The role of schizotypal traits and the OXTR gene in theory of mind in schizophrenia: A family-based study

AbstractBackground.There is consistent evidence that theory of mind (ToM) is impaired in schizophrenia (SZ); however, it remains unclear whether such deficits are trait- or state-dependent. We evaluated ToM in patients with schizophrenia spectrum disorders (SSDs), their healthy first-degree relative...

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Main Authors: M. Giralt-López, S. Miret, J. Soler, S. Campanera, M. Parellada, L. Fañanás, M. Fatjó-Vilas
Format: Article
Language:English
Published: Cambridge University Press 2020-01-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933819000178/type/journal_article
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author M. Giralt-López
S. Miret
J. Soler
S. Campanera
M. Parellada
L. Fañanás
M. Fatjó-Vilas
author_facet M. Giralt-López
S. Miret
J. Soler
S. Campanera
M. Parellada
L. Fañanás
M. Fatjó-Vilas
author_sort M. Giralt-López
collection DOAJ
description AbstractBackground.There is consistent evidence that theory of mind (ToM) is impaired in schizophrenia (SZ); however, it remains unclear whether such deficits are trait- or state-dependent. We evaluated ToM in patients with schizophrenia spectrum disorders (SSDs), their healthy first-degree relatives, and controls to test its suitability as an endophenotypic marker. We also studied the modifying effect of markers of clinical and genetic liability to SZ (schizotypy and genetic variability in the oxytocin receptor gene: OXTR) on ToM in healthy individuals.Methods.The sample included 38 stable SSD patients, 80 unaffected first-degree relatives, and 81 controls. ToM was assessed using the Hinting Task (HT) and schizotypy via the Schizotypal Personality Questionnaire-Brief (SPQ-B), which generates interpersonal (SPQ-IP), cognitive-perceptual (SPQ-CP), and disorganization (SPQ-D) scores. The polymorphism rs53576 of OXTR was genotyped.Results.Patients presented poorer HT performance than relatives and controls (p = 0.003 and p < 0.001). High SPQ-IP and SPQ-CP scores correlated with poorer ToM performance in relatives (p = 0.010 and p = 0.030), but not in controls. OXTR was not associated with HT scores, but it showed a modifying effect within controls; high SPQ-CP was related to HT poorer performance conditional to GG genotype (p = 0.007).Conclusions.ToM deficits were present in patients but not in unaffected relatives or controls. However, our data indicate the usefulness of clinical and genetic liability markers to characterize differences in ToM abilities within healthy individuals. Then, the observed link between ToM and SZ liability suggests the putative role of ToM as an endophenotypic marker. Nevertheless, new analyses in larger samples are needed.
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spelling doaj.art-b6857f8b33424a62b7e83d4ac4cb32812023-03-09T12:33:57ZengCambridge University PressEuropean Psychiatry0924-93381778-35852020-01-016310.1192/j.eurpsy.2019.17The role of schizotypal traits and the OXTR gene in theory of mind in schizophrenia: A family-based studyM. Giralt-López0S. Miret1J. Soler2S. Campanera3M. Parellada4L. Fañanás5M. Fatjó-Vilas6Servei de Psiquiatria, Hospital Universitari Germans Trias i Pujol, Badalona, Spain Departament de Psiquiatria i Medicina Legal, Universitat Autònoma de Barcelona (UAB), Bellaterra, SpainCentre de Salut Mental d’Adults de Lleida, Servei de Psiquiatria, Salut Mental i Addiccions, Hospital Universitari Santa Maria, Lleida, Spain Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Departament de Biologia Evolutiva, Ecologia i Ciències Ambientals, Facultat de Biologia, Universitat de Barcelona, Institut de Biomedicina de la Universitat de Barcelona (IBUB), Barcelona, SpainCentre de Salut Mental d’Adults de Lleida, Servei de Psiquiatria, Salut Mental i Addiccions, Hospital Universitari Santa Maria, Lleida, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Departamento de Psiquiatría del Niño y del Adolescente, Hospital General Universitario Gregorio Marañón, Universidad Complutense, Madrid, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Departament de Biologia Evolutiva, Ecologia i Ciències Ambientals, Facultat de Biologia, Universitat de Barcelona, Institut de Biomedicina de la Universitat de Barcelona (IBUB), Barcelona, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain Departament de Biologia Evolutiva, Ecologia i Ciències Ambientals, Facultat de Biologia, Universitat de Barcelona, Institut de Biomedicina de la Universitat de Barcelona (IBUB), Barcelona, Spain FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, SpainAbstractBackground.There is consistent evidence that theory of mind (ToM) is impaired in schizophrenia (SZ); however, it remains unclear whether such deficits are trait- or state-dependent. We evaluated ToM in patients with schizophrenia spectrum disorders (SSDs), their healthy first-degree relatives, and controls to test its suitability as an endophenotypic marker. We also studied the modifying effect of markers of clinical and genetic liability to SZ (schizotypy and genetic variability in the oxytocin receptor gene: OXTR) on ToM in healthy individuals.Methods.The sample included 38 stable SSD patients, 80 unaffected first-degree relatives, and 81 controls. ToM was assessed using the Hinting Task (HT) and schizotypy via the Schizotypal Personality Questionnaire-Brief (SPQ-B), which generates interpersonal (SPQ-IP), cognitive-perceptual (SPQ-CP), and disorganization (SPQ-D) scores. The polymorphism rs53576 of OXTR was genotyped.Results.Patients presented poorer HT performance than relatives and controls (p = 0.003 and p < 0.001). High SPQ-IP and SPQ-CP scores correlated with poorer ToM performance in relatives (p = 0.010 and p = 0.030), but not in controls. OXTR was not associated with HT scores, but it showed a modifying effect within controls; high SPQ-CP was related to HT poorer performance conditional to GG genotype (p = 0.007).Conclusions.ToM deficits were present in patients but not in unaffected relatives or controls. However, our data indicate the usefulness of clinical and genetic liability markers to characterize differences in ToM abilities within healthy individuals. Then, the observed link between ToM and SZ liability suggests the putative role of ToM as an endophenotypic marker. Nevertheless, new analyses in larger samples are needed.https://www.cambridge.org/core/product/identifier/S0924933819000178/type/journal_articleFamily-based studyOXTR geneschizophreniaschizotypytheory of mind
spellingShingle M. Giralt-López
S. Miret
J. Soler
S. Campanera
M. Parellada
L. Fañanás
M. Fatjó-Vilas
The role of schizotypal traits and the OXTR gene in theory of mind in schizophrenia: A family-based study
European Psychiatry
Family-based study
OXTR gene
schizophrenia
schizotypy
theory of mind
title The role of schizotypal traits and the OXTR gene in theory of mind in schizophrenia: A family-based study
title_full The role of schizotypal traits and the OXTR gene in theory of mind in schizophrenia: A family-based study
title_fullStr The role of schizotypal traits and the OXTR gene in theory of mind in schizophrenia: A family-based study
title_full_unstemmed The role of schizotypal traits and the OXTR gene in theory of mind in schizophrenia: A family-based study
title_short The role of schizotypal traits and the OXTR gene in theory of mind in schizophrenia: A family-based study
title_sort role of schizotypal traits and the oxtr gene in theory of mind in schizophrenia a family based study
topic Family-based study
OXTR gene
schizophrenia
schizotypy
theory of mind
url https://www.cambridge.org/core/product/identifier/S0924933819000178/type/journal_article
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