title: An uncontrolled trial of multi-component care for first-episode psychosis: Effects on social cognition.
abstract: Growing evidence suggests that specialized, multi-component treatment programmes produce improvements in numerous outcomes among individuals with first-episode psychosis. However, these programmes often lack interventions specifically designed to address deficits in social cognition. This raises questions about the effectiveness of such programmes in addressing deficits in social cognition that accompany psychotic disorders. We investigated the effect of participation in a multi-component treatment programme on social cognition among 71 individuals with first-episode psychosis. Participants experienced gains in emotion processing, social knowledge, social perception and theory of mind. However, after controlling for multiple comparisons, these improvements were limited to theory of mind and recognition of social cues in low emotion interactions. Although our findings should be interpreted cautiously, they raise the possibility that individuals participating in multi-component treatment programmes for first-episode psychosis without interventions specifically targeting social cognition may still experience gains in social cognition.
authors.affiliation: Early Psychosis Intervention Center (EPICENTER), Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, Ohio.|Department of Psychology, The Ohio State University, Columbus, Ohio.
authors.forename: Nicholas J K
authors.initials: NJK
authors.lastname: Breitborde
authors.affiliation: Early Psychosis Intervention Center (EPICENTER), Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, Ohio.
authors.forename: Aubrey M
authors.initials: AM
authors.lastname: Moe
authors.affiliation: Department of Psychology, The University of Arizona, Tucson, Arizona.
authors.forename: Cindy
authors.initials: C
authors.lastname: Woolverton
authors.affiliation: Early Psychosis Intervention Center (EPICENTER), Department of Psychiatry, The University of Arizona, Tucson, Arizona.
authors.forename: Patricia
authors.initials: P
authors.lastname: Harrison-Monroe
authors.affiliation: Early Psychosis Intervention Center (EPICENTER), Department of Psychiatry, The University of Arizona, Tucson, Arizona.
authors.forename: Emily K
authors.initials: EK
authors.lastname: Bell
mesh_terms: D000293:Adolescent; D000328:Adult; D003072:Cognition Disorders / Q000150:complications / Q000188:drug therapy / Q000523:psychology* / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D004644:Emotions; D005196:Family Therapy; D005260:Female; D006801:Humans; D008297:Male; D011618:Psychotic Disorders / Q000150:complications / Q000188:drug therapy / Q000523:psychology* / Q000628:therapy*; D012919:Social Behavior; D012938:Social Perception; D056345:Theory of Mind; D013813:Therapy, Computer-Assisted; D055815:Young Adult
keywords: first-episode psychosis; multi-component care; social cognition