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The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: A meta-analysis
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The current systematic review and meta-analysis provides an extended and comprehensive overview of the associations between neurocognitive and social cognitive functioning and different types of functional outcome. Literature searches were conducted in MEDLINE and PsycINFO and reference lists from identified articles to retrieve relevant studies on cross-sectional associations between neurocognition, social cognition and functional outcome in individuals with non-affective psychosis. Of 285 studies identified, 52 studies comprising 2692 subjects met all inclusion criteria. Pearson correlations between cognition and outcome, demographic data, sample sizes and potential moderator variables were extracted. Forty-eight independent meta-analyses, on associations between 12 a priori identified neurocognitive and social cognitive domains and 4 domains of functional outcome yielded a number of 25 significant mean correlations. Overall, social cognition was more strongly associated with community functioning than neurocognition, with the strongest associations being between theory of mind and functional outcomes. However, as three-quarters of variance in outcome were left unexplained, cognitive remediation approaches need to be combined with therapies targeting other factors impacting on outcome.
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“Given that in dividuals with psychosis often suffer from cognitive impairments (Fett et al., 2011), we chose to repeat each ACT process (behavior activation, defusion, acceptance) three times to make”
From Acceptance and Commitment Therapy for inpatients with psychosis –an acceptability and feasibility single case AB designed study (2022) · cites this paper as Fett et al., 2011
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“Because these domains account for a significant portion of the variance in social functioning [24]”
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“Meta‐analytical evidence indicates a strong association between social cognition deficits and impaired social functioning in psychosis (Fett et al. 2011).”
From Social Functioning Interventions in Psychosis: A Systematic Review. (2025) · cites this paper as Fett et al. 2011
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“A 15-point increment is considered clinically significant [24] and corresponds to a moderate effect size (Cohen’s f = .40).”
From Mindfulness-based social cognition training (SocialMIND) versus psychoeducational multicomponent intervention for people with a first episode of psychosis: A study protocol for a randomised controlled trial (2019) · cites this paper as [24]
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“A 15-point increment is considered clinically significant [24] and corresponds to a moderate effect size (Cohen’s f = .40).”
From Mindfulness-based social cognition training (SocialMIND) versus psychoeducational multicomponent intervention for people with a first episode of psychosis: A study protocol for a randomised controlled trial (2019) · cites this paper as [24]
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Metadata
- Authors
- Fett, A.-K. J., Viechtbauer, W., Dominguez, M.-D.-G., Penn, D. L., van Os, J., & Krabbendam, L.
- Affiliations
- Maastricht University (NL)
- University of North Carolina at Chapel Hill (US)
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2011-01
- Volume
- 35
- Issue
- 3
- Pages
- 573-588
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W2144535302
- Semantic Scholar
- 63ef6706a8292f12cc50880dc35ad4b5c855d9bf
- Cited by
- 1,833
- References
- 199
- Citations by year
- 2026: 79 · 2025: 90 · 2024: 91 · 2023: 108 · 2022: 138 · 2021: 161 · 2020: 131 · 2019: 186 · 2018: 139 · 2017: 122 · 2016: 129 · 2015: 122 · 2014: 124 · 2013: 114 · 2012: 66
- FWCI
- 9.68
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Lirias (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- UNC Libraries
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- schizophrenia, neurocognitive function, social cognition, functional outcome, community functioning, theory of mind, non-affective psychosis, cognitive remediation, social functioning
- MeSH terms
- Cognition Disorders, Humans, Neuropsychological Tests, Schizophrenia, Schizophrenic Psychology, Social Behavior
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