Social cognitive training for schizophrenia: a meta-analytic investigation of controlled research
Open accessAbstract
A wealth of evidence has revealed that deficits in social cognitive skills (including facial affect recognition (FAR), social cue perception, Theory of Mind (ToM), and attributional style) are evident in schizophrenia and are linked to a variety of domains of functional outcome. In light of these associations, a growing number of studies have attempted to ameliorate these deficits as a means of improving outcome in the disorder through the use of structured behavioral training. This study used quantitative methods of meta-analysis to assess the efficacy of behavioral training programs designed to improve social cognitive function. A total of 19 studies consisting of 692 clients were aggregated from relevant databases. Outcome measures were organized according to whether they were social cognitive tests proximal to the intervention or whether they represented measures of treatment generalization (symptoms, observer-rated community, and institutional function). With respect to social cognitive measures, weighted effect-size analysis revealed that there were moderate-large effects of social cognitive training procedures on FAR (identification, d = 0.71 and discrimination, d = 1.01) and small-moderate effects of training on ToM (d = 0.46), while effects on social cue perception and attributional style were not significant. For measures of generalization, weighted effect-size analysis revealed that there were moderate-large effect on total symptoms (d = 0.68) and observer-rated community and institutional function (d = 0.78). Effects of social cognitive training programs on positive and negative symptoms of schizophrenia were nonsignificant. Moderating variables and implications for future research and treatment development are discussed.
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Emotion recognition tasks rely on the ability to discriminate basic expression of emotions in others and are the most extensively used paradigms to assess human social cognition, with direct relevance for a number of pathologies, including autism and schizophrenia.
“Emotion recognition tasks rely on the ability to discriminate basic expression of emotions in others and are the most extensively used paradigms to assess human social cognition [3,43], with direct relevance for a number of pathologies, including autism and schizophrenia [5,6].”
From Oxytocin Signaling in the Central Amygdala Modulates Emotion Discrimination in Mice (2019) · cites this paper as [6]
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- Authors
- Kurtz, M. M., & Richardson, C. L.
- Affiliations
- Wesleyan University (US)
- Corresponding author
- Kurtz, M. M.
- Venue
- Schizophrenia Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-04-27
- Volume
- 38
- Issue
- 5
- Pages
- 1092-1104
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- PMC
- PMC3446217
- OpenAlex
- W2102406966
- Cited by
- 446
- References
- 82
- Citations by year
- 2026: 14 · 2025: 10 · 2024: 21 · 2023: 14 · 2022: 25 · 2021: 25 · 2020: 38 · 2019: 53 · 2018: 35 · 2017: 45 · 2016: 46 · 2015: 31 · 2014: 35 · 2013: 37 · 2012: 14
- FWCI
- 3.68
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Schizophrenia Bulletin (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K08 MH 69888, K08MH069888)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- schizophrenia, social cognitive training
- MeSH terms
- Adult, Affect, Behavior Therapy, Cognition Disorders, Facial Expression, Female, Humans, Internal-External Control, Male, Research, Schizophrenia, Schizophrenic Psychology, Social Adjustment, Social Behavior Disorders, Social Perception, Cognitive Behavioral Therapy, Treatment Outcome, Controlled Clinical Trials as Topic, Theory of Mind
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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