHAAR
Affiliation:
Department of Psychotic Disorders, GGZ Drenthe, Assen, The Netherlands Department of Psychiatry, University Medical Center Groningen, Groningen, The Netherlands
J.J. EVANS
Affiliation:
Section of Psychological Medicine, University of Glasgow, Academic Centre, Gartnavel Royal Hospital, Glasgow, United Kingdom
R.J. VAN DEN BOSCH
Affiliation:
School for Behavioral and Cognitive Neurosciences (BCN), University Medical Centre, Groningen, The Netherlands Department of Psychiatry, University Medical Center Groningen, Groningen, The Netherlands
M.E. TIMMERMAN
Affiliation:
Department of Psychology, University of Groningen, Groningen, The Netherlands
W.H. BROUWER
Affiliation:
Department of Psychology, University of Groningen, Groningen, The Netherlands Section of Psychological Medicine, University of Glasgow, Academic Centre, Gartnavel Royal Hospital, Glasgow, United Kingdom Department of Neurology, University of Groningen, Groningen, The Netherlands
*
*Correspondence and reprint requests to: Marieke Pijnenborg, Department of Psychotic Disorders, GGZ Drenthe, Dennenweg 9, 9404 LA Assen, The Netherlands. E-mail: marieke.pijnenborg@ggzdrenthe.nl
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Abstract

The objective of this study was to examine the unique contribution of social cognition to the prediction of community functioning and to explore the relevance of social cognition for clinical practice. Forty-six schizophrenia patients and 53 healthy controls were assessed with tests of social cognition [emotion perception and Theory of Mind (ToM)], general cognition, and, within the patient sample, psychiatric symptoms. Community functioning was rated by nurses or family members. Social cognition was a better predictor of community functioning than general cognition or psychiatric symptoms. When the contributions of emotion perception and ToM were examined separately, only ToM contributed significantly to the prediction of community functioning. Independent living skills were poor in patients with impaired social cognition. In controls, social cognition was not related to community functioning. ToM was the best predictor of community functioning in schizophrenia. However, to fully understand a patient’s strengths and weaknesses, assessment of social cognition should always be combined with assessment of general cognition and psychiatric symptoms. (JINS, 2009, 15, 239–247).

Keywords

Psychotic disorderSocial adjustmentNeuropsychological testsAdultEmotionSocial behavior
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 15 , Issue 2 , March 2009 , pp. 239 - 247
Copyright
Copyright © INS 2009

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