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Cognitive Predictors of Social and Occupational Functioning in Early Psychosis: A Systematic Review and Meta-analysis of Cross-Sectional and Longitudinal Data
- Source :
- Schizophrenia Bulletin
- Publication Year :
- 2021
- Publisher :
- Oxford University Press, 2021.
-
Abstract
- Many individuals with early psychosis experience impairments in social and occupational function. Identification of modifiable predictors of function such as cognitive performance has the potential to inform effective treatments. Our aim was to estimate the strength of the relationship between psychosocial function in early psychosis and different domains of cognitive and social cognitive performance. We conducted a systematic review and meta-analysis of peer-reviewed, cross-sectional, and longitudinal studies examining cognitive predictors of psychosocial function. Literature searches were conducted in PsycINFO, PubMed, and reference lists of relevant articles to identify studies for inclusion. Of the 2565 identified, 46 studies comprising 3767 participants met inclusion criteria. Separate meta-analyses were conducted for 9 cognitive domains. Pearson correlation values between cognitive variables and function were extracted. All cognitive domains were related to psychosocial function both cross-sectionally and longitudinally. Importantly, these associations remained significant even after the effects of symptom severity, duration of untreated psychosis, and length of illness were accounted for. Overall, general cognitive ability and social cognition were most strongly associated with both concurrent and long-term function. Associations demonstrated medium effect sizes. These findings suggest that treatments targeting cognitive deficits, in particular those focusing on social cognition, are likely to be important for improving functional outcomes in early psychosis. [Abstract copyright: © The Author(s) 2021. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center.All rights reserved. For permissions, please email: journals.permissions@oup.com.]
- Subjects :
- early psychosis
cognition
Employment
Social Cognition
AcademicSubjects/MED00810
BF
PsycINFO
03 medical and health sciences
0302 clinical medicine
Social cognition
medicine
Humans
Cognitive Dysfunction
Effects of sleep deprivation on cognitive performance
Longitudinal Studies
Early psychosis
occupational function
Cognition
medicine.disease
030227 psychiatry
schizophrenia
Psychiatry and Mental health
Psychosocial Functioning
Cross-Sectional Studies
Psychotic Disorders
Schizophrenia
Meta-analysis
social function
Psychology
030217 neurology & neurosurgery
Social cognitive theory
RC
Clinical psychology
Regular Articles
Subjects
Details
- Language :
- English
- ISSN :
- 17451701 and 05867614
- Volume :
- 47
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Schizophrenia Bulletin
- Accession number :
- edsair.doi.dedup.....81ce475df41af4f31c3f462438b96a59