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Early Interv Psychiatry. 2018 Jun;12(3):464-468. doi: 10.1111/eip.12417. Epub 2017 Jan 25.

An uncontrolled trial of multi-component care for first-episode psychosis: Effects on social cognition.

Author information

1
Early Psychosis Intervention Center (EPICENTER), Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, Ohio.
2
Department of Psychology, The Ohio State University, Columbus, Ohio.
3
Department of Psychology, The University of Arizona, Tucson, Arizona.
4
Early Psychosis Intervention Center (EPICENTER), Department of Psychiatry, The University of Arizona, Tucson, Arizona.

Abstract

Growing evidence suggests that specialized, multi-component treatment programmes produce improvements in numerous outcomes among individuals with first-episode psychosis. However, these programmes often lack interventions specifically designed to address deficits in social cognition. This raises questions about the effectiveness of such programmes in addressing deficits in social cognition that accompany psychotic disorders. We investigated the effect of participation in a multi-component treatment programme on social cognition among 71 individuals with first-episode psychosis. Participants experienced gains in emotion processing, social knowledge, social perception and theory of mind. However, after controlling for multiple comparisons, these improvements were limited to theory of mind and recognition of social cues in low emotion interactions. Although our findings should be interpreted cautiously, they raise the possibility that individuals participating in multi-component treatment programmes for first-episode psychosis without interventions specifically targeting social cognition may still experience gains in social cognition.

KEYWORDS:

first-episode psychosis; multi-component care; social cognition

PMID:
28124452
DOI:
10.1111/eip.12417

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