Hostile attributions in bipolar disorder and schizophrenia contribute to poor social functioning

Objective To compare the profile of attributional style of a group of out‐patients with bipolar disorder (BD) and schizophrenia (SZ), and a group of healthy controls – along with other social cognition domains – such as emotion recognition and theory of mind (ToM). Method A total of 46 out‐patients...

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Veröffentlicht in:Acta psychiatrica Scandinavica 2015-06, Vol.131 (6), p.472-482
Hauptverfasser: Lahera, G., Herrera, S., Reinares, M., Benito, A., Rullas, M., González-Cases, J., Vieta, E.
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container_end_page 482
container_issue 6
container_start_page 472
container_title Acta psychiatrica Scandinavica
container_volume 131
creator Lahera, G.
Herrera, S.
Reinares, M.
Benito, A.
Rullas, M.
González-Cases, J.
Vieta, E.
description Objective To compare the profile of attributional style of a group of out‐patients with bipolar disorder (BD) and schizophrenia (SZ), and a group of healthy controls – along with other social cognition domains – such as emotion recognition and theory of mind (ToM). Method A total of 46 out‐patients diagnosed with BD, 49 with SZ, and 50 healthy controls were assessed in attributional style (Ambiguous Intentions Hostility Questionnaire), facial emotion recognition (FEIT, FEDT, ER‐40), and ToM (Hinting Task). Symptomatology, clinical variables and global functioning were also collected. Results Both groups with SZ and BD showed hostile social cognitive biases, compared with the control group. Patients with BD also showed a capacity for emotional recognition similar to those with SZ and worse than control subjects. In contrast, patients with SZ showed poorer ToM. Subthreshold depressive symptoms and an attributional style toward hostility appeared as the factors with a strongest association to global functioning in BD. In SZ, PANSS score and a tendency to aggressiveness were the most relevant factors. Conclusion Attributional style (along with other domains of social cognition) is altered in out‐patients with BD and SZ. The presence of residual symptoms and a hostile social cognitive bias may contribute to the functional impairment of both groups.
doi_str_mv 10.1111/acps.12399
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Method A total of 46 out‐patients diagnosed with BD, 49 with SZ, and 50 healthy controls were assessed in attributional style (Ambiguous Intentions Hostility Questionnaire), facial emotion recognition (FEIT, FEDT, ER‐40), and ToM (Hinting Task). Symptomatology, clinical variables and global functioning were also collected. Results Both groups with SZ and BD showed hostile social cognitive biases, compared with the control group. Patients with BD also showed a capacity for emotional recognition similar to those with SZ and worse than control subjects. In contrast, patients with SZ showed poorer ToM. Subthreshold depressive symptoms and an attributional style toward hostility appeared as the factors with a strongest association to global functioning in BD. In SZ, PANSS score and a tendency to aggressiveness were the most relevant factors. Conclusion Attributional style (along with other domains of social cognition) is altered in out‐patients with BD and SZ. The presence of residual symptoms and a hostile social cognitive bias may contribute to the functional impairment of both groups.</description><identifier>ISSN: 0001-690X</identifier><identifier>EISSN: 1600-0447</identifier><identifier>DOI: 10.1111/acps.12399</identifier><identifier>PMID: 25645449</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Bipolar disorder ; Bipolar Disorder - psychology ; Case-Control Studies ; Cognition &amp; reasoning ; emotion recognition ; Emotions ; Emotions - physiology ; Female ; Hostility ; Humans ; Linear Models ; Male ; Middle Aged ; Psychiatry ; Psychopathology ; Schizophrenia ; Schizophrenia - diagnosis ; Schizophrenic Psychology ; Social Adjustment ; Social Behavior ; social cognition ; Social Perception ; Statistics, Nonparametric ; subthreshold symptoms ; Surveys and Questionnaires ; Theory of Mind</subject><ispartof>Acta psychiatrica Scandinavica, 2015-06, Vol.131 (6), p.472-482</ispartof><rights>2015 John Wiley &amp; Sons A/S. 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Method A total of 46 out‐patients diagnosed with BD, 49 with SZ, and 50 healthy controls were assessed in attributional style (Ambiguous Intentions Hostility Questionnaire), facial emotion recognition (FEIT, FEDT, ER‐40), and ToM (Hinting Task). Symptomatology, clinical variables and global functioning were also collected. Results Both groups with SZ and BD showed hostile social cognitive biases, compared with the control group. Patients with BD also showed a capacity for emotional recognition similar to those with SZ and worse than control subjects. In contrast, patients with SZ showed poorer ToM. Subthreshold depressive symptoms and an attributional style toward hostility appeared as the factors with a strongest association to global functioning in BD. In SZ, PANSS score and a tendency to aggressiveness were the most relevant factors. Conclusion Attributional style (along with other domains of social cognition) is altered in out‐patients with BD and SZ. 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subjects Adult
Bipolar disorder
Bipolar Disorder - psychology
Case-Control Studies
Cognition & reasoning
emotion recognition
Emotions
Emotions - physiology
Female
Hostility
Humans
Linear Models
Male
Middle Aged
Psychiatry
Psychopathology
Schizophrenia
Schizophrenia - diagnosis
Schizophrenic Psychology
Social Adjustment
Social Behavior
social cognition
Social Perception
Statistics, Nonparametric
subthreshold symptoms
Surveys and Questionnaires
Theory of Mind
title Hostile attributions in bipolar disorder and schizophrenia contribute to poor social functioning
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