Cognition and social functioning in first episode psychosis: A systematic review of longitudinal studies
IntroductionThis systematic review aimed to answer whether we can predict subsequent social functioning in first episode psychosis (FEP) by means of an initial cognitive examination. In order to do this, we gathered longitudinal studies which evaluated neurocognition and/or social cognition regardin...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1055012/full |
| _version_ | 1811159542352838656 |
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| author | Maria José Montaner-Ferrer Marien Gadea Marien Gadea Julio Sanjuán Julio Sanjuán |
| author_facet | Maria José Montaner-Ferrer Marien Gadea Marien Gadea Julio Sanjuán Julio Sanjuán |
| author_sort | Maria José Montaner-Ferrer |
| collection | DOAJ |
| description | IntroductionThis systematic review aimed to answer whether we can predict subsequent social functioning in first episode psychosis (FEP) by means of an initial cognitive examination. In order to do this, we gathered longitudinal studies which evaluated neurocognition and/or social cognition regarding their impact on long-term social functioning of FEP patients.MethodsThe MOOSE method was employed and 28 studies covering data from a total of 2572 patients with longitudinal trajectories from 2 months to 5 years were reviewed.ResultsIn general, cognitive deficits impacted on the social functioning of the FEP patients across the time. The neurocognitive domains which most closely predicted social functioning were processing speed, sustained attention and working memory. An overall cognitive dysfunction, low IQ and the academic trajectory were also found predictive. Regarding social cognition, the findings were not unanimous.DiscussionIn addition of the impact of each variable, several of the articles found a complex relationship between social cognition, neurocognition, social functioning and negative symptoms, pointing social cognition as a modulator of neurocognition but being modulated as well by negative symptoms. The principal clinical implication of this review is that the initial assessment of FEP patients and their rehabilitation must take cognition into account. |
| first_indexed | 2024-04-10T05:44:02Z |
| format | Article |
| id | doaj.art-34a9f9d8f5c04373a39f3a7a59a8f481 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-10T05:44:02Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-34a9f9d8f5c04373a39f3a7a59a8f4812023-03-06T04:48:03ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-03-011410.3389/fpsyt.2023.10550121055012Cognition and social functioning in first episode psychosis: A systematic review of longitudinal studiesMaria José Montaner-Ferrer0Marien Gadea1Marien Gadea2Julio Sanjuán3Julio Sanjuán4Department of Psychobiology, Faculty of Psychology, Universitat de València, Valencia, SpainDepartment of Psychobiology, Faculty of Psychology, Universitat de València, Valencia, SpainCIBERSAM-Mental Health, Madrid, SpainCIBERSAM-Mental Health, Madrid, SpainDepartment of Psychiatry, Faculty of Medicine, Universitat de València, Valencia, SpainIntroductionThis systematic review aimed to answer whether we can predict subsequent social functioning in first episode psychosis (FEP) by means of an initial cognitive examination. In order to do this, we gathered longitudinal studies which evaluated neurocognition and/or social cognition regarding their impact on long-term social functioning of FEP patients.MethodsThe MOOSE method was employed and 28 studies covering data from a total of 2572 patients with longitudinal trajectories from 2 months to 5 years were reviewed.ResultsIn general, cognitive deficits impacted on the social functioning of the FEP patients across the time. The neurocognitive domains which most closely predicted social functioning were processing speed, sustained attention and working memory. An overall cognitive dysfunction, low IQ and the academic trajectory were also found predictive. Regarding social cognition, the findings were not unanimous.DiscussionIn addition of the impact of each variable, several of the articles found a complex relationship between social cognition, neurocognition, social functioning and negative symptoms, pointing social cognition as a modulator of neurocognition but being modulated as well by negative symptoms. The principal clinical implication of this review is that the initial assessment of FEP patients and their rehabilitation must take cognition into account.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1055012/fullfirst episode psychosissocial functioningcognitionsocial cognitionneurocognitionlongitudinal studies and systematic review |
| spellingShingle | Maria José Montaner-Ferrer Marien Gadea Marien Gadea Julio Sanjuán Julio Sanjuán Cognition and social functioning in first episode psychosis: A systematic review of longitudinal studies Frontiers in Psychiatry first episode psychosis social functioning cognition social cognition neurocognition longitudinal studies and systematic review |
| title | Cognition and social functioning in first episode psychosis: A systematic review of longitudinal studies |
| title_full | Cognition and social functioning in first episode psychosis: A systematic review of longitudinal studies |
| title_fullStr | Cognition and social functioning in first episode psychosis: A systematic review of longitudinal studies |
| title_full_unstemmed | Cognition and social functioning in first episode psychosis: A systematic review of longitudinal studies |
| title_short | Cognition and social functioning in first episode psychosis: A systematic review of longitudinal studies |
| title_sort | cognition and social functioning in first episode psychosis a systematic review of longitudinal studies |
| topic | first episode psychosis social functioning cognition social cognition neurocognition longitudinal studies and systematic review |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1055012/full |
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