The impact of breast cancer on social cognition in female Colombian patients

Abstract Background The high prevalence of female breast cancer is a global health concern. Breast cancer and its treatments have been associated with impairments in general cognition, as well as structural and functional brain changes. Considering the social challenges that some of these patients f...

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Main Authors: Nicole Palacio, Daniela Nicole Romero, Andrés Mateo Bernal, Daniela González-Rodríguez, Daniel Solarte-Bothe, María del Pilar García, Raúl Murillo, Hernando Santamaría-García, Sandra Báez
Format: Article
Language:English
Published: BMC 2022-12-01
Series:BMC Psychology
Subjects:
Online Access:https://doi.org/10.1186/s40359-022-01005-1
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author Nicole Palacio
Daniela Nicole Romero
Andrés Mateo Bernal
Daniela González-Rodríguez
Daniel Solarte-Bothe
María del Pilar García
Raúl Murillo
Hernando Santamaría-García
Sandra Báez
author_facet Nicole Palacio
Daniela Nicole Romero
Andrés Mateo Bernal
Daniela González-Rodríguez
Daniel Solarte-Bothe
María del Pilar García
Raúl Murillo
Hernando Santamaría-García
Sandra Báez
author_sort Nicole Palacio
collection DOAJ
description Abstract Background The high prevalence of female breast cancer is a global health concern. Breast cancer and its treatments have been associated with impairments in general cognition, as well as structural and functional brain changes. Considering the social challenges that some of these patients face, it is important to understand the socio-emotional effects of breast cancer as well. Nevertheless, the impact of breast cancer on social cognition has remained underexplored. The objective of this study was to assess social cognition domains and other relevant cognitive and emotional variables (executive functions, anxiety, or depression) in females with breast cancer. Methods The participants were 29 female patients diagnosed with breast cancer and 29 female healthy controls. We assessed emotion recognition, theory of mind, empathy, and moral emotions. We also included measures of general cognitive functioning, quality of life, anxiety, and depression. Linear multiple regressions were performed to assess whether the group (patients or controls), GAD-7 scores, emotional and social subscales of EORTC QLQ-C30, and IFS scores predicted the social cognition variables (EET, RMET, MSAT). Results Patients with breast cancer showed impairments in emotion recognition and in affective theory of mind. In addition, patients had lower scores in some executive functions. Only theory of mind between group differences remained significant after Bonferroni correction. Emotion recognition was associated with executive functioning, but anxiety levels were not a significant predictor of the changes in social cognition. Conclusions Social cognition impairments, especially in theory of mind, may be present in breast cancer, which can be relevant to understanding the social challenges that these patients encounter. This could indicate the need for therapeutic interventions to preserve social cognition skills in patients with breast cancer.
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spelling doaj.art-0eca00d9ce824fe2a46481e98b55d5c52022-12-22T03:02:24ZengBMCBMC Psychology2050-72832022-12-0110111310.1186/s40359-022-01005-1The impact of breast cancer on social cognition in female Colombian patientsNicole Palacio0Daniela Nicole Romero1Andrés Mateo Bernal2Daniela González-Rodríguez3Daniel Solarte-Bothe4María del Pilar García5Raúl Murillo6Hernando Santamaría-García7Sandra Báez8Departamento de Psicología, Universidad de Los AndesDepartamento de Psicología, Universidad de Los AndesDepartamento de Psicología, Universidad de Los AndesDepartamento de Psicología, Universidad de Los AndesCentro de Memoria y Cognición Intellectus, Hospital Universitario San IgnacioFacultad de Medicina, Pontificia Universidad JaverianaCentro Javeriano de Oncología, Hospital Universitario San IgnacioCentro de Memoria y Cognición Intellectus, Hospital Universitario San IgnacioDepartamento de Psicología, Universidad de Los AndesAbstract Background The high prevalence of female breast cancer is a global health concern. Breast cancer and its treatments have been associated with impairments in general cognition, as well as structural and functional brain changes. Considering the social challenges that some of these patients face, it is important to understand the socio-emotional effects of breast cancer as well. Nevertheless, the impact of breast cancer on social cognition has remained underexplored. The objective of this study was to assess social cognition domains and other relevant cognitive and emotional variables (executive functions, anxiety, or depression) in females with breast cancer. Methods The participants were 29 female patients diagnosed with breast cancer and 29 female healthy controls. We assessed emotion recognition, theory of mind, empathy, and moral emotions. We also included measures of general cognitive functioning, quality of life, anxiety, and depression. Linear multiple regressions were performed to assess whether the group (patients or controls), GAD-7 scores, emotional and social subscales of EORTC QLQ-C30, and IFS scores predicted the social cognition variables (EET, RMET, MSAT). Results Patients with breast cancer showed impairments in emotion recognition and in affective theory of mind. In addition, patients had lower scores in some executive functions. Only theory of mind between group differences remained significant after Bonferroni correction. Emotion recognition was associated with executive functioning, but anxiety levels were not a significant predictor of the changes in social cognition. Conclusions Social cognition impairments, especially in theory of mind, may be present in breast cancer, which can be relevant to understanding the social challenges that these patients encounter. This could indicate the need for therapeutic interventions to preserve social cognition skills in patients with breast cancer.https://doi.org/10.1186/s40359-022-01005-1Breast cancerCancerEmotion recognitionExecutive functionsSocial cognitionTheory of mind
spellingShingle Nicole Palacio
Daniela Nicole Romero
Andrés Mateo Bernal
Daniela González-Rodríguez
Daniel Solarte-Bothe
María del Pilar García
Raúl Murillo
Hernando Santamaría-García
Sandra Báez
The impact of breast cancer on social cognition in female Colombian patients
BMC Psychology
Breast cancer
Cancer
Emotion recognition
Executive functions
Social cognition
Theory of mind
title The impact of breast cancer on social cognition in female Colombian patients
title_full The impact of breast cancer on social cognition in female Colombian patients
title_fullStr The impact of breast cancer on social cognition in female Colombian patients
title_full_unstemmed The impact of breast cancer on social cognition in female Colombian patients
title_short The impact of breast cancer on social cognition in female Colombian patients
title_sort impact of breast cancer on social cognition in female colombian patients
topic Breast cancer
Cancer
Emotion recognition
Executive functions
Social cognition
Theory of mind
url https://doi.org/10.1186/s40359-022-01005-1
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