Dissociation and social cognition in schizophrenia spectrum disorder
Open accessAbstract
While there is emerging evidence that dissociation is linked with trauma history and possibly symptoms in schizophrenia, it remains unclear whether dissociation represents a symptom dimensions in its own right in schizophrenia and as such is uniquely related to other features of illness. To explore this issue the current study sought to find out whether dissociation was uniquely related to an index of social cognition closely linked to social functioning, namely affect recognition. We hypothesized that dissociation would be linked with affect recognition because symptoms of dissociation may uniquely disrupt processes which are expected to be needed for correctly recognizing emotions. The sample contained 49 participants diagnosed with a schizophrenia spectrum disorder who were in a non-acute phase of disorder. Participants were concurrently administered the Bell-Lysaker Emotion Recognition Task, the Dissociative Experiences Scale, the Post Traumatic Stress Disorder Checklist and the Positive and Negative Symptoms Scale. Stepwise linear regression analyses were performed in which dissociative symptoms were forced to enter after the other symptoms in order to predict deficits in affect recognition. These analyses revealed that greater levels of dissociative symptoms predicted poorer recognition of negative emotions over and above that of positive, negative, cognitive and PTSD symptoms. Results are consistent with the possibility that dissociation represents a unique dimension o f psychopathology in schizophrenia which may be linked to function.
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These findings are similar to those reported among individuals with schizophrenia-spectrum disorders.
“These findings are similar to those reported among individuals with schizophrenia-spectrum disorders (Renard et al., 2012).”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Renard et al., 2012
Higher levels of dissociation are related to worse performance on measures of prosody, theory of mind, and emotion recognition.
“higher levels of dissociation have been related to worse performance on measures of prosody (Nazarov et al., 2015), theory of mind (Nazarov et al., 2014), and emotion recognition (Renard et al., 2012).”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Renard et al., 2012
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
The Positive and Negative Syndrome Scale (PANSS) for schizophrenia.
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987) · Schizophrenia Bulletin · doi:10.1093/schbul/13.2.261 · Cited by 21,378 · see citing works
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,767 · see citing works
A new scale of social desirability independent of psychopathology.
Crowne, D. P., & Marlowe, D. (1960) · Journal of Consulting Psychology · doi:10.1037/h0047358 · Cited by 8,686 · see citing works
Dementia Praecox or the Group of Schizophrenias
(1951) · Journal of the American Medical Association · doi:10.1001/jama.1951.02920270079043 · Cited by 4,407 · see citing works
Development, reliability, and validity of a dissociation scale
BERNSTEIN, E. M., & PUTNAM, F. W. (1986) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198612000-00004 · Cited by 3,793 · cited 4× · see citing works
“On average the sample reported experiencing feelings of dissociation 29% of the time (SD = 19.71), which is similar to the original report of (Bernstein & Putnam, 1986).”
BackgroundResultInfluentialThe somatic marker hypothesis and the possible functions of the prefrontal cortex
Damasio, A. R. (1996) · Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences · doi:10.1098/rstb.1996.0125 · Cited by 2,847 · cited 1× · see citing works
“A second process which helps persons recognize the emotions is metacognitive awareness of one's own bodily response to the other (Damasio, Everitt, Bishop, & Damasio, 1996).”
BackgroundThe Functional Significance of Social Cognition in Schizophrenia: A Review
Couture, S. M. (2006) · Schizophrenia Bulletin · doi:10.1093/schbul/sbl029 · Cited by 1,279 · see citing works
(1993) · Cited by 1,279 · see citing works
Handbook of Mentalizing in Mental Health Practice
Lazar, S. G. (2013) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000426331.79890.cf · Cited by 884 · see citing works
The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization
van der Hart, O., Nijenhuis, E. R. S., & Steele, K. (2006) · Medical Entomology and Zoology · Cited by 632 · see citing works
Should schizophrenia be treated as a neurocognitive disorder?
Green, M. F., & Nuechterlein, K. (1999) · Schizophrenia bulletin · doi:10.1093/oxfordjournals.schbul.a033380 · Cited by 447 · see citing works
3. L'automatisme psychologique
Janet, P. F. M. (2003) · De Boeck Supérieur eBooks · doi:10.3917/dbu.ferra.2003.01.0315 · Cited by 400 · see citing works
Is Emotion Processing a Predictor of Functional Outcome in Schizophrenia?
Kee, K. S., Green, M. F., Mintz, J., & Brekke, J. S. (2003) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a007021 · Cited by 357 · see citing works
Five factor model of schizophrenia: replication across samples
Lindenmayer, J. P. (1995) · Schizophrenia Research · doi:10.1016/0920-9964(94)00041-6 · Cited by 331 · see citing works
Handbook of mentalizing in mental health practice
BATEMAN, A. W. (2012) · Cited by 302 · see citing works
Bell, M. D., BRYSON, G. J., & Lysaker, P. H. (1997) · Psychiatry Research · doi:10.1016/s0165-1781(97)00111-x · Cited by 260 · see citing works
Self-citationLongden, E., Madill, A., & Waterman, M. G. (2012) · Psychological Bulletin · doi:10.1037/a0025995 · Cited by 248 · see citing works
Horan, W. P., Kern, R. S., Shokat-Fadai, K., Sergi, M. J., Wynn, J. K., & Green, M. F. (2008) · Schizophrenia Research · doi:10.1016/j.schres.2008.09.006 · Cited by 234 · see citing works
Dimaggio, G., Lysaker, P. H., Carcione, A., Nicolò, G., & Semerari, A. (2008) · Consciousness and Cognition · doi:10.1016/j.concog.2008.02.005 · Cited by 232 · see citing works
Self-citationThe Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization
Harris, M. (2007) · Psychiatric Services · doi:10.1176/appi.ps.58.9.1232 · Cited by 231 · see citing works
The positive and negative syndrome scale for schizophrenia
Obermeier, M. (2012) · Elektronische Hochschulschriften der LMU München (Ludwig-Maximilians-Universität München) · doi:10.5282/edoc.14936 · Cited by 226 · see citing works
N., J. C. (1991) · American Journal of Psychiatry · doi:10.1176/ajp.148.12.1730 · Cited by 201 · see citing works
Social cognition, empathy and functional outcome in schizophrenia
Sparks, A., McDonald, S., Lino, B., O'Donnell, M., & Green, M. J. (2010) · Schizophrenia Research · doi:10.1016/j.schres.2010.06.011 · Cited by 162 · see citing works
Psychological Defense Mechanisms: A New Perspective
Bowins, B. E. (2004) · The American Journal of Psychoanalysis · doi:10.1023/b:tajp.0000017989.72521.26 · Cited by 159 · see citing works
No words for feelings: alexithymia in schizophrenia patients and first-degree relatives
van 't Wout, M., Aleman, A., Bermond, B., & Kahn, R. S. (2007) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2006.07.003 · Cited by 158 · see citing works
Childhood abuse and dissociative symptoms in adult schizophrenia
Holowka, D. W., King, S., Saheb, D., Pukall, M., & Brunet, A. (2002) · Schizophrenia Research · doi:10.1016/s0920-9964(02)00296-7 · Cited by 154 · see citing works
Dissociation and Schizophrenia
Ross, C. A., & Keyes, B. B. (2004) · Journal of Trauma & Dissociation · doi:10.1300/j229v05n03_05 · Cited by 119 · see citing works
Stanghellini, G., & Lysaker, P. H. (2007) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2007.61.2.163 · Cited by 116 · see citing works
Self-citationPijnenborg, G., Withaar, F., Evans, J., van den Bosch, R. V., Timmerman, M., & Brouwer, W. (2009) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617709090341 · Cited by 115 · see citing works
Lysaker, P. H., Olesek, K. L., Warman, D. M., Martin, J. M., Salzman, A. K., Nicolò, G., Salvatore, G., & Dimaggio, G. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2010.07.016 · Cited by 114 · see citing works
Self-citationSchäfer, I., Fisher, H. L., Aderhold, V., Huber, B., Hoffmann-Langer, L., Golks, D., Karow, A., Ross, C. A., Read, J., & Harfst, T. (2011) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2011.05.010 · Cited by 100 · see citing works
The prevalence and correlates of trauma-related symptoms in schizophrenia spectrum disorder
Lysaker, P. H., & LaRocco, V. A. (2008) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2007.12.003 · Cited by 94 · see citing works
Self-citationEmotion recognition and alexithymia in females with non-clinical disordered eating
Ridout, N., Thom, C., & Wallis, D. J. (2009) · Eating Behaviors · doi:10.1016/j.eatbeh.2009.07.008 · Cited by 79 · see citing works
Lysaker, P. H., Gumley, A. I., Brüne, M., Vanheule, S., Buck, K. D., & Dimaggio, G. (2011) · Consciousness and Cognition · doi:10.1016/j.concog.2010.12.018 · Cited by 62 · see citing works
Self-citationAn ecological model for categorizing and evaluating student development services.
Lamb, D. H., & Rapin, L. S. (1977) · Journal of Counseling Psychology · doi:10.1037//0022-0167.24.4.349 · Cited by 62 · see citing works
Dissociative tendencies and facilitated emotional processing.
Oathes, D. J., & Ray, W. J. (2008) · Emotion · doi:10.1037/a0013442 · Cited by 53 · see citing works
Vogel, M., Schatz, D., Spitzer, C., Kuwert, P., Möller, B., Freyberger, H. J., & Grabe, H. J. (2008) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2008.06.007 · Cited by 35 · see citing works
Lysaker, P. H., Buck, K. D., & Hammoud, K. (2006) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1348/147608306x159361 · Cited by 32 · see citing works
Self-citationImpaired Perception of Negative Emotional Prosody in Schizophrenia
Pijnenborg, G. H. M., Withaar, F. K., van den Bosch, R. J., & Brouwer, W. (2006) · The Clinical Neuropsychologist · doi:10.1080/13854040600788166 · Cited by 27 · see citing works
Facial affect recognition deficits: A potential contributor to aggression in psychotic illness
Malone, A., Carroll, A., & Murphy, B. (2011) · Aggression and Violent Behavior · doi:10.1016/j.avb.2011.09.007 · Cited by 20 · see citing works
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Dissociation and its disorders: competing models, future directions, and a way forward
Lynn, S. J., Maxwell, R., Merckelbach, H., Lilienfeld, S. O., Kloet, D. V. H.-V. D., & Miskovic, V. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.101755 · Cited by 134 · see citing works
Renard, S. B., Huntjens, R. J. C., Lysaker, P. H., Moskowitz, A., Aleman, A., & Pijnenborg, G. H. M. (2017) · Schizophrenia Bulletin · doi:10.1093/schbul/sbw063 · Cited by 118 · see citing works
Self-citationMcKinnon, M. C., Boyd, J. E., Frewen, P. A., Lanius, U. F., Jetly, R., Richardson, J. D., & Lanius, R. A. (2016) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2016.07.017 · Cited by 94 · see citing works
Schroeder, K., Langeland, W., Fisher, H. L., Huber, C. G., & Schäfer, I. (2016) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2016.04.019 · Cited by 55 · see citing works
Shonin, E., Gordon, W. V., & Griffiths, M. D. (2013) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-013-9460-3 · Cited by 46 · see citing works
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Radulović, J., Jovasevic, V., & Meyer, M. A. A. (2017) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2017.05.013 · Cited by 39 · see citing works
Sajadi, S. F., Arshadi, N., Zargar, Y., Honarman, M. M., & Hajjari, Z. (2015) · international journal high risk behaviors & addiction · doi:10.5812/ijhrba.20021v2 · Cited by 31 · see citing works
Dissociation in schizophrenia and borderline personality disorder
Bob, P., Pěč, O., & Raboch, J. (2014) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s57627 · Cited by 28 · see citing works
Sebri, V., Pizzoli, S. F. M., Marzorati, C., Mazzocco, K., & Pravettoni, G. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1394355 · Cited by 26 · see citing works
Dissociative Model in Patients With Resistant Schizophrenia
Panov, G. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.845493 · Cited by 21 · see citing works
Meyer, M. A. A., Anstötz, M., Ren, L. Y., Fiske, M. P., Guedea, A. L., Grayson, V. S., Schroth, S. L., Cicvaric, A., Nishimori, K., Maccaferri, G., et al. (2020) · Translational Psychiatry · doi:10.1038/s41398-020-01091-y · Cited by 15 · see citing works
Fragkaki, I., & Cima, M. (2019) · Hormones and Behavior · doi:10.1016/j.yhbeh.2019.104561 · Cited by 14 · see citing works
Sajadi, S. F., Zargar, Y., Honarmand, M. M., & Arshadi, N. (2015) · International Journal of School Health · doi:10.17795/intjsh-26742 · Cited by 8 · see citing works
Norlelawati, A. T., Abdullah, K., Norsidah, K.-Z., Ramli, M., Azizi, W. S. W., & Tariq, A. R. (2013) · Asia-Pacific Psychiatry · doi:10.1111/appy.12089 · Cited by 9 · see citing works
Trauma, Dissociation and Synthetic Metacognition in Schizophrenia
Pěč, O., Bob, P., & Lysaker, P. H. (2015) · Activitas Nervosa Superior · doi:10.1007/bf03379624 · Cited by 8 · see citing works
Self-citationSajadi, S. F., Hajjari, Z., Zargar, Y., Honarmand, M. M., & Arshadi, N. (2014) · international journal high risk behaviors & addiction · doi:10.5812/ijhrba.20995 · Cited by 7 · see citing works
Association between cognitive impairments and dissociation: A PRISMA systematic review
Vancappel, A., Tapia, G., Clarys, D., Raysseguier, C., & El‐Hage, W. (2023) · European Journal of Trauma & Dissociation · doi:10.1016/j.ejtd.2023.100341 · Cited by 8 · see citing works
Approach–avoidance of facial affect is moderated by the presence of an observer-irrelevant trigger
Renard, S., de Jong, P. J., & Pijnenborg, G. H. M. (2016) · Motivation and Emotion · doi:10.1007/s11031-016-9595-1 · Cited by 6 · see citing works
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Radulović, J. (2017) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-017-0109-6 · Cited by 6 · see citing works
Loubat, O. M., & Astudillo-Zúñiga, A. (2019) · Terapia psicológica · doi:10.4067/s0718-48082019000300295 · Cited by 6 · see citing works
Dissociative Symptoms in Schizophrenia Spectrum Disorders
Schäfer, I., Aderhold, V., Freyberger, H. J., Spitzer, C., & Schroeder, K. (2018) · Wiley eBooks · doi:10.1002/9781118585948.ch11 · Cited by 5 · see citing works
Jovasevic, V., & Radulović, J. (2021) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2021.107459 · Cited by 2 · see citing works
Khosravi, M., & Shamekhi, M. (2019) · international journal high risk behaviors & addiction · doi:10.5812/ijhrba.80216 · Cited by 1 · see citing works
Shonin, E. (2015) · Nottingham Trent University's Institutional Repository (Nottingham Trent Repository) · Cited by 1 · see citing works
Statucka, M. (2014) · CUNY Academic Works (City University of New York)
Experimental Methods for Functional Studies of microRNAs in Animal Models of Psychiatric Disorders
Jovasevic, V., & Radulović, J. (2016) · Neuromethods · doi:10.1007/7657_2016_9
Donnelly, C., & Perez, V. B. (2026) · Brain Sciences · doi:10.3390/brainsci16090936
- Authors
- Renard, S. B., Pijnenborg, M., & Lysaker, P. H.
- Affiliations
- University of Groningen (NL)
- Richard L. Roudebush VA Medical Center (US)
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2012-05
- Volume
- 137
- Issue
- 1-3
- Pages
- 219-223
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2102594415
- Cited by
- 29
- References
- 41
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 5 · 2018: 1 · 2017: 2 · 2016: 5 · 2015: 4 · 2014: 4 · 2013: 2
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- green
- research.rug.nl
- Licence
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Funders
- Veterans Administration Rehabilitation Research and Development Service
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- dissociation, schizophrenia spectrum disorders
- MeSH terms
- Adult, Cognition Disorders, Dissociative Disorders, Female, Hospitals, Veterans, Humans, Male, Middle Aged, Neuropsychological Tests, Predictive Value of Tests, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Severity of Illness Index, Social Behavior, Veterans, Mood Disorders, Stress Disorders, Traumatic
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