Influence of the Neuropsychological Functions in Theory of Mind in Schizophrenia: The False-Belief/Deception Paradigm
ABSTRACTThe aim of this study was to investigate the influence of neurocognition in a false-belief/deception theory of mind (ToM) task in a sample of patients with schizophrenia. In a cross-sectional study of 43 remitted patients, the implication of neurocognition in first- and second-order ToM stor...
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| Veröffentlicht in: | The journal of nervous and mental disease 2013-07, Vol.201 (7), p.609-613 |
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| creator | Fernandez-Gonzalo, Sol Pousa, Esther Jodar, Merce Turon, Marc Duño, Roso Palao, Diego |
| description | ABSTRACTThe aim of this study was to investigate the influence of neurocognition in a false-belief/deception theory of mind (ToM) task in a sample of patients with schizophrenia. In a cross-sectional study of 43 remitted patients, the implication of neurocognition in first- and second-order ToM stories was analyzed, controlling for clinical symptoms and duration of illness. None of the cognitive factors were associated with the first-order ToM stories. A logistic regression model with high specificity (96.3%) and sensitivity (75%) was obtained in the second-order ToM story “The Burglar,” the Information subtest (odds ratio [OR], 0.783; 95% confidence interval [CI], 0.62–0.99; p = 0.04) and the Block Design subtest (OR, 0.89; 95% CI, 0.79–1; p = 0.056) of the Wechsler Adult Intelligence Scale–III being the best predictive factors. Neurocognition was not related to first- or second-order ToM false-belief performance of the patients with schizophrenia. However, an influence of neuropsychological variables in the second-order ToM deception was observed. The clinical implications in the assessment of ToM are discussed. |
| doi_str_mv | 10.1097/NMD.0b013e3182982d00 |
| format | Article |
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In a cross-sectional study of 43 remitted patients, the implication of neurocognition in first- and second-order ToM stories was analyzed, controlling for clinical symptoms and duration of illness. None of the cognitive factors were associated with the first-order ToM stories. A logistic regression model with high specificity (96.3%) and sensitivity (75%) was obtained in the second-order ToM story “The Burglar,” the Information subtest (odds ratio [OR], 0.783; 95% confidence interval [CI], 0.62–0.99; p = 0.04) and the Block Design subtest (OR, 0.89; 95% CI, 0.79–1; p = 0.056) of the Wechsler Adult Intelligence Scale–III being the best predictive factors. Neurocognition was not related to first- or second-order ToM false-belief performance of the patients with schizophrenia. However, an influence of neuropsychological variables in the second-order ToM deception was observed. 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In a cross-sectional study of 43 remitted patients, the implication of neurocognition in first- and second-order ToM stories was analyzed, controlling for clinical symptoms and duration of illness. None of the cognitive factors were associated with the first-order ToM stories. A logistic regression model with high specificity (96.3%) and sensitivity (75%) was obtained in the second-order ToM story “The Burglar,” the Information subtest (odds ratio [OR], 0.783; 95% confidence interval [CI], 0.62–0.99; p = 0.04) and the Block Design subtest (OR, 0.89; 95% CI, 0.79–1; p = 0.056) of the Wechsler Adult Intelligence Scale–III being the best predictive factors. Neurocognition was not related to first- or second-order ToM false-belief performance of the patients with schizophrenia. However, an influence of neuropsychological variables in the second-order ToM deception was observed. The clinical implications in the assessment of ToM are discussed.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental health</subject><subject>Neuropsychological Tests</subject><subject>Predictive Value of Tests</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychological aspects</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychoses</subject><subject>Regression analysis</subject><subject>Schizophrenia</subject><subject>Schizophrenia - physiopathology</subject><subject>Schizophrenic Psychology</subject><subject>Sensitivity and Specificity</subject><subject>Theory</subject><subject>Theory of Mind - classification</subject><subject>Theory of Mind - physiology</subject><subject>Wechsler Scales</subject><issn>0022-3018</issn><issn>1539-736X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90VFrFDEQB_Agij1Pv4HIggi-bJtsdjeJb7X1tNBWwQq-LdnspJuaS9ZkQzk_vVnuVOiDT2HCb4Zh_gi9JPiYYMFOrq_Oj3GPCQVKeCV4NWD8CK1IQ0XJaPv9MVphXFUlxYQfoWcx3mFMGK3xU3RUUcZZzasVShdO2wROQeF1MY9QXEMKfoo7NXrrb42Sttgkp2bjXSyMK25G8GG36CvjhuXnqxrNLz-NAZyR7xZQbKSNUL4Ha0CfnIOCaekvvsggB3O7fY6e6EW8OLxr9G3z4ebsU3n5-ePF2ellqWhLcdk3rFYt01TWQ6urng-5FKyhda8JHWpoWlEL3Q99W9WywazFDdeY9ZkD14yu0dv93Cn4nwni3G1NVGCtdOBT7Ajl-ZaiySPX6PUDeudTcHm7rIRgmLdEZFXvlQo-xgC6m4LZyrDrCO6WWLocS_cwltz26jA89VsY_jb9ySGDNwcgY764DtIpE_851gjRssXxvbv3doYQf9h0D6EbQdp5_P8OvwHcAKe2</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Fernandez-Gonzalo, Sol</creator><creator>Pousa, Esther</creator><creator>Jodar, Merce</creator><creator>Turon, Marc</creator><creator>Duño, Roso</creator><creator>Palao, Diego</creator><general>by Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201307</creationdate><title>Influence of the Neuropsychological Functions in Theory of Mind in Schizophrenia: The False-Belief/Deception Paradigm</title><author>Fernandez-Gonzalo, Sol ; Pousa, Esther ; Jodar, Merce ; Turon, Marc ; Duño, Roso ; Palao, Diego</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3630-b574c67f3a4d6f2b8d4c697534bf13d4e56949fbdb624a5076058f07b4d6e8f73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental health</topic><topic>Neuropsychological Tests</topic><topic>Predictive Value of Tests</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychological aspects</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychoses</topic><topic>Regression analysis</topic><topic>Schizophrenia</topic><topic>Schizophrenia - physiopathology</topic><topic>Schizophrenic Psychology</topic><topic>Sensitivity and Specificity</topic><topic>Theory</topic><topic>Theory of Mind - classification</topic><topic>Theory of Mind - physiology</topic><topic>Wechsler Scales</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernandez-Gonzalo, Sol</creatorcontrib><creatorcontrib>Pousa, Esther</creatorcontrib><creatorcontrib>Jodar, Merce</creatorcontrib><creatorcontrib>Turon, Marc</creatorcontrib><creatorcontrib>Duño, Roso</creatorcontrib><creatorcontrib>Palao, Diego</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of nervous and mental disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernandez-Gonzalo, Sol</au><au>Pousa, Esther</au><au>Jodar, Merce</au><au>Turon, Marc</au><au>Duño, Roso</au><au>Palao, Diego</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of the Neuropsychological Functions in Theory of Mind in Schizophrenia: The False-Belief/Deception Paradigm</atitle><jtitle>The journal of nervous and mental disease</jtitle><addtitle>J Nerv Ment Dis</addtitle><date>2013-07</date><risdate>2013</risdate><volume>201</volume><issue>7</issue><spage>609</spage><epage>613</epage><pages>609-613</pages><issn>0022-3018</issn><eissn>1539-736X</eissn><coden>JNMDAN</coden><abstract>ABSTRACTThe aim of this study was to investigate the influence of neurocognition in a false-belief/deception theory of mind (ToM) task in a sample of patients with schizophrenia. In a cross-sectional study of 43 remitted patients, the implication of neurocognition in first- and second-order ToM stories was analyzed, controlling for clinical symptoms and duration of illness. None of the cognitive factors were associated with the first-order ToM stories. A logistic regression model with high specificity (96.3%) and sensitivity (75%) was obtained in the second-order ToM story “The Burglar,” the Information subtest (odds ratio [OR], 0.783; 95% confidence interval [CI], 0.62–0.99; p = 0.04) and the Block Design subtest (OR, 0.89; 95% CI, 0.79–1; p = 0.056) of the Wechsler Adult Intelligence Scale–III being the best predictive factors. Neurocognition was not related to first- or second-order ToM false-belief performance of the patients with schizophrenia. However, an influence of neuropsychological variables in the second-order ToM deception was observed. 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| subjects | Adult Adult and adolescent clinical studies Biological and medical sciences Cross-Sectional Studies Female Humans Logistic Models Male Medical sciences Mental health Neuropsychological Tests Predictive Value of Tests Psychiatric Status Rating Scales Psychological aspects Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychoses Regression analysis Schizophrenia Schizophrenia - physiopathology Schizophrenic Psychology Sensitivity and Specificity Theory Theory of Mind - classification Theory of Mind - physiology Wechsler Scales |
| title | Influence of the Neuropsychological Functions in Theory of Mind in Schizophrenia: The False-Belief/Deception Paradigm |
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