Males and females with first episode psychosis present distinct profiles of social cognition and metacognition.
Por:
Ferrer-Quintero M, Fernandez D, Lopez-Carrilero R, Birules I, Barajas A, Lorente-Rovira E, Luengo A, Diaz-Cutraro L, Verdaguer M, Garcia-Mieres H, Gutierrez-Zotes A, Grasa E, Pousa E, Huerta-Ramos E, Pelaez T, Barrigon M, Gomez-Benito J, Gonzalez-Higueras F, Ruiz-Delgado I, Cid J, Moritz S, Sevilla-Llewellyn-Jones J, Ochoa S
Publicada:
1 oct 2022
Ahead of Print:
8 jul 2022
Resumen:
Deficits in social cognition and metacognition impact the course of psychosis. Sex differences in social cognition and metacognition could explain heterogeneity in psychosis. 174 (58 females) patients with first-episode psychosis completed a clinical, neuropsychological, social cognitive, and metacognitive assessment. Subsequent latent profile analysis split by sex yielded two clusters common to both sexes (a Homogeneous group, 53% and 79.3%, and an Indecisive group, 18.3% and 8.6% of males and females, respectively), a specific male profile characterized by presenting jumping to conclusions (28.7%) and a specific female profile characterized by cognitive biases (12.1%). Males and females in the homogeneous profile seem to have a more benign course of illness. Males with jumping to conclusions had more clinical symptoms and more neuropsychological deficits. Females with cognitive biases were younger and had lower self-esteem. These results suggest that males and females may benefit from specific targeted treatment and highlights the need to consider sex when planning interventions.
Filiaciones:
Ferrer-Quintero M:
Parc Sanitari St Joan de Deu,Dr Pujades 42, Barcelona 08830, Spain
Univ Barcelona, Fac Psicol, Dept Psicol Social & Psicol Quantitat, Barcelona, Spain
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
Fernandez D:
Parc Sanitari St Joan de Deu,Dr Pujades 42, Barcelona 08830, Spain
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
Fundacio St Joan de Deu, Esplugues De Llobregat B, Spain
Univ Politecn Catalunya BarcelonaTech UPC, Dept Stat & Operat Res DEIO, Barcelona 08028, Spain
Univ Politecn Cataluna, Inst Math, UPC BarcelonaTech IMTech, Barcelona 08028, Spain
Lopez-Carrilero R:
Parc Sanitari St Joan de Deu,Dr Pujades 42, Barcelona 08830, Spain
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
Fundacio St Joan de Deu, Esplugues De Llobregat B, Spain
Birules I:
Parc Sanitari St Joan de Deu,Dr Pujades 42, Barcelona 08830, Spain
Univ Barcelona, Fac Psicol, Dept Psicol Social & Psicol Quantitat, Barcelona, Spain
Barajas A:
Univ Autonoma Barcelona, Fac Psicol Clin & Salut, Dept Psicol, Barcelona, Spain
Ctr Higiene Mental Les Corts, Dept Res, Barcelona, Spain
Lorente-Rovira E:
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
Hosp Clin Univ Valencia, Psychiat Serv, Valencia, Spain
Luengo A:
Hosp Clin Univ Valencia, Psychiat Serv, Valencia, Spain
Diaz-Cutraro L:
Parc Sanitari St Joan de Deu,Dr Pujades 42, Barcelona 08830, Spain
Blanquerna Ramon Llull Univ, FPCEE, COMSAL Res Grp, Barcelona, Spain
Verdaguer M:
Parc Sanitari St Joan de Deu,Dr Pujades 42, Barcelona 08830, Spain
Univ Autonoma Barcelona, Fac Psicol Clin & Salut, Dept Psicol, Barcelona, Spain
Univ Autonoma Barcelona, Fac Psicol, Dept Psicol Clin & Salut, Bellaterra, Cerdanyola Del, Spain
Garcia-Mieres H:
Parc Sanitari St Joan de Deu,Dr Pujades 42, Barcelona 08830, Spain
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
Gutierrez-Zotes A:
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
Univ Rovira & Virgili, Hosp Univ Inst Pere Mata, Inst Invest Sanitaria Pere Virgili CERCA, Reus, Spain
Grasa E:
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
Hosp Santa Creu & Sant Pau, Dept Psychiat, Inst Invest Biomed St Pau IIB St Pau, Barcelona, Spain
Pousa E:
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
Hosp Santa Creu & Sant Pau, Dept Psychiat, Inst Invest Biomed St Pau IIB St Pau, Barcelona, Spain
Salut Mental Parc Tauli, Sabadell, Barcelona, Spain
Hosp Univ UAB Univ Autonoma Barcelona, Barcelona, Spain
Hosp del Mar, Neuropsiquiatria & Addic, IMIM Hosp del Mar Med Res Inst, Barcelona, Spain
Huerta-Ramos E:
Parc Sanitari St Joan de Deu,Dr Pujades 42, Barcelona 08830, Spain
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
Pelaez T:
Parc Sanitari St Joan de Deu,Dr Pujades 42, Barcelona 08830, Spain
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
Barrigon M:
Univ Hosp Virgen del Rocio, Dept Psychiat, Seville, Spain
Area Gest Sanitaria Sur Granada, Psychiat Serv, Granada, Spain
Gomez-Benito J:
Univ Barcelona, Fac Psicol, Dept Psicol Social & Psicol Quantitat, Barcelona, Spain
Univ Barcelona, Inst Neurociencies, GEIMAC, Barcelona, Spain
Gonzalez-Higueras F:
Comunidad Terapeut Jaen Serv Andaluz Salud, Jaen, Spain
Ruiz-Delgado I:
Unidad Salud Mental Comunitaria Malaga Norte, Malaga, Spain
Cid J:
Inst Assistencia Sanitaria, IdiBGi, Mental Hlth & Addict Res Grp, Girona, Spain
Moritz S:
Univ Med Ctr Hamburg, Dept Psychiat & Psychotherapy, Hamburg, Germany
Sevilla-Llewellyn-Jones J:
Clin San Carlos Hosp, Inst Psychiat & Mental Hlth, Hlth Res Inst IdISSC, Madrid, Spain
Ochoa S:
Parc Sanitari St Joan de Deu,Dr Pujades 42, Barcelona 08830, Spain
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
hybrid, Green Published
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