Abstract

Social cognition is a core limiting factor of functional recovery among persons with schizophrenia. However, there is a lack of standardized and culturally relevant assessment tools for evaluating social cognitive performance in Chinese persons with schizophrenia. The purposes of this study were to (1) develop and validate two social cognitive instruments, the Chinese Facial Emotion Identification Test (C-FEIT) and the Chinese Social Cognition and Screening Questionnaire (C-SCSQ), that assess three key domains of social cognition and (2) to evaluate preliminary psychometric properties of the two assessments. The results demonstrated that the C-FEIT and the social cognitive subscales of C-SCSQ possess satisfactory content-related validity and test–retest reliability (ICC ranging from 0.76 to 0.85). Subscales of the C-FEIT and the C-SCSQ showed low to medium correlation with two concurrent neurocognitive measures (absolute values of r ranging from 0.22 to 0.45) and concurrent measures of functional performance (absolute values of r ranging from 0.22 to 0.46). Our findings generally support the use of the C-FEIT and the C-SCSQ as reliable and valid tools for assessing emotion perception, theory of mind (intention-inferencing), and hostile attributional style, which are the key outcome indicators of social cognitive interventions for persons with schizophrenia.

Highlights

  • Schizophrenia is a severe psychiatric illness characterized by marked deficits in a wide array of functional areas

  • There is growing evidence that social cognition mediates the relationship between neurocognition and functional outcomes, and it is possible that improving social cognitive deficit or reducing social cognitive bias could make a positive impact on social and work adjustment of persons with schizophrenia [1,2,3,4,5,6]

  • The study results show that there are strengths and limitations in using Chinese Facial Emotion Identification Test (C-Facial Emotion Identification Test (FEIT)) and Chinese Social Cognition and Screening Questionnaire (C-Social Cognition and Screening Questionnaire (SCSQ)) as a set of social cognitive assessment for assessing patients with schizophrenia

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Summary

Introduction

Schizophrenia is a severe psychiatric illness characterized by marked deficits in a wide array of functional areas. There has been increasing research interest in examining social cognition as a predictor of functional outcomes in rehabilitation. It is conceptualized to encompass a number of cognitive processes that underlie social interactions, including perceiving, interpreting, and responding to the intentions, dispositions, and behaviors of others [8]. These social cognitive processes had been further examined and confirmed in social neurosciences study, which revealed the underlying involvement of different but related brain structures [9]. In the past, there has been controversy over what social cognitive processes should cover, social cognition is generally defined as encompassing four

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