Males and females with first episode psychosis present distinct profiles of social cognition and metacognition

Defcits in social cognition and metacognition impact the course of psychosis. Sex diferences in social cognition and metacognition could explain heterogeneity in psychosis. 174 (58 females) patients with frst-episode psychosis completed a clinical, neuropsychological, social cognitive, and metacogni...

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Detalhes bibliográficos
Autores: Ferrer Quintero, Marta, Fernández-Martínez, Daniel, López Carrilero, Raquel, Birulés, Irene, Barajas, Ana, Lorente Rovira, Esther, Luengo, Ana, Díaz-Cutraro, Luciana, Verdaguer, Marina, García Mieres, Helena, Gutiérrez Zotes, José Alfonso, Grasa, Eva, Pousa, Esther, Huerta-Ramos, Elena, Pélaez, Trini, Barrigón, María Luisa, Gómez Benito, Juana, González-Higueras, Fermín, Ruiz-Delgado, Isabel, Cid, Jordi, Moritz, Steffen, Sevilla-Llewellyn-Jones, Julia, Ochoa Güerre, Susana
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/216760
Acesso em linha:https://hdl.handle.net/2445/216760
Access Level:acceso abierto
Palavra-chave:Cognició
Metacognició
Diferències entre sexes
Psicosi
Esquizofrènia
Cognition
Metacognition
Sex differences
Psychoses
Schizophrenia
Descrição
Resumo:Defcits in social cognition and metacognition impact the course of psychosis. Sex diferences in social cognition and metacognition could explain heterogeneity in psychosis. 174 (58 females) patients with frst-episode psychosis completed a clinical, neuropsychological, social cognitive, and metacognitive assessment. Subsequent latent profle 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 specifc male profle characterized by presenting jumping to conclusions (28.7%) and a specifc female profle characterized by cognitive biases (12.1%). Males and females in the homogeneous profle seem to have a more benign course of illness. Males with jumping to conclusions had more clinical symptoms and more neuropsychological defcits. Females with cognitive biases were younger and had lower self-esteem. These results suggest that males and females may beneft from specifc targeted treatment and highlights the need to consider sex when planning interventions.

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