The association between smoking behaviour, social cognition and social functioning in patients with a non-affective psychotic disorder: A prospective follow-up study

Introduction: In patients with psychotic disorders, both tobacco smoking and deficits in social cognition and social functioning are highly prevalent. However, little is known about their relationship in psychosis. The authors sought to evaluate the multi-cross-sectional and longitudinal association...

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Main Authors: Tobias E.G. Dekker, Heleen Susanne van der Heijden, Frederike Schirmbeck, Therese van Amelsvoort, Agna A. Bartels-Velthuis, Claudia J.P. Simons, Lieuwe de Haan, Jentien M. Vermeulen
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Schizophrenia Research: Cognition
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2215001321000135
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author Tobias E.G. Dekker
Heleen Susanne van der Heijden
Frederike Schirmbeck
Therese van Amelsvoort
Agna A. Bartels-Velthuis
Claudia J.P. Simons
Lieuwe de Haan
Jentien M. Vermeulen
author_facet Tobias E.G. Dekker
Heleen Susanne van der Heijden
Frederike Schirmbeck
Therese van Amelsvoort
Agna A. Bartels-Velthuis
Claudia J.P. Simons
Lieuwe de Haan
Jentien M. Vermeulen
author_sort Tobias E.G. Dekker
collection DOAJ
description Introduction: In patients with psychotic disorders, both tobacco smoking and deficits in social cognition and social functioning are highly prevalent. However, little is known about their relationship in psychosis. The authors sought to evaluate the multi-cross-sectional and longitudinal associations between tobacco smoking, social cognition and social functioning in a large prospective study. Methods: This study was performed within the Genetic Risk and Outcome of Psychosis (GROUP) Study, a cohort study conducted in patients with non-affective psychosis (N = 1074), their unaffected siblings (N = 1047) and healthy controls (N = 549). At baseline, three years and six years of follow-up, data on tobacco smoking (using the Composite International Diagnostic Review), social cognition (emotion processing and theory of mind) and social functioning were collected. To assess associations between tobacco smoking and social cognition or social functioning, multivariate linear mixed-effects models and multiple linear regression models were used. Bonferroni correction for multiple testing was applied. Results: A significant positive association was found between smoking and emotion processing (as part of social cognition) in the patient group (estimate = 1.96, SE = 0.6, p = 0.003). However, smoking was significantly negatively associated with participating in pro-social activities compared with non-smoking (estimate = −2.55, SE = 0.9, p = 0.004). Change in smoking behaviour was not associated with social cognition or social functioning in the longitudinal analyses. Conclusion: Findings indicate that smoking patients with a non-affective psychotic disorder slightly outperformed their non-smoking peers on a task on social cognition, but participated less in pro-social activities. Commencement or cessation of smoking was not related to social cognition or functioning.
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spelling doaj.art-e73f21f0d9e9406cba1e4850d4af97bf2022-12-21T23:31:10ZengElsevierSchizophrenia Research: Cognition2215-00132021-12-0126100206The association between smoking behaviour, social cognition and social functioning in patients with a non-affective psychotic disorder: A prospective follow-up studyTobias E.G. Dekker0Heleen Susanne van der Heijden1Frederike Schirmbeck2Therese van Amelsvoort3Agna A. Bartels-Velthuis4Claudia J.P. Simons5Lieuwe de Haan6Jentien M. Vermeulen7Early Psychosis Department, Amsterdam UMC (location AMC), Department of Psychiatry, Amsterdam, the NetherlandsEarly Psychosis Department, Amsterdam UMC (location AMC), Department of Psychiatry, Amsterdam, the Netherlands; Corresponding author at: Department of Psychiatry, Amsterdam UMC, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands.Early Psychosis Department, Amsterdam UMC (location AMC), Department of Psychiatry, Amsterdam, the Netherlands; Arkin Institute for Mental Health, Amsterdam, the NetherlandsMaastricht University Medical Center, Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht, the NetherlandsUniversity of Groningen, University Medical Center Groningen, University Center for Psychiatry, Rob Giel Research Center, Groningen, the NetherlandsMaastricht University Medical Center, Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht, the Netherlands; GGzE Institute for Mental Health Care, Eindhoven, the NetherlandsEarly Psychosis Department, Amsterdam UMC (location AMC), Department of Psychiatry, Amsterdam, the Netherlands; Arkin Institute for Mental Health, Amsterdam, the NetherlandsEarly Psychosis Department, Amsterdam UMC (location AMC), Department of Psychiatry, Amsterdam, the NetherlandsIntroduction: In patients with psychotic disorders, both tobacco smoking and deficits in social cognition and social functioning are highly prevalent. However, little is known about their relationship in psychosis. The authors sought to evaluate the multi-cross-sectional and longitudinal associations between tobacco smoking, social cognition and social functioning in a large prospective study. Methods: This study was performed within the Genetic Risk and Outcome of Psychosis (GROUP) Study, a cohort study conducted in patients with non-affective psychosis (N = 1074), their unaffected siblings (N = 1047) and healthy controls (N = 549). At baseline, three years and six years of follow-up, data on tobacco smoking (using the Composite International Diagnostic Review), social cognition (emotion processing and theory of mind) and social functioning were collected. To assess associations between tobacco smoking and social cognition or social functioning, multivariate linear mixed-effects models and multiple linear regression models were used. Bonferroni correction for multiple testing was applied. Results: A significant positive association was found between smoking and emotion processing (as part of social cognition) in the patient group (estimate = 1.96, SE = 0.6, p = 0.003). However, smoking was significantly negatively associated with participating in pro-social activities compared with non-smoking (estimate = −2.55, SE = 0.9, p = 0.004). Change in smoking behaviour was not associated with social cognition or social functioning in the longitudinal analyses. Conclusion: Findings indicate that smoking patients with a non-affective psychotic disorder slightly outperformed their non-smoking peers on a task on social cognition, but participated less in pro-social activities. Commencement or cessation of smoking was not related to social cognition or functioning.http://www.sciencedirect.com/science/article/pii/S2215001321000135TobaccoEmotion processingTheory of mindSchizophrenia
spellingShingle Tobias E.G. Dekker
Heleen Susanne van der Heijden
Frederike Schirmbeck
Therese van Amelsvoort
Agna A. Bartels-Velthuis
Claudia J.P. Simons
Lieuwe de Haan
Jentien M. Vermeulen
The association between smoking behaviour, social cognition and social functioning in patients with a non-affective psychotic disorder: A prospective follow-up study
Schizophrenia Research: Cognition
Tobacco
Emotion processing
Theory of mind
Schizophrenia
title The association between smoking behaviour, social cognition and social functioning in patients with a non-affective psychotic disorder: A prospective follow-up study
title_full The association between smoking behaviour, social cognition and social functioning in patients with a non-affective psychotic disorder: A prospective follow-up study
title_fullStr The association between smoking behaviour, social cognition and social functioning in patients with a non-affective psychotic disorder: A prospective follow-up study
title_full_unstemmed The association between smoking behaviour, social cognition and social functioning in patients with a non-affective psychotic disorder: A prospective follow-up study
title_short The association between smoking behaviour, social cognition and social functioning in patients with a non-affective psychotic disorder: A prospective follow-up study
title_sort association between smoking behaviour social cognition and social functioning in patients with a non affective psychotic disorder a prospective follow up study
topic Tobacco
Emotion processing
Theory of mind
Schizophrenia
url http://www.sciencedirect.com/science/article/pii/S2215001321000135
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