Mediating role of cognition and social cognition on creativity among patients with schizophrenia and healthy controls: Revisiting the Shared Vulnerability Model
Aim As suggested by the Shared Vulnerability Model, impairment in executive functions could lead to worse creative performance among individuals with schizophrenia. Another impaired function in schizophrenia, previously related to creativity in healthy people, is theory of mind. However, little is k...
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| Veröffentlicht in: | Psychiatry and clinical neurosciences 2020-02, Vol.74 (2), p.149-155 |
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| creator | Sampedro, Agurne Peña, Javier Ibarretxe‐Bilbao, Naroa Sánchez, Pedro Iriarte‐Yoller, Nagore Ledesma‐González, Sara Tous‐Espelosin, Mikel Ojeda, Natalia |
| description | Aim
As suggested by the Shared Vulnerability Model, impairment in executive functions could lead to worse creative performance among individuals with schizophrenia. Another impaired function in schizophrenia, previously related to creativity in healthy people, is theory of mind. However, little is known about the effect of theory of mind in creativity in schizophrenia. Therefore, the aim of this study was to analyze differences in creativity among patients with schizophrenia compared to healthy controls (HC) and to explore the potential role of executive functions and theory of mind as mediators of this relation.
Methods
Forty‐five patients with schizophrenia and 45 HC underwent a neuropsychological assessment, including executive functions (cognitive flexibility and working memory), theory of mind, and verbal and figural creativity.
Results
As expected, patients with schizophrenia obtained lower scores in creativity, cognitive flexibility, working memory, and theory of mind compared to HC. Path analysis showed that theory of mind mediated the relation between group (schizophrenia or HC) and both figural (Z = 2.075, P = 0.037) and verbal creativity (Z = 2.570, P = 0.010). Working memory mediated the relation between group and figural creativity (Z = 2.034, P = 0.041) and was marginally significant for verbal creativity (Z = 1.930, P = 0.053). Finally, cognitive flexibility mediated between group and figural creativity (Z = 2.454, P = 0.014).
Conclusion
Results suggest that the lower performance in creativity among patients with schizophrenia was partly due to an impairment in executive functions and theory of mind. The involvement of theory of mind opens up a new field of research as a possible risk factor in the Shared Vulnerability Model. |
| doi_str_mv | 10.1111/pcn.12954 |
| format | Article |
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As suggested by the Shared Vulnerability Model, impairment in executive functions could lead to worse creative performance among individuals with schizophrenia. Another impaired function in schizophrenia, previously related to creativity in healthy people, is theory of mind. However, little is known about the effect of theory of mind in creativity in schizophrenia. Therefore, the aim of this study was to analyze differences in creativity among patients with schizophrenia compared to healthy controls (HC) and to explore the potential role of executive functions and theory of mind as mediators of this relation.
Methods
Forty‐five patients with schizophrenia and 45 HC underwent a neuropsychological assessment, including executive functions (cognitive flexibility and working memory), theory of mind, and verbal and figural creativity.
Results
As expected, patients with schizophrenia obtained lower scores in creativity, cognitive flexibility, working memory, and theory of mind compared to HC. Path analysis showed that theory of mind mediated the relation between group (schizophrenia or HC) and both figural (Z = 2.075, P = 0.037) and verbal creativity (Z = 2.570, P = 0.010). Working memory mediated the relation between group and figural creativity (Z = 2.034, P = 0.041) and was marginally significant for verbal creativity (Z = 1.930, P = 0.053). Finally, cognitive flexibility mediated between group and figural creativity (Z = 2.454, P = 0.014).
Conclusion
Results suggest that the lower performance in creativity among patients with schizophrenia was partly due to an impairment in executive functions and theory of mind. The involvement of theory of mind opens up a new field of research as a possible risk factor in the Shared Vulnerability Model.</description><identifier>ISSN: 1323-1316</identifier><identifier>ISSN: 1440-1819</identifier><identifier>EISSN: 1440-1819</identifier><identifier>DOI: 10.1111/pcn.12954</identifier><identifier>PMID: 31707749</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Adult ; Clinical Neurology ; Cognition ; Cognition & reasoning ; Cognitive ability ; Cognitive Dysfunction - etiology ; Cognitive Dysfunction - physiopathology ; Creativity ; Executive function ; Executive Function - physiology ; Female ; Flexibility ; Humans ; Life Sciences & Biomedicine ; Male ; Memory ; Memory, Short-Term - physiology ; Mental disorders ; Middle Aged ; Neurosciences ; Neurosciences & Neurology ; Psychiatry ; Regular ; Risk factors ; Schizophrenia ; Schizophrenia - complications ; Schizophrenia - physiopathology ; Science & Technology ; Short term memory ; Social Cognition ; Social interactions ; theory of mind ; Theory of Mind - physiology</subject><ispartof>Psychiatry and clinical neurosciences, 2020-02, Vol.74 (2), p.149-155</ispartof><rights>2019 The Authors. Psychiatry and Clinical Neurosciences published by John Wiley & Sons Australia, Ltd on behalf of Japanese Society of Psychiatry and Neurology.</rights><rights>2019. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>10</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000500262000001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c4674-c562f5df709c97e6b1a9e91b46f5f987dd3da87b42a8abc30d9f4ba935648c233</citedby><cites>FETCH-LOGICAL-c4674-c562f5df709c97e6b1a9e91b46f5f987dd3da87b42a8abc30d9f4ba935648c233</cites><orcidid>0000-0002-3069-4897 ; 0000-0002-0041-7020 ; 0000-0002-3394-1339 ; 0000-0002-2434-5252</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpcn.12954$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpcn.12954$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,315,781,785,886,1418,1434,27929,27930,28253,28254,45579,45580,46414,46838</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31707749$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sampedro, Agurne</creatorcontrib><creatorcontrib>Peña, Javier</creatorcontrib><creatorcontrib>Ibarretxe‐Bilbao, Naroa</creatorcontrib><creatorcontrib>Sánchez, Pedro</creatorcontrib><creatorcontrib>Iriarte‐Yoller, Nagore</creatorcontrib><creatorcontrib>Ledesma‐González, Sara</creatorcontrib><creatorcontrib>Tous‐Espelosin, Mikel</creatorcontrib><creatorcontrib>Ojeda, Natalia</creatorcontrib><title>Mediating role of cognition and social cognition on creativity among patients with schizophrenia and healthy controls: Revisiting the Shared Vulnerability Model</title><title>Psychiatry and clinical neurosciences</title><addtitle>PSYCHIAT CLIN NEUROS</addtitle><addtitle>Psychiatry Clin Neurosci</addtitle><description>Aim
As suggested by the Shared Vulnerability Model, impairment in executive functions could lead to worse creative performance among individuals with schizophrenia. Another impaired function in schizophrenia, previously related to creativity in healthy people, is theory of mind. However, little is known about the effect of theory of mind in creativity in schizophrenia. Therefore, the aim of this study was to analyze differences in creativity among patients with schizophrenia compared to healthy controls (HC) and to explore the potential role of executive functions and theory of mind as mediators of this relation.
Methods
Forty‐five patients with schizophrenia and 45 HC underwent a neuropsychological assessment, including executive functions (cognitive flexibility and working memory), theory of mind, and verbal and figural creativity.
Results
As expected, patients with schizophrenia obtained lower scores in creativity, cognitive flexibility, working memory, and theory of mind compared to HC. Path analysis showed that theory of mind mediated the relation between group (schizophrenia or HC) and both figural (Z = 2.075, P = 0.037) and verbal creativity (Z = 2.570, P = 0.010). Working memory mediated the relation between group and figural creativity (Z = 2.034, P = 0.041) and was marginally significant for verbal creativity (Z = 1.930, P = 0.053). Finally, cognitive flexibility mediated between group and figural creativity (Z = 2.454, P = 0.014).
Conclusion
Results suggest that the lower performance in creativity among patients with schizophrenia was partly due to an impairment in executive functions and theory of mind. The involvement of theory of mind opens up a new field of research as a possible risk factor in the Shared Vulnerability Model.</description><subject>Adult</subject><subject>Clinical Neurology</subject><subject>Cognition</subject><subject>Cognition & reasoning</subject><subject>Cognitive ability</subject><subject>Cognitive Dysfunction - etiology</subject><subject>Cognitive Dysfunction - physiopathology</subject><subject>Creativity</subject><subject>Executive function</subject><subject>Executive Function - physiology</subject><subject>Female</subject><subject>Flexibility</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Memory</subject><subject>Memory, Short-Term - physiology</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Neurosciences</subject><subject>Neurosciences & Neurology</subject><subject>Psychiatry</subject><subject>Regular</subject><subject>Risk factors</subject><subject>Schizophrenia</subject><subject>Schizophrenia - complications</subject><subject>Schizophrenia - physiopathology</subject><subject>Science & Technology</subject><subject>Short term memory</subject><subject>Social Cognition</subject><subject>Social interactions</subject><subject>theory of mind</subject><subject>Theory of Mind - physiology</subject><issn>1323-1316</issn><issn>1440-1819</issn><issn>1440-1819</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>AOWDO</sourceid><sourceid>ARHDP</sourceid><sourceid>EIF</sourceid><recordid>eNqNktuKFDEQhhtR3INe-AIS8EaR3k066UO8EKRZD7Cr4uk2pNPV01kyyZikZxmfxkc1PTMOqyAYAjl99VcVf7LsEcFnJI3zlbJnpOAlu5MdE8ZwThrC76Y9LWhOKKmOspMQrjHGlFbkfnZESY3rmvHj7OcV9FpGbRfIOwPIDUi5hdVRO4uk7VFwSktz6zJN5SGFrHXcILl0KXSVjmBjQDc6jiioUf9wq9GD1XIrMoI0cdwkFRtTmvACfYK1DnqbN46APo_SQ4--TcaCl502s_aV68E8yO4N0gR4uF9Ps6-vL760b_PLD2_eta8uc8WqmuWqrIqh7Icac8VrqDoiOXDSsWooB97UfU972dQdK2QjO0VxzwfWSU7LijWqoPQ0e7nTXU3dEnqV2vHSiJXXS-k3wkkt_nyxehQLtxY1LmrGWBJ4uhfw7vsEIYqlDgqMkRbcFERBCa3KpqQz-uQv9NpN3qb2ElUWjDcVLhP1bEcp70LwMByKIVjMvovku9j6ntjHt6s_kL-NTkCzA26gc0NQyS4FByz9jBLjoirwPEiro5y9bt1kYwp9_v-hiT7f09rA5t8li4_t-13tvwD5uty2</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Sampedro, Agurne</creator><creator>Peña, Javier</creator><creator>Ibarretxe‐Bilbao, Naroa</creator><creator>Sánchez, Pedro</creator><creator>Iriarte‐Yoller, Nagore</creator><creator>Ledesma‐González, Sara</creator><creator>Tous‐Espelosin, Mikel</creator><creator>Ojeda, Natalia</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>17B</scope><scope>AOWDO</scope><scope>ARHDP</scope><scope>BLEPL</scope><scope>DTL</scope><scope>DVR</scope><scope>EGQ</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>7TK</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3069-4897</orcidid><orcidid>https://orcid.org/0000-0002-0041-7020</orcidid><orcidid>https://orcid.org/0000-0002-3394-1339</orcidid><orcidid>https://orcid.org/0000-0002-2434-5252</orcidid></search><sort><creationdate>202002</creationdate><title>Mediating role of cognition and social cognition on creativity among patients with schizophrenia and healthy controls: Revisiting the Shared Vulnerability Model</title><author>Sampedro, Agurne ; Peña, Javier ; Ibarretxe‐Bilbao, Naroa ; Sánchez, Pedro ; Iriarte‐Yoller, Nagore ; Ledesma‐González, Sara ; Tous‐Espelosin, Mikel ; Ojeda, Natalia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4674-c562f5df709c97e6b1a9e91b46f5f987dd3da87b42a8abc30d9f4ba935648c233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Clinical Neurology</topic><topic>Cognition</topic><topic>Cognition & reasoning</topic><topic>Cognitive ability</topic><topic>Cognitive Dysfunction - etiology</topic><topic>Cognitive Dysfunction - physiopathology</topic><topic>Creativity</topic><topic>Executive function</topic><topic>Executive Function - physiology</topic><topic>Female</topic><topic>Flexibility</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>Memory</topic><topic>Memory, Short-Term - physiology</topic><topic>Mental disorders</topic><topic>Middle Aged</topic><topic>Neurosciences</topic><topic>Neurosciences & Neurology</topic><topic>Psychiatry</topic><topic>Regular</topic><topic>Risk factors</topic><topic>Schizophrenia</topic><topic>Schizophrenia - complications</topic><topic>Schizophrenia - physiopathology</topic><topic>Science & Technology</topic><topic>Short term memory</topic><topic>Social Cognition</topic><topic>Social interactions</topic><topic>theory of mind</topic><topic>Theory of Mind - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sampedro, Agurne</creatorcontrib><creatorcontrib>Peña, Javier</creatorcontrib><creatorcontrib>Ibarretxe‐Bilbao, Naroa</creatorcontrib><creatorcontrib>Sánchez, Pedro</creatorcontrib><creatorcontrib>Iriarte‐Yoller, Nagore</creatorcontrib><creatorcontrib>Ledesma‐González, Sara</creatorcontrib><creatorcontrib>Tous‐Espelosin, Mikel</creatorcontrib><creatorcontrib>Ojeda, Natalia</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Web of Knowledge</collection><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science - Social Sciences Citation Index – 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI & AHCI)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psychiatry and clinical neurosciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sampedro, Agurne</au><au>Peña, Javier</au><au>Ibarretxe‐Bilbao, Naroa</au><au>Sánchez, Pedro</au><au>Iriarte‐Yoller, Nagore</au><au>Ledesma‐González, Sara</au><au>Tous‐Espelosin, Mikel</au><au>Ojeda, Natalia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mediating role of cognition and social cognition on creativity among patients with schizophrenia and healthy controls: Revisiting the Shared Vulnerability Model</atitle><jtitle>Psychiatry and clinical neurosciences</jtitle><stitle>PSYCHIAT CLIN NEUROS</stitle><addtitle>Psychiatry Clin Neurosci</addtitle><date>2020-02</date><risdate>2020</risdate><volume>74</volume><issue>2</issue><spage>149</spage><epage>155</epage><pages>149-155</pages><issn>1323-1316</issn><issn>1440-1819</issn><eissn>1440-1819</eissn><abstract>Aim
As suggested by the Shared Vulnerability Model, impairment in executive functions could lead to worse creative performance among individuals with schizophrenia. Another impaired function in schizophrenia, previously related to creativity in healthy people, is theory of mind. However, little is known about the effect of theory of mind in creativity in schizophrenia. Therefore, the aim of this study was to analyze differences in creativity among patients with schizophrenia compared to healthy controls (HC) and to explore the potential role of executive functions and theory of mind as mediators of this relation.
Methods
Forty‐five patients with schizophrenia and 45 HC underwent a neuropsychological assessment, including executive functions (cognitive flexibility and working memory), theory of mind, and verbal and figural creativity.
Results
As expected, patients with schizophrenia obtained lower scores in creativity, cognitive flexibility, working memory, and theory of mind compared to HC. Path analysis showed that theory of mind mediated the relation between group (schizophrenia or HC) and both figural (Z = 2.075, P = 0.037) and verbal creativity (Z = 2.570, P = 0.010). Working memory mediated the relation between group and figural creativity (Z = 2.034, P = 0.041) and was marginally significant for verbal creativity (Z = 1.930, P = 0.053). Finally, cognitive flexibility mediated between group and figural creativity (Z = 2.454, P = 0.014).
Conclusion
Results suggest that the lower performance in creativity among patients with schizophrenia was partly due to an impairment in executive functions and theory of mind. The involvement of theory of mind opens up a new field of research as a possible risk factor in the Shared Vulnerability Model.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>31707749</pmid><doi>10.1111/pcn.12954</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3069-4897</orcidid><orcidid>https://orcid.org/0000-0002-0041-7020</orcidid><orcidid>https://orcid.org/0000-0002-3394-1339</orcidid><orcidid>https://orcid.org/0000-0002-2434-5252</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Clinical Neurology Cognition Cognition & reasoning Cognitive ability Cognitive Dysfunction - etiology Cognitive Dysfunction - physiopathology Creativity Executive function Executive Function - physiology Female Flexibility Humans Life Sciences & Biomedicine Male Memory Memory, Short-Term - physiology Mental disorders Middle Aged Neurosciences Neurosciences & Neurology Psychiatry Regular Risk factors Schizophrenia Schizophrenia - complications Schizophrenia - physiopathology Science & Technology Short term memory Social Cognition Social interactions theory of mind Theory of Mind - physiology |
| title | Mediating role of cognition and social cognition on creativity among patients with schizophrenia and healthy controls: Revisiting the Shared Vulnerability Model |
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