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Emotional intelligence and non-social cognition in schizophrenia and bipolar I disorder

Published online by Cambridge University Press:  19 September 2016

B. Frajo-Apor ,
G. Kemmler ,
S. Pardeller ,
T. Plass ,
M. Mühlbacher ,
A.-S. Welte ,
W. W. Fleischhacker  and
A. Hofer
B. Frajo-Apor*
Affiliation:
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical University Innsbruck, Innsbruck, Austria
G. Kemmler
Affiliation:
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical University Innsbruck, Innsbruck, Austria
S. Pardeller
Affiliation:
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical University Innsbruck, Innsbruck, Austria
T. Plass
Affiliation:
Department of Psychiatry and Psychotherapy, Paracelsus Medical University, Salzburg, Austria
M. Mühlbacher
Affiliation:
Department of Psychiatry and Psychotherapy, Paracelsus Medical University, Salzburg, Austria
A.-S. Welte
Affiliation:
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical University Innsbruck, Innsbruck, Austria
W. W. Fleischhacker
Affiliation:
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical University Innsbruck, Innsbruck, Austria
A. Hofer
Affiliation:
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical University Innsbruck, Innsbruck, Austria
*
*Address for correspondence: B. Frajo-Apor, MD, Department of Psychiatry, Psychotherapy and Psychosomatics, Medical University Innsbruck, Anichstr. 35 6020 Innsbruck, Austria. (Email: beatrice.frajo-apor@i-med.ac.at)
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Abstract

Background

The different patterns of Emotional Intelligence (EI) deficits in schizophrenia and bipolar I disorder are are not yet well understood. This study compares EI levels among these groups and highlights the potential impact of non-social cognition on EI.

Method

Fifty-eight schizophrenia and 60 bipolar outpatients were investigated using the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) and the Brief Assessment of Cognition in Schizophrenia (BACS). Analyses of covariance were performed with adjustment for the BACS composite score.

Results

Compared to bipolar subjects, schizophrenia patients showed significantly lower levels in both EI and non-social cognition. After adjustment for the BACS composite score, the difference in EI was lost. The mediation analysis revealed that differences between schizophrenia and bipolar patients in strategic EI are almost fully attributable to the mediating effect of non-social cognition.

Conclusions

Our findings suggest that in both schizophrenia and bipolar patients EI is strongly influenced by non-social cognitive functioning. This has to be taken into account when interpreting MSCEIT data in comparative studies in serious mental illness and emphasizes the importance of cognitive remediation.

Keywords

Bipolar I disordercognitionemotional IntelligenceMSCEITschizophrenia
Type
Original Articles
Information
Psychological Medicine , Volume 47 , Issue 1 , January 2017 , pp. 35 - 42
Copyright
Copyright © Cambridge University Press 2016 

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References

Bora, E, Vahip, S, Gonul, AS, Akdeniz, F, Alkan, M, Ogut, M, Eryavuz, A (2005). Evidence for theory of mind deficits in euthymic patients with bipolar disorder. Acta Psychiatrica Scandinavica 112, 110–116.Google Scholar
Brackett, MA, Salovey, P (2006). Measuring emotional intelligence with the Mayer-Salovery-Caruso Emotional Intelligence Test (MSCEIT). Psicothema 18 (Suppl.), 34–41.Google Scholar
Burdick, KE, Goldberg, TE, Cornblat, BA, Keefe, RS, Gopin, CB, Derosse, P, Braga, RJ, Malhotra, AK (2011). The MATRICS consensus cognitive battery in patients with bipolar I disorder. Neuropsychopharmacology 36, 1587–1592.CrossRefGoogle ScholarPubMed
Cholet, J, Sauvaget, A, Vanelle, JM, Hommet, C, Mondon, K, Mamet, JP, Camus, V (2014). Using the Brief Assessment of Cognition in Schizophrenia (BACS) to assess cognitive impairment in older patients with schizophrenia and bipolar disorder. Bipolar Disorders 16, 326–336.Google Scholar
Clementz, BA, Sweeney, JA, Ham, JP, Ivleva, EI, Ethridge, LE, Pearlson, GD, Keshavan, MS, Tamminga, CA (2016). Identification of distinct psychosis biotypes using brain-based biomarkers. American Journal of Psychiatry 173, 373–384.CrossRefGoogle ScholarPubMed
Fett, AK, Viechtbauer, W, Dominguez, MD, Pen, DL, van Os, J, Krabbendam, L (2011). The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: a meta-analysis. Neuroscience and Biobehavioral Reviews 35, 573–588.Google Scholar
Frajo-Apor, B, Pardeller, S, Kemmler, G, Welte, AS, Hofer, A (2016). Emotional Intelligence deficits in schizophrenia: the impact of non-social cognition. Schizophrenia Research 172, 131–136.CrossRefGoogle ScholarPubMed
Green, MF, Bearden, CE, Cannon, TD, Fiske, AP, Helleman, GS, Horan, WP, Kee, K, Kern, RS, Lee, J, Sergi, MJ, Subotnik, KL, Sugar, CA, Ventura, J, Ye, CM, Nuechterlein, KH (2012). Social cognition in schizophrenia, part 1: performance across phase of illness. Schizophrenia Bulletin 38, 854–864.Google Scholar
Hill, SK, Reilly, JL, Keefe, RS, Gold, JM, Bishop, JR, Gershon, ES, Tamminga, CA, Pearlson, GD, Keshavan, MS, Sweeney, JA (2013). Neuropsychological impairments in schizophrenia and psychotic bipolar disorder: findings from the Bipolar-Schizophrenia Network on Intermediate Phenotypes (B-SNIP) study. American Journal of Psychiatry 170, 1275–1284.Google Scholar
Hoertnagl, CM, Yalcin-Siedentopf, N, Baumgartner, S, Biederman, F, Deisenhammer, EA, Hausman, A, Kaufman, A, Kemmler, G, Muhlbacher, M, Rauch, AS, Fleischhacker, WW, Hofer, A (2014). Affective prosody perception in symptomatically remitted patients with schizophrenia and bipolar disorder. Schizophrenia Research 158, 100–104.Google Scholar
Hofer, A, Biederman, F, Yalcin, N, Fleischhacker, W (2010). Neurocognition and social cognition in patients with schizophrenia or mood disorders. Neuropsychiatrie 24, 161–169.Google Scholar
Horan, WP, Green, MF, Degroot, M, Fiske, A, Helleman, G, Kee, K, Kern, RS, Lee, J, Sergi, MJ, Subotnik, KL, Sugar, CA, Ventura, J, Nuechterlein, KH (2012). Social cognition in schizophrenia, part 2: 12-month stability and prediction of functional outcome in first-episode patients. Schizophrenia Bulletin 38, 865–872.Google Scholar
Kay, SR, Fiszbein, A, Opler, LA (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin 13, 261–276.CrossRefGoogle ScholarPubMed
Kee, KS, Horan, WP, Salovey, P, Kern, RS, Sergi, MJ, Fiske, AP, Lee, J, Subotnik, KL, Nuechterlein, K, Sugar, CA, Green, MF (2009). Emotional intelligence in schizophrenia. Schizophrenia Research 107, 61–68.CrossRefGoogle ScholarPubMed
Keefe, RS, Goldberg, TE, Harvey, PD, Gold, JM, Poe, MP, Coughenour, L (2004). The brief assessment of cognition in Schizophrenia: reliability, sensitivity, and comparison with a standard neurocognitive battery. Schizophrenia Research 68, 283–297.CrossRefGoogle ScholarPubMed
Lee, J, Altshuler, L, Glahn, DC, Miklowitz, DJ, Ochsner, K, Green, MF (2013). Social and nonsocial cognition in bipolar disorder and schizophrenia: relative levels of impairment. American Journal of Psychiatry 170, 334–341.Google Scholar
Lindenmayer, JP, McGurk, SR, Khan, A, Kaushik, S, Thanju, A, Hoffman, L, Valdez, G, Wance, D, Herrman, E (2013). Improving social cognition in schizophrenia: a pilot intervention combining computerized social cognition training with cognitive remediation. Schizophrenia Bulletin 39, 507–517.CrossRefGoogle ScholarPubMed
Martino, DJ, Strejilevich, SA, Fassi, G, Marengo, E, Igoa, A (2011). Theory of mind and facial emotion recognition in euthymic bipolar I and bipolar II disorders. Psychiatry Research 189, 379–384.Google Scholar
Mayer, JD, Salovey, P, Caruso, DR (2002 a). Mayer-Salovey-Caruso Emotional Intelliegnce Test (MSCEIT) item booklet. MHS Publishers Toronto: Ontario, Canada.Google Scholar
Mayer, JD, Salovey, P, Caruso, DR (2002 b). Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) user`s manual. MHS Publishers Toronto: Ontario, Canada.Google Scholar
Mayer, JD, Salovey, P, Caruso, DR, Sitarenios, G (2003). Measuring emotional intelligence with the MSCEIT V2.0. Emotion 3, 97–105.CrossRefGoogle ScholarPubMed
Montgomery, SA, Asberg, M (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry 134, 382–389.Google Scholar
Mühlbacher, M, Egger, C, Kaplan, P, Simhandl, C, Grunze, H, Geretsegger, C, Whitworth, A, Stuppack, C (2011). Reliability and concordance validity of a German version of the Young Mania Rating Scale (YMRS-D). Neuropsychiatrie 25, 16–25.Google Scholar
Nuechterlein, KH, Green, MF (2006). MATRICS Consensus Cognitive Battery. MATRICS Assessment, Inc.: MHS Los Angeles.Google Scholar
Preacher, KJ, Hayes, AF (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods 40, 879–891.Google Scholar
Salovey, P, Mayer, J (1990). Emotional intelligence. Imagination, Cognition and Personality 9, 185–211.CrossRefGoogle Scholar
Samame, C, Martino, DJ, Strejilevich, SA (2015). An individual task meta-analysis of social cognition in euthymic bipolar disorders. Journal of Affective Disorders 173, 146–153.Google Scholar
Schmidtke, A, Fleckenstein, P, Moises, W, Beckman, H (1988). Studies of the reliability and validity of the German version of the Montgomery-Asberg Depression Rating Scale (MADRS). Schweizer Archiv für Neurologie und Psychiatrie 139, 51–65.Google Scholar
Sheehan, DV, Lecrubier, Y, Sheehan, KH, Amorim, P, Janavs, J, Weiller, E, Hergueta, T, Baker, R, Dunbar, GC (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry 59 (Suppl. 20), 22–33; quiz 34–57.Google Scholar
Sparks, A, McDonald, S, Lino, B, O'Donnel, M, Green, MJ (2010). Social cognition, empathy and functional outcome in schizophrenia. Schizophrenia Research 122, 172–178.Google Scholar
Sperry, SH, O'Connor, LK, Ongur, D, Cohen, BM, Keshavan, MS, Lewandowski, KE (2015). Measuring cognition in bipolar disorder with psychosis using the MATRICS consensus cognitive battery. Journal of the International Neuropsychological Society 21, 468–472.Google Scholar
Steinmayr, R, Schütz, A, Hertel, J, Schröder-Abé, M (2011). Mayer-Salovey-Caruso Test zur Emotionalen Intelligenz (MSCEIT™). Deutschsprachige Adaptation des Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT™) von John D. Mayer, Peter Salovey und David R. Caruso. Hans Huber: Bern.Google Scholar
Van Rheenen, TE, Rossel, SL (2014). An empirical evaluation of the MATRICS Consensus Cognitive Battery in bipolar disorder. Bipolar Disord 16, 318–325.Google Scholar
Wittchen, H-U, Wunderlich, U, Gruschwitz, S, Zaudig, M (1996). Strukturiertes Klinisches Interview für DSM-IV (SKID). Beltz-Test: Göttingen.Google Scholar
Yalcin-Siedentopf, N, Hoertnagl, CM, Biederman, F, Baumgartner, S, Deisenhammer, EA, Hausman, A, Kaufman, A, Kemmler, G, Muhlbacher, M, Rauch, AS, Fleischhacker, WW, Hofer, A (2014). Facial affect recognition in symptomatically remitted patients with schizophrenia and bipolar disorder. Schizophrenia Research 152, 440–445.CrossRefGoogle ScholarPubMed
Yen, CF, Cheng, CP, Huang, CF, Ko, CH, Yen, JY, Chang, YP, Chen, CS (2009). Relationship between psychosocial adjustment and executive function in patients with bipolar disorder and schizophrenia in remission: the mediating and moderating effects of insight. Bipolar Disord 11, 190–197.Google Scholar
Young, RC, Biggs, JT, Ziegler, VE, Meyer, DA (1978). A rating scale for mania: reliability, validity and sensitivity. British Journal of Psychiatry 133, 429–435.CrossRefGoogle ScholarPubMed