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Peralta V, Sánchez-Torres AM, Gil-Berrozpe G, de Jalón EG, Moreno-Izco L, Peralta D, Janda L, Cuesta MJ. Neurocognitive and social cognitive correlates of social exclusion in psychotic disorders: a 20-year follow-up cohort study. Soc Psychiatry Psychiatr Epidemiol 2024:10.1007/s00127-024-02742-x. [PMID: 39090439 DOI: 10.1007/s00127-024-02742-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2024] [Accepted: 07/21/2024] [Indexed: 08/04/2024]
Abstract
PURPOSE Little is known about the relationship between social exclusion and cognitive impairment in psychosis. We conducted a long-term cohort study of first-episode psychosis to examine the association between comprehensive measures of cognitive impairment and social exclusion assessed at follow-up. METHODS A total of 173 subjects with first-episode psychosis were assessed after a 20-year follow-up for 7 cognitive domains and 12 social exclusion indicators. Associations between sets of variables were modeled using multivariate regression, where social exclusion indicators were the dependent variables, cognitive domains were the independent variables, and age, gender, and duration of follow-up were covariates. RESULTS The total scores on the measures of cognition and social exclusion were strongly associated (β = - .469, ∆R2 = 0.215). Participants with high social exclusion were 4.24 times more likely to have cognitive impairment than those with low social exclusion. Verbal learning was the cognitive function most related to social exclusion domains, and legal capacity was the exclusion domain that showed the strongest relationships with individual cognitive tests. Neurocognition uniquely contributed to housing, work activity, income, and educational attainment, whereas social cognition uniquely contributed to neighborhood deprivation, family and social contacts, and discrimination/stigma. Neurocognition explained more unique variance (11.5%) in social exclusion than social cognition (5.5%). CONCLUSION The domains of cognitive impairment were strongly and differentially related to those of social exclusion. Given that such an association pattern is likely bidirectional, a combined approach, both social and cognitive, is of paramount relevance in addressing the social exclusion experienced by individuals with psychotic disorders.
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Affiliation(s)
- Victor Peralta
- Mental Health Department, Servicio Navarro de Salud, Pamplona, Spain.
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.
| | - Ana M Sánchez-Torres
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain
- Departamento de Ciencias de la Salud, Universidad Pública de Navarra (UPNA), Pamplona, Spain
| | - Gustavo Gil-Berrozpe
- Mental Health Department, Servicio Navarro de Salud, Pamplona, Spain
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain
| | - Elena García de Jalón
- Mental Health Department, Servicio Navarro de Salud, Pamplona, Spain
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain
| | - Lucía Moreno-Izco
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain
- Department of Psychiatry, Hospital Universitario de Navarra, Pamplona, Spain
| | - David Peralta
- Mental Health Department, Servicio Navarro de Salud, Pamplona, Spain
| | - Lucía Janda
- Mental Health Department, Servicio Navarro de Salud, Pamplona, Spain
| | - Manuel J Cuesta
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain
- Department of Psychiatry, Hospital Universitario de Navarra, Pamplona, Spain
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Ghandchi A, Golbabaei S, Borhani K. Effects of two different social exclusion paradigms on ambiguous facial emotion recognition. Cogn Emot 2024; 38:296-314. [PMID: 38678446 DOI: 10.1080/02699931.2023.2285862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 11/13/2023] [Indexed: 04/30/2024]
Abstract
Social exclusion is an emotionally painful experience that leads to various alterations in socio-emotional processing. The perceptual and emotional consequences that may arise from experiencing social exclusion can vary depending on the paradigm used to manipulate it. Exclusion paradigms can vary in terms of the severity and duration of the leading exclusion experience, thereby classifying it as either a short-term or long-term experience. The present study aimed to study the impact of exclusion on socio-emotional processing using different paradigms that caused experiencing short-term and imagining long-term exclusion. Ambiguous facial emotions were used as socio-emotional cues. In study 1, the Ostracism Online paradigm was used to manipulate short-term exclusion. In study 2, a new sample of participants imagined long-term exclusion through the future life alone paradigm. Participants of both studies then completed a facial emotion recognition task consisting of morphed ambiguous facial emotions. By means of Point of Subjective Equivalence analyses, our results indicate that the experience of short-term exclusion hinders recognising happy facial expressions. In contrast, imagining long-term exclusion causes difficulties in recognising sad facial expressions. These findings extend the current literature, suggesting that not all social exclusion paradigms affect socio-emotional processing similarly.
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Affiliation(s)
- Arezoo Ghandchi
- Institute for Cognitive and Brain Sciences, Shahid Beheshti University, Tehran, Iran
| | - Soroosh Golbabaei
- Institute for Cognitive and Brain Sciences, Shahid Beheshti University, Tehran, Iran
| | - Khatereh Borhani
- Institute for Cognitive and Brain Sciences, Shahid Beheshti University, Tehran, Iran
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Peng S, Ruan X, Tao D, Xuan B. Influence of Social Exclusion on Cool and Hot Inhibitory Control in Chinese College Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2433. [PMID: 36767798 PMCID: PMC9916102 DOI: 10.3390/ijerph20032433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 01/18/2023] [Accepted: 01/23/2023] [Indexed: 06/18/2023]
Abstract
Social exclusion can affect nearly every aspect of a person's mental health, both on an emotional and cognitive level. The purpose of the present study was to investigate whether cool or hot inhibitory control capacity varied under social exclusion. More precisely, participants who had experienced and not experienced social exclusion were compared to explore the influence of social exclusion on cool and hot inhibitory controls. Social exclusion was induced through the use of a Cyberball game, and participants were divided into an exclusion group and an inclusion group. The number Stroop task and emotional face Stroop task were used to measure the cool and hot inhibitory control, respectively. In the cool Stroop task, participants had to refrain from reading printed digits to identify the number of items presented in the array. In the hot Stroop task, participants had to inhibit the meaning of the word to identify the emotion displayed on the face. Reaction time, accuracy, and Stroop interference were analyzed to compare the inhibitory control between the exclusion group and the inclusion group. The results showed an extension of the response time in the exclusion group compared to the inclusion group. We found a higher interference effect in the number of Stroop tasks in the exclusion group than that in the inclusion group, but it was not significant in the emotional face Stroop task. The results suggest that the cognitive and emotional basis of inhibitory control may differ during social exclusion. The present findings expand our understanding of how social exclusion affects cool and hot inhibitory controls and their internal psychological mechanism.
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Affiliation(s)
- Suhao Peng
- Department of Psychology, School of Education, Anhui Normal University, Wuhu 241000, China
| | - Xinhui Ruan
- Department of Psychology, School of Education, Anhui Normal University, Wuhu 241000, China
| | - Dan Tao
- School of Early Childhood Education, Nanjing Xiaozhuang University, Nanjing 211171, China
| | - Bin Xuan
- Department of Psychology, School of Education, Anhui Normal University, Wuhu 241000, China
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Rajchert J, Zajenkowska A, Nowakowska I, Bodecka-Zych M, Abramiuk A. Hostility bias or sadness bias in excluded individuals: does anodal transcranial direct current stimulation of right VLPFC vs. left DLPFC have a mitigating effect? COGNITIVE, AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2022; 22:1063-1077. [PMID: 35474567 DOI: 10.3758/s13415-022-01008-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/12/2022] [Indexed: 06/14/2023]
Abstract
Exclusion has multiple adverse effects on individual's well-being. It induces anger and hostile cognitions leading to aggressive behavior. The purpose of this study was to test whether exclusion would affect recognition of anger on ambivalent faces of the excluders. We hypothesized that exclusion would elicit more anger encoding (hostility bias) than inclusion, but this effect would be mitigated by anodal tDCS of right VLPFC or left DLPFC-regions engaged in negative affect regulation. Participants (N = 96) were recognizing emotions (anger, sadness, happiness) on ambiguous faces of individuals who-as they were told-liked them or not. Results showed that exclusion induced more sadness bias. tDCS to VLPFC decreased anger and increased sadness recognition on excluders' faces compared with includers' faces, expressing a mixture of these two emotions. Additionally, stimulation to VLPFC and DLPFC decreased latencies for faces expressing sadness (sad-angry and happy-sad) but increased for happy-angry faces. Stimulation to VLPFC also increased reaction time to excluders faces while stimulation of DLPFC decreased reaction latency to includers faces. Results were discussed with the reference to the form of exclusion, motivational mechanism affected by disliking but also to lateralization (valence vs. arousal theory) and cortical regions engaged in encoding sadness after a threat to belonging.
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Petereit P, Jessen S, Goregliad Fjaellingsdal T, Krämer UM. Social Context and Rejection Expectations Modulate Neural and Behavioral Responses to Social Feedback. J Cogn Neurosci 2022; 34:823-845. [PMID: 35139190 DOI: 10.1162/jocn_a_01829] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
When meeting other people, some are optimistic and expect to be accepted by others, whereas others are pessimistic and expect mostly rejections. How social feedback is evaluated in situations that meet or do not meet these biases and how people differ in their response to rejection and acceptance depending on the social situation are unknown. In this study, participants experienced rejection and acceptance by peers in two different social contexts, one with high (negative context) and the other with low probability of rejection (positive context). We examined how the neural and behavioral responses to rejection are altered by this context and whether it depends on the individual's sensitivity to rejection. Behavioral results show that, on average, people maintain an optimistic bias even when mostly experiencing rejection. Importantly, personality differences in rejection sensitivity affected both prior expectations to be rejected in the paradigm and the extent to which expectations changed during the paradigm. The context also strongly modulated ERPs and theta responses to rejection and acceptance feedback. Specifically, valence effects on neural responses were enhanced in the negative context, suggesting a greater relevance to monitor social feedback in such a situation. Moreover, midfrontal theta predicted how expectations were changed in response to prediction errors, stressing a role for theta in learning from social feedback. Surprisingly, interindividual differences in rejection sensitivity did not affect neural responses to feedback. Our results stress the importance of considering the interaction between subjective expectations and the social context for behavioral and neural responses to social rejection.
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Fischer P, Jakobsen KV. Witnessed inclusion improves identification of Duchenne and non-Duchenne smiles. BRITISH JOURNAL OF DEVELOPMENTAL PSYCHOLOGY 2022; 40:254-270. [PMID: 35048401 DOI: 10.1111/bjdp.12404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Accepted: 12/28/2021] [Indexed: 11/28/2022]
Abstract
Social exclusion threatens a person's need to belong and prompts them to behave in ways that often facilitate reaffiliation. For adults, direct exclusion increases attention to social information and facial cues, including an enhanced identification of Duchenne and non-Duchenne smiles. Furthermore, inclusion can buffer or mitigate the effects of exclusion. This study investigated children's (N = 44) and adults' (N = 52) sensitivity to perceptual changes in smiles following witnessed inclusion and exclusion and inclusion's mitigating and buffering effects on perceptual abilities. Contrary to our predictions, participants in our study demonstrated improved accuracy after witnessing inclusion, rather than exclusion, and showed no buffering or mitigating effects of inclusion. This contradiction with previous findings points to a further need to explore the effects of witnessed versus direct inclusion and exclusion, especially if witnessed inclusion and exclusion have the ability to impact perception and shape our behavior.
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Affiliation(s)
- Paige Fischer
- James Madison University, Harrisonburg, Virginia, USA
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Doolaard FT, Noordewier MK, Lelieveld GJ, van Beest I, van Dijk E. Go on without me: When underperforming group members prefer to leave their group. JOURNAL OF EXPERIMENTAL SOCIAL PSYCHOLOGY 2021. [DOI: 10.1016/j.jesp.2021.104158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Thies B, Heise E, Bormann I. Social Exclusion, Subjective Academic Success, Well-Being, and the Meaning of Trust. ZEITSCHRIFT FUR ENTWICKLUNGSPSYCHOLOGIE UND PADAGOGISCHE PSYCHOLOGIE 2021. [DOI: 10.1026/0049-8637/a000236] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Abstract. This article uses a person-environment fit perspective to investigate whether and how educational background and general trust are related to fit (or not) with university life as well as to criteria of subjective academic success and well-being. To analyze how students perceive fit with their university, we measured their perception of exclusion and their affective commitment. The sample includes N = 424 students from two German universities, about half of whom have at least one parent with tertiary education. The results show that especially general trust is related to the subjective criteria of academic success, and that this relationship is mediated by the perception of exclusion, on the one hand, and by the affective commitment, on the other hand. A comparison of the two mediators shows that the perception of exclusion is particularly potent in terms of predicting satisfaction with coping with study demands and general well-being. We discuss the results in terms of their significance to the future diversity management at universities for overcoming social inequality and increasing social inclusion.
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Affiliation(s)
- Barbara Thies
- Institut für Pädagogische Psychologie, TU Braunschweig, Germany
| | - Elke Heise
- Institut für Pädagogische Psychologie, TU Braunschweig, Germany
| | - Inka Bormann
- Arbeitsbereich Allgemeine Erziehungswissenschaft, Freie Universität Berlin, Germany
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Niedeggen M, Kerschreiter R, Schuck K. Loss of control as a violation of expectations: Testing the predictions of a common inconsistency compensation approach in an inclusionary cyberball game. PLoS One 2019; 14:e0221817. [PMID: 31498829 PMCID: PMC6733461 DOI: 10.1371/journal.pone.0221817] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Accepted: 08/15/2019] [Indexed: 12/17/2022] Open
Abstract
Personal control relies on the expectation that events are contingent upon one’s own behavior. A common ‘inconsistency compensation approach’ posits that a violation of expectancies in social interaction triggers aversive arousal and compensatory effort. Following this approach, we tested the hypothesis that interventions affecting participants' decisions violate the expected personal control. In a modified version of the established cyberball paradigm, participants were not excluded, but consistently included. However, their decisions regarding the recipient of a ball throw in the virtual game were occasionally overruled (expectancy violation). We hypothesized that this intervention will trigger a P3 response in event-related brain potentials (ERP). Since this component is related to subjective expectancies, its amplitude was assumed to depend on the frequency of interventions (independent factor: loss of control). Further, we manipulated the vertical position of the participants’ avatar on the computer screen (independent factor: verticality). Building on research showing that verticality is related to the self-assigned power and influences the expected level of control, we hypothesized that the ERP effects of intervention should be more pronounced for participants with avatars in superior position. As predicted, both experimental factors interactively affected the expression of the ERP response: In case of low intervention frequency, P3 amplitudes were significantly pronounced if the participants’ avatar was positioned above as compared to below co-players (high > low self-assigned power). The effect of verticality could be traced back to a lack of adaptation of P3 amplitudes to recurring aversive events. By demonstrating that loss of control triggers ERP effects corresponding to those triggered by social exclusion, this study provides further evidence for a common cognitive mechanism in reactions to aversive events based on an inconsistency in expectancy states.
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Affiliation(s)
- Michael Niedeggen
- Division of Experimental Psychology and Neuropsychology, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
- * E-mail:
| | - Rudolf Kerschreiter
- Division of Social, Organizational, and Economic Psychology, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
| | - Katharina Schuck
- Division of Experimental Psychology and Neuropsychology, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
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