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Cognition, social cognition, and Self-assessment in schizophrenia: prediction of different elements of everyday functional outcomes

机译：精神分裂症的认知，社会认知和自我评估：预测日常功能结果的不同元素

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A growing body of research has shown that two domains of cognition, neurocognition and social cognition, predict different domains of real-world outcomes in people with schizophrenia. Social cognition has been shown to predict social outcomes but not non-social outcomes (e.g. living independently), and neurocognition provides minimal prediction of social outcomes (e.g. interpersonal relationships). The differing predictive value of neurocognition and social cognition has led to an exploration of potential factors that interact with cognition to influence everyday outcomes. Functional skills, negative symptoms, and self-assessment have shown particularly promising relationships with cognitive ability. Several consensus studies have pinpointed valid performance-based assessments. High-contact informant ratings have additionally been shown to be highly accurate. The emerging understanding of divergent patterns of predicting outcomes and reliable assessments present an opportunity to improve treatment targets and real-world outcomes for individuals with schizophrenia. In particular, a recently defined component of metacognition has shown particular promise. Introspective accuracy (IA) addresses how well individuals evaluate their own abilities. Emerging research has found that IA of neurocognitive ability better predicts everyday functional deficits than scores on performance-based measures of neurocognitive skills and has found that IA of social cognition accounts unique variance in real world disability above social cognitive abilities. Intriguingly, IA of neurocognition appears to preferentially predict non-social outcomes while IA of social cognition predicts social outcomes.
机译：越来越多的研究表明，两个认知，神经认知和社会认知域名，预测了精神分裂症的人类现实世界结果的不同域。社会认知已被证明预测社会结果，但不是非社会结果（例如，独立生活），而神经操认知则提供了对社会结果的最小预测（例如人际关系）。不同的神经认知和社会认知的不同预测价值导致探索与认识到影响日常成果的潜在因素。功能性技能，消极症状和自我评估表明了与认知能力相关的尤为愉快的关系。若干共识研究有精确定位有效的基于绩效的评估。额外显示出高电平通知额定值是高度准确的。新兴了解预测结果和可靠评估的不同模式的理解为有机会改善有精神分裂症的个体的治疗目标和现实世界的结果。特别是，最近定义的元记录组件已经显示出特定的承诺。内省准确性（IA）解决个人如何评估自己的能力。新兴的研究发现，神经认知能力的IA更好地预测日常功能赤字，而不是基于性能的神经认知技能措施的分数，并发现IA社会认知账户的现实世界残疾的独特方差，高于社会认知能力。有趣的是，神经故障的IA似乎优先预测非社会结果，而IA社会认知预测社会结果。

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