Articles producció científica> Medicina i Cirurgia

Cognitive biases in first-episode psychosis with and without attention-deficit/hyperactivity disorder

  • Identification data

    Identifier: imarina:9325970
    Authors:
    Sanchez-Gistau, VanessaCabezas, AngelManzanares, NuriaSole, MontseCorral, LiaVilella, ElisabetGutierrez-Zotes, Alfonso
    Abstract:
    IntroductionPsychotic disorders such schizophrenia and attention-deficit/hyperactivity disorder (ADHD) are neurodevelopmental disorders with social cognitive deficits. Specifically, biased interpretation of social information can result in interpersonal difficulties. Cognitive biases are prevalent in psychosis, but no previous study has investigated whether the type and severity of cognitive biases differ between subjects experiencing first-episode psychosis (FEP) with (FEP-ADHD(+)) and without ADHD (FEP-ADHD(-)). MethodsA total of 121 FEP outpatients at the Early Intervention Service of Reus were screened for childhood ADHD through the Diagnostic Interview for ADHD (DIVA). Cognitive biases were assessed by the Cognitive Biases Questionnaire for Psychosis (CBQp). CBQp scores of FEPs groups were compared with those of healthy controls (HCs) with an analysis of covariance. Spearman correlation analysis explored associations between CBQp scores and psychopathology. ResultsThirty-one FEPs met the criteria for childhood ADHD and reported significantly more cognitive bias [median (interquartile range): 47 (38-56)] than FEP-ADHD(-) [42 (37-48)] and HCs [38 (35.5-43)]. CBQp scores did not differ between FEP-ADHD-and HCs when adjusted for age and sex. After controlling for clinical differences, Intentionalising (F = 20.97; p < 0.001) and Emotional Reasoning biases (F = 4.17; p = 0.04) were more strongly associated with FEP-ADHD(+) than FEP-ADHD(-). Cognitive biases were significantly correlated with positive psychotic symptoms in both groups but only with depressive symptoms in FEP-ADHD(-) (r = 0.258; p = 0.03) and with poor functioning in FEP-ADHD(+) (r = -0.504; p = 0.003). ConclusionCognitive bias severity increased from HCs to FEP-ADHD-patients to FEP-ADHD(+) patients. FEP-A
  • Others:

    Author, as appears in the article.: Sanchez-Gistau, Vanessa; Cabezas, Angel; Manzanares, Nuria; Sole, Montse; Corral, Lia; Vilella, Elisabet; Gutierrez-Zotes, Alfonso;
    Department: Medicina i Cirurgia
    URV's Author/s: Gutiérrez Zotes, José Alfonso / Manzanares Tesón, Núria / Sánchez Gistau, Vanessa / Solé Moix, Maria Montserrat / Vilella Cuadrada, Elisabet
    Keywords: Validation Social cognition Schizophrenia Scale dacobs Sample Questionnaire Metaanalysis Individuals First episode psychosis (fep) Davos assessment Cognitive bias Children Cbqp Adhd
    Abstract: IntroductionPsychotic disorders such schizophrenia and attention-deficit/hyperactivity disorder (ADHD) are neurodevelopmental disorders with social cognitive deficits. Specifically, biased interpretation of social information can result in interpersonal difficulties. Cognitive biases are prevalent in psychosis, but no previous study has investigated whether the type and severity of cognitive biases differ between subjects experiencing first-episode psychosis (FEP) with (FEP-ADHD(+)) and without ADHD (FEP-ADHD(-)). MethodsA total of 121 FEP outpatients at the Early Intervention Service of Reus were screened for childhood ADHD through the Diagnostic Interview for ADHD (DIVA). Cognitive biases were assessed by the Cognitive Biases Questionnaire for Psychosis (CBQp). CBQp scores of FEPs groups were compared with those of healthy controls (HCs) with an analysis of covariance. Spearman correlation analysis explored associations between CBQp scores and psychopathology. ResultsThirty-one FEPs met the criteria for childhood ADHD and reported significantly more cognitive bias [median (interquartile range): 47 (38-56)] than FEP-ADHD(-) [42 (37-48)] and HCs [38 (35.5-43)]. CBQp scores did not differ between FEP-ADHD-and HCs when adjusted for age and sex. After controlling for clinical differences, Intentionalising (F = 20.97; p < 0.001) and Emotional Reasoning biases (F = 4.17; p = 0.04) were more strongly associated with FEP-ADHD(+) than FEP-ADHD(-). Cognitive biases were significantly correlated with positive psychotic symptoms in both groups but only with depressive symptoms in FEP-ADHD(-) (r = 0.258; p = 0.03) and with poor functioning in FEP-ADHD(+) (r = -0.504; p = 0.003). ConclusionCognitive bias severity increased from HCs to FEP-ADHD-patients to FEP-ADHD(+) patients. FEP-ADHD(+) patients may be a particularly vulnerable group in which metacognitive targeted interventions are needed.
    Thematic Areas: Saúde coletiva Psychology, multidisciplinary Psychology (miscellaneous) Psychology (all) Psychology Psicología Nutrição Medicina ii Medicina i Linguística e literatura Interdisciplinar General psychology Filosofía Ensino Engenharias iv Enfermagem Educação física Educação Economia Ciencias sociales Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência da computação Biotecnología Biodiversidade Astronomia / física Artes Administração pública e de empresas, ciências contábeis e turismo
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: vanessa.sanchezg@urv.cat mariamontserrat.sole@urv.cat elisabet.vilella@urv.cat josealfonso.gutierrez@urv.cat nuria.manzanares@estudiants.urv.cat
    Author identifier: 0000-0002-1887-5919
    Record's date: 2024-08-03
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1127535/full
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Frontiers In Psychology. 14
    APA: Sanchez-Gistau, Vanessa; Cabezas, Angel; Manzanares, Nuria; Sole, Montse; Corral, Lia; Vilella, Elisabet; Gutierrez-Zotes, Alfonso; (2023). Cognitive biases in first-episode psychosis with and without attention-deficit/hyperactivity disorder. Frontiers In Psychology, 14(), -. DOI: 10.3389/fpsyg.2023.1127535
    Article's DOI: 10.3389/fpsyg.2023.1127535
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications
  • Keywords:

    Psychology (Miscellaneous),Psychology, Multidisciplinary
    Validation
    Social cognition
    Schizophrenia
    Scale dacobs
    Sample
    Questionnaire
    Metaanalysis
    Individuals
    First episode psychosis (fep)
    Davos assessment
    Cognitive bias
    Children
    Cbqp
    Adhd
    Saúde coletiva
    Psychology, multidisciplinary
    Psychology (miscellaneous)
    Psychology (all)
    Psychology
    Psicología
    Nutrição
    Medicina ii
    Medicina i
    Linguística e literatura
    Interdisciplinar
    General psychology
    Filosofía
    Ensino
    Engenharias iv
    Enfermagem
    Educação física
    Educação
    Economia
    Ciencias sociales
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Ciências agrárias i
    Ciência da computação
    Biotecnología
    Biodiversidade
    Astronomia / física
    Artes
    Administração pública e de empresas, ciências contábeis e turismo
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