Social cognition in schizophrenia: A network-based approach to a Taiwanese version of the Reading the Mind in the Eyes test

Background: This study aimed to examine social-cognitive impairments in patients with schizophrenia using the Eyes test. In contrast to previous methods using the correct answers, we developed the Taiwanese version of the Eyes test and constructed the response network to explore impairments in the e...

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Main Authors: Tai-Shan Li, Chih-Min Liu, Chen-Chung Liu, Ming H. Hsieh, Yi-Ting Lin, En-Nan Wang, Tzung-Jeng Hwang, Tai-Li Chou
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:Journal of the Formosan Medical Association
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664617304205
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author Tai-Shan Li
Chih-Min Liu
Chen-Chung Liu
Ming H. Hsieh
Yi-Ting Lin
En-Nan Wang
Tzung-Jeng Hwang
Tai-Li Chou
author_facet Tai-Shan Li
Chih-Min Liu
Chen-Chung Liu
Ming H. Hsieh
Yi-Ting Lin
En-Nan Wang
Tzung-Jeng Hwang
Tai-Li Chou
author_sort Tai-Shan Li
collection DOAJ
description Background: This study aimed to examine social-cognitive impairments in patients with schizophrenia using the Eyes test. In contrast to previous methods using the correct answers, we developed the Taiwanese version of the Eyes test and constructed the response network to explore impairments in the emotional aspects of theory of mind in patients with schizophrenia. Methods: Eighteen patients with schizophrenia and 18 healthy controls were recruited to examine their performance of the Eyes test. To explore the internal structures of mental states, we used network analysis to construct the networks of choice patterns (i.e. participants' answers) by using two network indicators, including density (an index of structure diversity of a network) and centrality (an index of the choice patterns within a network). Moreover, we divided all the choices into negative, positive, and neutral item groups based on emotion polarity. Results: The patient group was slower and less accurate than the control group. Moreover, there was a negative correlation between accuracy and blunted affect, and there were positive correlations between reaction time and emotional withdrawal and apathetic social withdrawal. As compared to healthy controls, patients with schizophrenia showed larger density in the network structure and higher centrality than controls. Also, patients showed poorer performance on negative words than healthy controls. Conclusion: Our results demonstrated more diversity to recognize negative emotions from patients' choice patterns as compared to those in the control group. These findings suggest that deficits on recognizing negative emotions might be associated with the dysfunctions of mental states in schizophrenia. Keywords: Eyes test, Negative emotion, Network analysis, Schizophrenia, Social cognition
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spelling doaj.art-8a3ddad196ef4ccb89efd6aa342dbf252022-12-22T03:44:01ZengElsevierJournal of the Formosan Medical Association0929-66462020-01-011191439448Social cognition in schizophrenia: A network-based approach to a Taiwanese version of the Reading the Mind in the Eyes testTai-Shan Li0Chih-Min Liu1Chen-Chung Liu2Ming H. Hsieh3Yi-Ting Lin4En-Nan Wang5Tzung-Jeng Hwang6Tai-Li Chou7Department of Psychology, National Taiwan University, Taipei, TaiwanDepartment of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan; Neurobiology and Cognitive Science Center, National Taiwan University, Taipei, Taiwan; Graduate Institute of Brain and Mind Sciences, National Taiwan University, Taipei, TaiwanDepartment of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan; Neurobiology and Cognitive Science Center, National Taiwan University, Taipei, Taiwan; Graduate Institute of Brain and Mind Sciences, National Taiwan University, Taipei, TaiwanDepartment of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan; Neurobiology and Cognitive Science Center, National Taiwan University, Taipei, Taiwan; Graduate Institute of Brain and Mind Sciences, National Taiwan University, Taipei, TaiwanDepartment of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan; Neurobiology and Cognitive Science Center, National Taiwan University, Taipei, TaiwanShin Kong Wu Ho-Su Memorial Hospital, Taipei, TaiwanDepartment of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan; Neurobiology and Cognitive Science Center, National Taiwan University, Taipei, Taiwan; Graduate Institute of Brain and Mind Sciences, National Taiwan University, Taipei, Taiwan; Corresponding author. Department of Psychiatry, National Taiwan University Hospital and College of Medicine, No 7, Chung-Shan South Road, Taipei, 10002, Taiwan. Fax: +886 2 23812408.Department of Psychology, National Taiwan University, Taipei, Taiwan; Neurobiology and Cognitive Science Center, National Taiwan University, Taipei, Taiwan; Graduate Institute of Brain and Mind Sciences, National Taiwan University, Taipei, Taiwan; Graduate Institute of Linguistics, National Taiwan University, Taipei, Taiwan; Corresponding author. Department of Psychology, National Taiwan University, No. 1, Sec. 4, Roosevelt Road, Taipei, 106, Taiwan. Fax: +886 2 23631463.Background: This study aimed to examine social-cognitive impairments in patients with schizophrenia using the Eyes test. In contrast to previous methods using the correct answers, we developed the Taiwanese version of the Eyes test and constructed the response network to explore impairments in the emotional aspects of theory of mind in patients with schizophrenia. Methods: Eighteen patients with schizophrenia and 18 healthy controls were recruited to examine their performance of the Eyes test. To explore the internal structures of mental states, we used network analysis to construct the networks of choice patterns (i.e. participants' answers) by using two network indicators, including density (an index of structure diversity of a network) and centrality (an index of the choice patterns within a network). Moreover, we divided all the choices into negative, positive, and neutral item groups based on emotion polarity. Results: The patient group was slower and less accurate than the control group. Moreover, there was a negative correlation between accuracy and blunted affect, and there were positive correlations between reaction time and emotional withdrawal and apathetic social withdrawal. As compared to healthy controls, patients with schizophrenia showed larger density in the network structure and higher centrality than controls. Also, patients showed poorer performance on negative words than healthy controls. Conclusion: Our results demonstrated more diversity to recognize negative emotions from patients' choice patterns as compared to those in the control group. These findings suggest that deficits on recognizing negative emotions might be associated with the dysfunctions of mental states in schizophrenia. Keywords: Eyes test, Negative emotion, Network analysis, Schizophrenia, Social cognitionhttp://www.sciencedirect.com/science/article/pii/S0929664617304205
spellingShingle Tai-Shan Li
Chih-Min Liu
Chen-Chung Liu
Ming H. Hsieh
Yi-Ting Lin
En-Nan Wang
Tzung-Jeng Hwang
Tai-Li Chou
Social cognition in schizophrenia: A network-based approach to a Taiwanese version of the Reading the Mind in the Eyes test
Journal of the Formosan Medical Association
title Social cognition in schizophrenia: A network-based approach to a Taiwanese version of the Reading the Mind in the Eyes test
title_full Social cognition in schizophrenia: A network-based approach to a Taiwanese version of the Reading the Mind in the Eyes test
title_fullStr Social cognition in schizophrenia: A network-based approach to a Taiwanese version of the Reading the Mind in the Eyes test
title_full_unstemmed Social cognition in schizophrenia: A network-based approach to a Taiwanese version of the Reading the Mind in the Eyes test
title_short Social cognition in schizophrenia: A network-based approach to a Taiwanese version of the Reading the Mind in the Eyes test
title_sort social cognition in schizophrenia a network based approach to a taiwanese version of the reading the mind in the eyes test
url http://www.sciencedirect.com/science/article/pii/S0929664617304205
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