Bipolar Disorder With Psychotic Features, Major Depression With Psychotic Features, Psychosis Not Otherwise Specified (NOS), Schizoaffective Disorder, Schizophrenia
Conditions
Keywords
Psychosis, schizophrenia, schizoaffective disorder, Bipolar disorder with psychotic features, Major depression with psychotic features, Psychosis NOS, Social Cognition
Brief summary
In the current study, the investigators propose to measure the five domains of social cognition identified by the National Institute of Mental Health (NIMH) as relevant to individuals with psychosis (i.e., theory of mind, attribution style, emotion recognition, social perception, and social knowledge). The investigators will also explore the association between different domains of social cognition and outcomes relevant to psychotic disorder (e.g., symptomatology, social functioning, and vocational functioning).
Detailed description
There is growing evidence that individuals with longstanding psychotic disorders suffer from deficits in social cognition (i.e., the cognitive skills needed to successfully navigate social interactions). However, to date, there have been few attempts to measure multiple components of social cognition within the same population of individuals with psychosis. Thus, the interrelationships between various aspects of social cognition remain unclear. In the current study, the investigators propose to measure the five domains of social cognition identified by NIMH as relevant to individuals with psychosis (i.e., theory of mind, attribution style, emotion recognition, social perception, and social knowledge). The investigators will also explore the association between different domains of social cognition and outcomes relevant to psychotic disorder (e.g., symptomatology, social functioning, and vocational functioning).
Interventions
None listed
Sponsors
University of Arizona
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosis of a schizophrenia spectrum disorder or an affective disorder with psychotic features per the Diagnostic and Statistical Manual of Mental Disorders-IV-Text Revised (DSM-IV-TR) criteria using the Structured Clinical Interview for the DSM-IV. * Duration of psychotic symptoms greater than or equal to 5 years determined using the Symptom Onset in Schizophrenia Inventory * Age 18-75 * No evidence of mental retardation. * Able to provide informed consent as evidenced by passing the informed consent quiz with a score of 80% or greater. * Fluent in English as assessed per self-report from participant
Exclusion criteria
* Unwilling or unable to complete study assessments (e.g., unable to read self-report questionnaires) * Subject is currently pregnant per subject's report
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Emotion Recognition | Baseline and 6 months | Change from baseline to 6 month assessment in ability to recognize emotions displayed by others assessed using the Facial Emotion Identification Test |
| Attribution Style | Baseline and 6 months | Change from baseline to 6 month assessment in tendency to attribute events that occur to situational, personal, or internal factors assessed using the Internal, Personal, and Situational Attributions Questionnaire |
| Social Perception | Baseline and 6 months | Change from baseline to 6 month assessment in ability to understand concrete and abstract components of everyday social interactions assessed using the Social Cues Recognition Test |
| Social Knowledge | Baseline and 6 months | Change from baseline to 6 month assessment in knowledge of goals and actions associated with familiar and unfamiliar social activities assessed using the Situational Features Recognition Test |
| Theory of Mind | Baseline and 6 months | Change from baseline to 6 month assessment in ability to identify the mental states of other individuals assessed using the Hinting Test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Psychosis | Baseline and 6 months | Change from baseline to 6 month assessment in severity of positive and negative psychotic symptoms assessed using the Positive and Negative Syndrome Scale |
| Social Functioning | Baseline and 6 months | Change from baseline to 6 month assessment in level of social functioning assessed using the Social Functioning Scale |
| Service Utilization | Baseline and 6 months | Change from baseline to 6 month assessment in utilization of medical services assessed using the Service Utilization Record Form |
| Self-Determination Needs Satisfaction | Baseline and 6 months | Change from baseline to 6 month assessment in ability to fulfill basic needs for autonomy, competence, and relatedness assessed using the Basic Psychological Needs Scale |
| Locus of Control | Baseline and 6 months | Change from baseline to 6 month assessment in perception of one's ability to control events in the environment assessed using the Multidimensional Locus of Control Scale |
| Cognitive representation of illness | Baseline and 6 months | Change from baseline to 6 month assessment in understanding of nature of psychotic illness assessed using the Illness Perception Questionnaire |
| Emotional Awareness | Baseline and 6 months | Change from baseline to 6 month assessment in awareness of one's own emotions as well as emotions of others assessed using the Levels of Emotional Awareness Scale |
| Mindfulness | Baseline and 6 months | Change from baseline to 6 month assessment in awareness and acceptance of feelings and events assessed using the Philadelphia Mindfulness Scale |
| Self-efficacy | Baseline and 6 months | Change from baseline to 6 month assessment in confidence with regard to control of psychotic symptoms assessed using the Self-Efficacy Scale for Schizophrenia |
| Neuropsychological functioning | Baseline and 6 months | Change from baseline to 6 month assessment in neuropsychological functioning assessed using the MATRICS Consensus Cognitive Battery |
| Social Support | Baseline and 6 months | Change from baseline to 6 month assessment in level of social support assessed using the Measure of Perceived Support |
| Experience of Stigma | Baseline and 6 months | Change from baseline to 6 month assessment in experience of stigma with regard to mental illness assessed using the Stigma Questionnaire |
| quality of life | Baseline and 6 months | Change from baseline to 6 month assessment in quality of life assessed using the WHO Quality of Life Scale-Brief |
| stage of recovery | Baseline and 6 months | Change from baseline to 6 month assessment in stage of recovery with regard to mental illness assessed using the Stages of Recovery Instrument |
| Coping skills | Baseline and 6 months | Change from baseline to 6 month assessment in level of coping skills assessed using the Ways of Coping Questionnaire |
| Time perspective | Baseline and 6 months | Change from baseline to 6 month assessment in time orientation assessed using the Zimbardo Time Perspective Instrument |
| Medication adherence | Baseline and 6 months | Change from baseline to 6 month assessment in adherence to psychiatric medication assessed using the Medication Adherence Rating Scale |
| Illness Uncertainty | Baseline and 6 months | Change from baseline to 6 month assessment in uncertainty with regard to cause, course, and treatment of illness assessed using the Mischel Uncertainty in Illness Scale |
| Relationship with familial caregivers | Baseline and 6 months | Change from baseline to 6 month assessment in relationship with familial caregivers assessed using the Perception of Parents Scale |
| Anxiety | Baseline and 6 months | Change from baseline to 6 month assessment in anxiety assessed using the Beck Anxiety Inventory |
| Depression | Baseline and 6 months | Change from baseline to 6 month assessment in depression assessed using the Beck Depression Inventory |
Countries
United States
Outcome results
None listed