Autistic symptoms predict social cognitive performance in patients with schizophrenia

Schizophr Res. 2020 Jan:215:113-119. doi: 10.1016/j.schres.2019.11.008. Epub 2019 Nov 25.

Abstract

Schizophrenia spectrum disorders and Autism Spectrum Disorders (ASD) share many similarities. Among those features, social cognitive impairment is recognized as a key characteristic of both ASD and schizophrenia. In this study, the role of ASD symptoms, measured with the PANSS Autism Severity Score (PAUSS), was investigated as a predictor of social cognitive performance in patients with Schizophrenia spectrum disorders. Existent databases from 2 studies (SCOPE Phase 3 and SCOPE Phase 5), in which a total of 361 patients (mean age 41.7 years; 117 females) were assessed with tests of mental state attribution and emotion recognition, were analyzed. Less severe ASD symptoms, as well as younger age, better premorbid IQ, and neurocognition were identified as individual predictors of better social cognitive performance. These results suggest a role of ASD symptoms in affecting social cognitive performance in schizophrenia.

Keywords: Autism spectrum disorder; Neurocognition; PAUSS; Schizoaffective; Schizophrenia; Social cognition.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Autism Spectrum Disorder / physiopathology*
  • Facial Recognition / physiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psychotic Disorders / physiopathology*
  • Schizophrenia / physiopathology*
  • Social Cognition
  • Social Perception*
  • Theory of Mind / physiology*