Influence of social cognition as a mediator between cognitive reserve and psychosocial functioning in patients with first episode psychosis

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dc.contributor.authorGonzález-Ortega, Itxaso
dc.contributor.authorGonzález Pinto, Ana
dc.contributor.authorAlberich, Susana
dc.contributor.authorEcheburúa, Enrique
dc.contributor.authorBernardo, Miguel
dc.contributor.authorCabrera, Bibiana
dc.contributor.authorAmoretti, Silvia
dc.contributor.authorLobo, Antonio
dc.contributor.authorArango, Celso
dc.contributor.authorCorripio, Iluminada
dc.contributor.authorVieta, Eduard
dc.contributor.authorSerna, Elena de la
dc.contributor.authorRodríguez-Jiménez, Roberto
dc.contributor.authorSegarra, R.
dc.contributor.authorLópez-Ilundain, José M.
dc.contributor.authorSánchez Torres, Ana María
dc.contributor.authorCuesta, Manuel J.
dc.contributor.authorPEPs Group
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2024-02-26T13:07:24Z
dc.date.available2024-02-26T13:07:24Z
dc.date.issued2020
dc.date.updated2024-02-26T11:47:37Z
dc.description.abstractBackground. Social cognition has been associated with functional outcome in patients with first episode psychosis (FEP). Social cognition has also been associated with neurocognition and cognitive reserve. Although cognitive reserve, neurocognitive functioning, social cognition, and functional outcome are related, the direction of their associations is not clear. Therefore, the main aim of this study was to analyze the influence of social cognition as a mediator between cognitive reserve and cognitive domains on functioning in FEP both at baseline and at 2 years. Methods The sample of the study was composed of 282 FEP patients followed up for 2 years. To analyze whether social cognition mediates the influence of cognitive reserve and cognitive domains on functioning, a path analysis was performed. The statistical significance of any mediation effects was evaluated by bootstrap analysis. Results. At baseline, as neither cognitive reserve nor the cognitive domains studied were related to functioning, the conditions for mediation were not satisfied. Nevertheless, at 2 years of follow-up, social cognition acted as a mediator between cognitive reserve and functioning. Likewise, social cognition was a mediator between verbal memory and functional outcome. The results of the bootstrap analysis confirmed these significant mediations (95% bootstrapped CI (—10.215 to —0.337) and (—4.731 to —0.605) respectively). Conclusions. Cognitive reserve and neurocognition are related to functioning, and social cognition mediates in this relationship.en
dc.description.sponsorshipThis work was supported by the Carlos III Institute of Health and European Fund for Regional Development (PI08/1213, PI11/ 01977, PI14/01900, PI08/01026, PI11/02831, PI14/01621, PI08/1161, PI16/ 00359, PI16/01164, PI18/00805), the Basque Foundation for Health Innovation and Research (BIOEF), the Secretaria d´Universitats I Recerca del Departament d´Economia I Coneixement (2017 SGR 1365), and R&D activities in Biomedicine, Madrid Regional Government and Structural Funds of the European Union (S2017/BMD-3740 (AGES-CM 2-CM)).en
dc.format.mimetypeapplication/pdfen
dc.format.mimetypeapplication/msworden
dc.identifier.citationGonzález-Ortega, I., González-Pinto, A., Alberich, S., Echeburúa, E., Bernardo, M., Cabrera, B., Amoretti, S., Lobo, A., Arango, C., Corripio, I., Vieta, E., de la Serna, E., Rodriguez-Jimenez, R., Segarra, R., López-Ilundain, J. M., Sánchez-Torres, A. M., Cuesta, M. J., PEPs Group (2020) Influence of social cognition as a mediator between cognitive reserve and psychosocial functioning in patients with first episode psychosis. Psychological Medicine, 50(16), 2702-2710. https://doi.org/10.1017/S0033291719002794.en
dc.identifier.doi10.1017/S0033291719002794
dc.identifier.issn0033-2917
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/47588
dc.language.isoengen
dc.publisherCambridge University Pressen
dc.relation.ispartofPsychological Medicine, 50(16)en
dc.relation.projectIDinfo:eu-repo/grantAgreement/// PI08%2F1213/
dc.relation.projectIDinfo:eu-repo/grantAgreement///PI11%2F01977/
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//PI14%2F01900/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement/MICINN//PI11%2F02831/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//PI14%2F01621/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement///PI08%2F1161/
dc.relation.projectIDinfo:eu-repo/grantAgreement///PI16%2F00359/
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//PI16%2F01164/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement/ISCIII/Plan Estatal de Investigación Científica y Técnica y de Innovación 2013-2016 (ISCIII)/PI18%2F00805/ES/
dc.relation.publisherversionhttps://doi.org/10.1017/S0033291719002794
dc.rights©The Author(s) 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence.en
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectCognitive reserveen
dc.subjectFirst episode psychosisen
dc.subjectPsychosocial functioningen
dc.subjectSocial cognitionen
dc.titleInfluence of social cognition as a mediator between cognitive reserve and psychosocial functioning in patients with first episode psychosisen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublication6cfdb372-fb89-4760-b1b8-404b0f0ae941
relation.isAuthorOfPublication.latestForDiscovery6cfdb372-fb89-4760-b1b8-404b0f0ae941

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