Relationship between cognition and suicidal behavior in recent-onset psychosis
Por:
Sastre-Buades A, Caro-Cañizares I, Ochoa S, ESTHER LORENTE ROVIRA, Barajas A, Gutiérrez-Zotes A, Sánchez-Alonso S, López-Carrilero R, Eva Maria Grasa Bello, Esther Pousa Tomas, Peláez MT, Jordi Cid Colom, González-Higueras F, Isabel Ruiz Delgado, Baca-Garcia E and Maria Luisa Barrigon Estevez
Publicada:
1 feb 2023
Ahead of Print:
1 ene 2023
Resumen:
Suicidal behavior (SB) is common in first-episode psychosis (FEP), and cognitive impairment has also been described in psychosis. Despite well-established risk factors for SB in psychosis, the role of cognition and insight remains unclear. This study aimed to explore the relationship between history of SB and cognition in recent-onset FEP, distinguishing between neurocognition, social cognition, and metacognition, and including cognitive insight (CI) as a metacognitive variable. The sample consisted of 190 participants with recent-onset FEP recruited from two multicentric studies. Two groups were formed based on presence/absence of a history of SB. De-mographic, clinical, and cognitive data were compared by group, including significance level adjustments and size effect calculation. No differences were found regarding demographic, clinical, neurocognitive, social cognition, and metacognitive variables except for CI (18.18 +/- 4.87; t =-3.16; p = 0.0020; d =-0.635), which showed a medium effect size. Small to medium effect size were found for attributional style (externalizing bias) (1.15 +/- 3.94; t = 2.07; d = 0.482), theory of mind (ToM) (1.73 +/- 0.22; t = 2.04; d =-0.403), jumping to conclusions bias (JTC) (23.3 %; X2 = 0.94; V = 0.178). In recent-onset psychosis, neurocognitive functioning was not related to the history of SB. As novelty, individuals with previous SB showed higher CI. Also, regarding social cognition and metacognition, individuals with prior SB tended to present extremely low externalizing bias, better ToM, and presence of JTC.
Filiaciones:
Sastre-Buades A:
Department of Psychiatry, Jimenez Diaz Foundation Hospital, Madrid, Spain
Caro-Cañizares I:
Department of Psychology, Universidad a Distancia de Madrid (UDIMA), Collado-Villalba, Spain
Ochoa S:
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
ESTHER LORENTE ROVIRA:
Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Barajas A:
Department of Research, Centre D'Higiene Mental Les Corts, Barcelona, Spain
Department of Clinical and Health Psychology, Autonomous University of Barcelona, Bellaterra, Cerdanyola del Vallès, Spain
Serra Húnter Programme, Goverment of Catalonia, Barcelona, Spain
Gutiérrez-Zotes A:
Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Hospital Universitari Institut Pere Mata, Institut d'Investigació Sanitària Pere Virgili (IISPV), Universitat Rovirai Virgili, Reus, Spain
Sánchez-Alonso S:
Department of Psychiatry, Jimenez Diaz Foundation Hospital, Madrid, Spain
López-Carrilero R:
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Fundació Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain
Eva Maria Grasa Bello:
Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomèdica-Sant Pau (IIB-Sant Pau), Universitat Autònoma de Barcelona, Barcelona, Spain
Esther Pousa Tomas:
Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomèdica-Sant Pau (IIB-Sant Pau), Universitat Autònoma de Barcelona, Barcelona, Spain
Salut Mental Parc Taulí. Sabadell (Barcelona), Hospital Universitari - UAB Universitat Autònoma de Barcelona, Barcelona, Spain
Neuropsiquiatria i Addiccions, Hospital del Mar, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
Peláez MT:
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Jordi Cid Colom:
Mental Health & Addiction Research Group, IdiBGi, Institut d'Assistencia Sanitària, Girona, Spain
González-Higueras F:
Comunidad Terapéutica Jaén Servicio Andaluz de Salud, Jaén, Spain
Isabel Ruiz Delgado:
Unidad de Salud Mental Comunitaria Málaga Norte, Málaga, Spain
Baca-Garcia E:
Department of Psychiatry, Jimenez Diaz Foundation Hospital, Madrid, Spain
Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Fundación Jimenez Diaz Health Research Institute, Madrid, Spain
Department of Psychiatry, Madrid Autonomous University, Madrid, Spain
Department of Psychiatry, Hospital Universitario Rey Juan Carlos, Móstoles, Spain
Department of Psychiatry, Hospital Universitario Infanta Elena, Valdemoro, Spain
Department of Psychiatry, Hospital General de Villalba, Madrid, Spain
Carlos III Institute of Health, Madrid, Spain
Universidad Católica del Maule, Talca, Chile
Department of Psychiatry, Nimes University Hospital, Nimes, France. Electronic address:
Maria Luisa Barrigon Estevez:
Department of Psychiatry, Jimenez Diaz Foundation Hospital, Madrid, Spain
Fundación Jimenez Diaz Health Research Institute, Madrid, Spain
Department of Psychiatry, Madrid Autonomous University, Madrid, Spain
Department of Psychiatry, University Hospital Puerta de Hierro, Majadahonda, Spain. Electronic address:
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