title: Social cognition and clinical insight in schizophrenia and bipolar disorder.
abstract: The association between clinical insight and social cognition assessed with an emotion perception task was investigated in schizophrenia (n = 29) and bipolar I disorder (n = 19). Persons with schizophrenia had reduced auditory emotion perception compared with individuals with bipolar I disorder, but levels of visual emotion perception and clinical insight were comparable. In the schizophrenia group, clinical insight was moderately associated with auditory and visual emotion perception (r = 0.36-0.44) and negative symptoms (r = -0.33). Better insight was associated with better social cognition and fewer negative symptoms. In the bipolar I disorder group, clinical insight showed small associations with social cognition (largest r = -0.28) and moderate to large associations with positive, negative, manic, and depressive symptoms. Poorer insight was associated with higher symptom load. Social cognition seems to be of importance for clinical insight in schizophrenia, whereas symptoms are important in bipolar I disorder.
authors.affiliation: KG Jebsen Centre for Psychosis Research, Oslo University Hospital, Oslo, Norway. anja.vaskinn@medisin.uio.no
authors.forename: Anja
authors.initials: A
authors.lastname: Vaskinn
authors.forename: Kjetil
authors.initials: K
authors.lastname: Sundet
authors.forename: Torill
authors.initials: T
authors.lastname: Ueland
authors.forename: Ingrid
authors.initials: I
authors.lastname: Agartz
authors.forename: Ingrid
authors.initials: I
authors.lastname: Melle
authors.forename: Ole A
authors.initials: OA
authors.lastname: Andreassen
mesh_terms: D000328:Adult; D001307:Auditory Perception; D001714:Bipolar Disorder / Q000503:physiopathology / Q000523:psychology*; D032882:Comprehension; D056348:Emotional Intelligence; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D011581:Psychological Tests; D012559:Schizophrenia / Q000503:physiopathology; D012565:Schizophrenic Psychology; D012938:Social Perception; D014796:Visual Perception