The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: A meta-analysis

▶ Social cognition is stronger related to community functioning than neurocognition. ▶ Theory of mind has the strongest associations with community functioning. ▶ The broad set of cognitive domains left ¾ of the variance in outcome unexplained. The current systematic review and meta-analysis provide...

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Published in	Neuroscience and biobehavioral reviews Vol. 35; no. 3; pp. 573 - 588
Main Authors	Fett, Anne-Kathrin J., Viechtbauer, Wolfgang, Dominguez, Maria-de-Gracia, Penn, David L., van Os, Jim, Krabbendam, Lydia
Format	Journal Article
Language	English
Published	Kidlington Elsevier Ltd 01.01.2011 Elsevier
Subjects	Adult and adolescent clinical studies Behavioral psychophysiology Biological and medical sciences Cognition Disorders - etiology Cognition Disorders - psychology Community functioning Functional outcome Fundamental and applied biological sciences. Psychology Humans Medical sciences Neurocognition Neuropsychological Tests Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Psychopathology. Psychiatry Psychoses Psychosis Quality of life Schizophrenia Schizophrenia - complications Schizophrenic Psychology Social Behavior Social cognition Psychosis Schizophrenia Community functioning Neurocognition Functional outcome Quality of life Social cognition Social adjustment Review Metaanalysis
Online Access	Get full text
ISSN	0149-7634 1873-7528 1873-7528
DOI	10.1016/j.neubiorev.2010.07.001

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Abstract	▶ Social cognition is stronger related to community functioning than neurocognition. ▶ Theory of mind has the strongest associations with community functioning. ▶ The broad set of cognitive domains left ¾ of the variance in outcome unexplained. The current systematic review and meta-analysis provides an extended and comprehensive overview of the associations between neurocognitive and social cognitive functioning and different types of functional outcome. Literature searches were conducted in MEDLINE and PsycINFO and reference lists from identified articles to retrieve relevant studies on cross-sectional associations between neurocognition, social cognition and functional outcome in individuals with non-affective psychosis. Of 285 studies identified, 52 studies comprising 2692 subjects met all inclusion criteria. Pearson correlations between cognition and outcome, demographic data, sample sizes and potential moderator variables were extracted. Forty-eight independent meta-analyses, on associations between 12 a priori identified neurocognitive and social cognitive domains and 4 domains of functional outcome yielded a number of 25 significant mean correlations. Overall, social cognition was more strongly associated with community functioning than neurocognition, with the strongest associations being between theory of mind and functional outcomes. However, as three-quarters of variance in outcome were left unexplained, cognitive remediation approaches need to be combined with therapies targeting other factors impacting on outcome.
AbstractList	The current systematic review and meta-analysis provides an extended and comprehensive overview of the associations between neurocognitive and social cognitive functioning and different types of functional outcome. Literature searches were conducted in MEDLINE and PsycINFO and reference lists from identified articles to retrieve relevant studies on cross-sectional associations between neurocognition, social cognition and functional outcome in individuals with non-affective psychosis. Of 285 studies identified, 52 studies comprising 2692 subjects met all inclusion criteria. Pearson correlations between cognition and outcome, demographic data, sample sizes and potential moderator variables were extracted. Forty-eight independent meta-analyses, on associations between 12 a priori identified neurocognitive and social cognitive domains and 4 domains of functional outcome yielded a number of 25 significant mean correlations. Overall, social cognition was more strongly associated with community functioning than neurocognition, with the strongest associations being between theory of mind and functional outcomes. However, as three-quarters of variance in outcome were left unexplained, cognitive remediation approaches need to be combined with therapies targeting other factors impacting on outcome. The current systematic review and meta-analysis provides an extended and comprehensive overview of the associations between neurocognitive and social cognitive functioning and different types of functional outcome. Literature searches were conducted in MEDLINE and PsycINFO and reference lists from identified articles to retrieve relevant studies on cross-sectional associations between neurocognition, social cognition and functional outcome in individuals with non-affective psychosis. Of 285 studies identified, 52 studies comprising 2692 subjects met all inclusion criteria. Pearson correlations between cognition and outcome, demographic data, sample sizes and potential moderator variables were extracted. Forty-eight independent meta-analyses, on associations between 12 a priori identified neurocognitive and social cognitive domains and 4 domains of functional outcome yielded a number of 25 significant mean correlations. Overall, social cognition was more strongly associated with community functioning than neurocognition, with the strongest associations being between theory of mind and functional outcomes. However, as three-quarters of variance in outcome were left unexplained, cognitive remediation approaches need to be combined with therapies targeting other factors impacting on outcome.The current systematic review and meta-analysis provides an extended and comprehensive overview of the associations between neurocognitive and social cognitive functioning and different types of functional outcome. Literature searches were conducted in MEDLINE and PsycINFO and reference lists from identified articles to retrieve relevant studies on cross-sectional associations between neurocognition, social cognition and functional outcome in individuals with non-affective psychosis. Of 285 studies identified, 52 studies comprising 2692 subjects met all inclusion criteria. Pearson correlations between cognition and outcome, demographic data, sample sizes and potential moderator variables were extracted. Forty-eight independent meta-analyses, on associations between 12 a priori identified neurocognitive and social cognitive domains and 4 domains of functional outcome yielded a number of 25 significant mean correlations. Overall, social cognition was more strongly associated with community functioning than neurocognition, with the strongest associations being between theory of mind and functional outcomes. However, as three-quarters of variance in outcome were left unexplained, cognitive remediation approaches need to be combined with therapies targeting other factors impacting on outcome. ▶ Social cognition is stronger related to community functioning than neurocognition. ▶ Theory of mind has the strongest associations with community functioning. ▶ The broad set of cognitive domains left ¾ of the variance in outcome unexplained. The current systematic review and meta-analysis provides an extended and comprehensive overview of the associations between neurocognitive and social cognitive functioning and different types of functional outcome. Literature searches were conducted in MEDLINE and PsycINFO and reference lists from identified articles to retrieve relevant studies on cross-sectional associations between neurocognition, social cognition and functional outcome in individuals with non-affective psychosis. Of 285 studies identified, 52 studies comprising 2692 subjects met all inclusion criteria. Pearson correlations between cognition and outcome, demographic data, sample sizes and potential moderator variables were extracted. Forty-eight independent meta-analyses, on associations between 12 a priori identified neurocognitive and social cognitive domains and 4 domains of functional outcome yielded a number of 25 significant mean correlations. Overall, social cognition was more strongly associated with community functioning than neurocognition, with the strongest associations being between theory of mind and functional outcomes. However, as three-quarters of variance in outcome were left unexplained, cognitive remediation approaches need to be combined with therapies targeting other factors impacting on outcome.
Author	van Os, Jim Penn, David L. Fett, Anne-Kathrin J. Dominguez, Maria-de-Gracia Viechtbauer, Wolfgang Krabbendam, Lydia
Author_xml	– sequence: 1 givenname: Anne-Kathrin J. surname: Fett fullname: Fett, Anne-Kathrin J. organization: Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands – sequence: 2 givenname: Wolfgang surname: Viechtbauer fullname: Viechtbauer, Wolfgang organization: Department of Methodology and Statistics, School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands – sequence: 3 givenname: Maria-de-Gracia surname: Dominguez fullname: Dominguez, Maria-de-Gracia organization: Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands – sequence: 4 givenname: David L. surname: Penn fullname: Penn, David L. organization: Department of Psychology, University of North Carolina Chapel Hill, United States – sequence: 5 givenname: Jim surname: van Os fullname: van Os, Jim organization: Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands – sequence: 6 givenname: Lydia surname: Krabbendam fullname: Krabbendam, Lydia email: AC.Krabbendam@psy.vu.nl organization: Centre for Brain & Learning, Faculty of Psychology and Education, VU University Amsterdam, Amsterdam, The Netherlands
BackLink	http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23838756$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/20620163$$D View this record in MEDLINE/PubMed
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Snippet	▶ Social cognition is stronger related to community functioning than neurocognition. ▶ Theory of mind has the strongest associations with community... The current systematic review and meta-analysis provides an extended and comprehensive overview of the associations between neurocognitive and social cognitive...
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SubjectTerms	Adult and adolescent clinical studies Behavioral psychophysiology Biological and medical sciences Cognition Disorders - etiology Cognition Disorders - psychology Community functioning Functional outcome Fundamental and applied biological sciences. Psychology Humans Medical sciences Neurocognition Neuropsychological Tests Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Psychopathology. Psychiatry Psychoses Psychosis Quality of life Schizophrenia Schizophrenia - complications Schizophrenic Psychology Social Behavior Social cognition
Title	The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: A meta-analysis
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