Habilidades de Mindfulness y Cognición Social en la predicción de la sintomatología afectiva en Esquizofrenia, Trastorno Obsesivo-Compulsivo y controles sanos

Manuel González-Panzano, Luis Borao, Paola Herrera-Mercadal, Daniel Campos, Yolanda López-del-Hoyo, Héctor Morillo, Javier García-Campayo

Resumen


Abstract: Mindfulness and social cognition skills in the prediction of affective symptomatology in schizophrenia, obsessive-compulsive disorder and nonclinical participants. The aim of the study was to investigate significant predictors of affective symptomatology in schizophrenia, obsessive-compulsive disorder and healthy controls. The sample was of 91 participants who completed the following instruments: the Eye Test (emotional recognition), the Hinting Task (theory of mind), the Ambiguous Intentions and Hostility Questionnaire(AIHQ; attributional style), Interpersonal Reactivity Index (IRI; empathy), the Mindful Attention Awareness Scale (MAAS; mindfulness trait), the Five Facet Mindfulness Questionnaire-Short Form(FFMQ-SF), and the Hospital Anxiety and Depression Scale(HADS). Significant predictors of affective symptomatology were: mindfulness (dispositional or trait mindfulness, nonreactivity and nonjudgment), and social cognition (SC) (attributional style and theory of mind). Mediation analysis showed that theory of mind was the only significant mediator of affective symptomatology. This paper shows the role of mindfulness and SC skills in the prediction of affective symptomatology.

Keywords: mindfulness, social cognition, theory of mind, affective symptomatology, schizophrenia, obsessive-compulsive disorder.

Resumen:El objetivo del estudio fue investigar predictores significativos de sintomatología afectiva en Esquizofrenia (EZ), trastorno obsesivo compulsivo (TOC) y controles no clínicos. La muestra fue de 91 participantes que completaron los siguientes instrumentos: Eyes Test (reconocimiento emocional), Hinting Task (teoría de la mente), Ambiguous Intentions and Hostility Questionnaire (AIHQ; estilo atribucional), Índice de Reactividad Interpersonal (IRI; empatía), Mindful Attention Awareness Scale (MAAS;mindfulness rasgo), Five Facet Mindfulness Questionnaire-Short Form (FFMQ-SF), y Hospital Anxiety and Depression Scale (HADS).Los resultados mostraron que el mindfulness (mindfulness rasgo, no reactividad y no juicio) y la cognición social (estilo atribucional y teoría de la mente) fueron predictores significativos. Los análisis de mediación señalaron la variable de teoría de la mente, como único mediador significativo de la sintomatología afectiva.Los resultados de este estudio señalan el papel de las habilidades de mindfulness y cognición social en la predicción de sintomatología afectiva.

Palabras clave: mindfulness, cognición social, teoría de la mente, sintomatología afectiva, esquizofrenia, trastorno obsesivo-compulsivo.


Palabras clave


mindfulness; cognición social; teoría de la mente; sintomatología afectiva

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Referencias


Aguado, J., Luciano, J. V., Cebolla, A., Serrano-Blanco, A., Soler, J., yy García-Campayo, J. (2015). Bifactor analysis and construct validity of the FFMQ in non-clinical Spanish samples. Frontiers in Psychology, 6(MAR), 404. https://doi.org/10.3389/fpsyg.2015.00404

Aust, J., y Bradshaw, T. (2017). Mindfulness interventions for psychosis: a systematic review of the literature. Journal of psychiatric and mental health nursing, 24(1), 69-83.

Baron-Cohen, S., Wheelwright, S., Hill, J., Raste, Y., y Plumb, I. (2001). The Reading the Mind in the Eyes; Test Revised Version. Journal of Child Psychology and Psychiatry, 42(2), 241–251. https://doi.org/10.1111/1469-7610.00715

Benzina, N., Mallet, L., Burguière, E., N’diaye, K., y Pelissolo, A. (2016). Cognitive dysfunction in obsessive-compulsive disorder. Current psychiatry reports, 18(9), 80.

Bluett, E. J., Homan, K. J., Morrison, K. L., Levin, M. E., y Twohig, M. P. (2014). Acceptance and commitment therapy for anxiety and OCD spectrum disorders: An empirical review. Journal of anxiety disorders, 28(6), 612-624.

Brown, K. W., y Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.

Cacioppo, J. T., Berntson, G. G., Sheridan, J. F. y McClintock, M. K. (2000). Multilevel integrative analyses of human behavior: social neuroscience and the complementing nature of social and biological approaches. Psychological Bulletin, 126, 829-843.

Campos, D., Modrego-Alarcón, M., López-del-Hoyo, Y., González-Panzano, M., Van Gordon, W., Shonin, E., Navarro-Gil, M. y García-Campayo, J. (2019). Exploring the role of meditation and dispositional mindfulness on social cognition domains: a controlled study. Frontiers in Psychology, DOI:10.3389/fpsyg.2019.00809

Cebolla, A., Campos, D., Galiana, L., Oliver, A., Tomás, J. M., Feliu-Soler, A., … Baños, R. M. (2017). Exploring relations among mindfulness facets and various meditation practices. Consciousness and Cognition, 49, 172–180. https://doi.org/10.1016/J.CONCOG.2017.01.012

Cebolla, A., Enrique, A., Alvear, D., Soler, J., y García-Campayo, J. (2017). Psicología positiva contemplativa: Integrando mindfulness en la psicología positiva. Papeles Del Psicólogo, 37(1), 12. http://doi.org/10.23923/pap.psicol2017.2816

Cebolla, A., García-Palacios, a., Soler, J., Guillen, V., Baños, R., y Botella, C. (2012). Psychometric properties of the Spanish validation of the Five Facets of Mindfulness Questionnaire (FFMQ). The European Journal of Psychiatry (Vol. 26).

Combs, D. R., Penn, D. L., Wicher, M., y Waldheter, E. (2007). The Ambiguous Intentions Hostility Questionnaire (AIHQ): A new measure for evaluating hostile social-cognitive biases in paranoia. Cognitive Neuropsychiatry, 12(2), 128–143. https://doi.org/10.1080/13546800600787854

Corcoran, R., Mercer, G., y Frith, C. D. (1995). Schizophrenia, symptomatology and social inference: Investigating “theory of mind” in people with schizophrenia. Schizophrenia Research, 17, 5–13. https://doi.org/10.1016/0920-9964(95)00024-G

Cotter, J., Granger, K., Backx, R., Hobbs, M., Looi, C. Y., y Barnett, J. H. (2018). Social cognitive dysfunction as a clinical marker: a systematic review of meta-analyses across 30 clinical conditions. Neuroscience y Biobehavioral Reviews, 84, 92-99.

Davis, M. H. (1980). A Multidimensional Approach to Individual Differences in Empathy. Recuperado de: https://www.uv.es/friasnav/Davis_1980.pdf

Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113–126. https://doi.org/10.1037/0022-3514.44.1.113

Fernández-Abascal, E. G., Cabello, R., Fernández-Berrocal, P., y Baron-Cohen, S. (2013). Test-retest reliability of the ‘Reading the Mind in the Eyes’ test: a one-year follow-up study. Molecular Autism, 4, 33. https://doi.org/10.1186/2040-2392-4-33

Gallagher, S., y Varga, S. (2015). Social cognition and psychopathology: a critical overview. World Psychiatry, 14, 5-14. doi: 10.1002/wps.20173

García, R. R., Aliste, F., y Soto, G. (2018). Cognición social en esquizofrenia: aspectos cognitivos y neurobiológicos. Revista Colombiana de Psiquiatría, 47(3), 170-176.

García-Campayo, J., y Demarzo, M. (2018). ¿Qué sabemos del mindfulness? (1st ed.). Barcelona.

Gasnier, M., Pelissolo, A., Bondolfi, G., Pelissolo, S., Tomba, M., Mallet, L., y N'diaye, K. (2017). Mindfulness-based interventions in obsessive-compulsive disorder: Mechanisms of action and presentation of a pilot study. L'Encephale, 43(6), 594-599.

Gil, D., Fernández-Modamio, M., Bengochea, R., y Arrieta, M. (2012). Adaptation of the Hinting Task theory of the mind test to Spanish. Revista de Psiquiatría y Salud Mental (English Edition), 5(2), 79–88.

Green, M. F., Horan, W. P., y Lee, J. (2015). Social cognition in schizophrenia. Nature Reviews Neuroscience, 16(10), 620.

Greig, T. C., Bryson, G. J., y Bell, M. D. (2004). Theory of mind performance in schizophrenia: diagnostic, symptom, and neuropsychological correlates. The Journal of nervous and mental disease, 192(1), 12-18.

Kabat-Zinn, J. (2018). Meditation Is Not What You Think: Mindfulness and Why It Is So Important. Hachette Books

Kang, J. I., Namkoong, K., Yoo, S. W., Jhung, K., y Kim, S. J. (2012). Abnormalities of emotional awareness and perception in patients with obsessive–compulsive disorder. Journal of affective disorders, 141(2-3), 286-293.

Key, B. L., Rowa, K., Bieling, P., McCabe, R., y Pawluk, E. J. (2017). Mindfulness‐based cognitive therapy as an augmentation treatment for obsessive–compulsive disorder. Clinical psychology y psychotherapy, 24(5), 1109-1120.

Khoury, B., Lecomte, T., Gaudiano, B. A., y Paquin, K. (2013). Mindfulness interventions for psychosis: a meta-analysis. Schizophrenia research, 150(1), 176-184.

Lahera, G., Herrera, S., Reinares, M., Benito, A., Rullas, M., González‐Cases, J., y Vieta, E. (2015). Hostile attributions in bipolar disorder and schizophrenia contribute to poor social functioning. Acta Psychiatrica Scandinavica, 131(6), 472-482.

Lam, A. H. Y., y Chien, W. T. (2016). The effectiveness of mindfulness-based intervention for people with schizophrenia: a systematic review. Neuropsychiatry.

Langer, Á. I., Schmidt, C., Mayol, R., Díaz, M., Lecaros, J., Krogh, E., ... y Villar, M. J. (2017). The effect of an MBI in cognitive functions and psychological well-being applied as an early intervention in schizophrenia and high-risk mental state in a Chilean sample. Trials, 18(1), 233.

Lavoie, M. A., Battaglia, M., y Achim, A. M. (2014). A meta-analysis and scoping review of social cognition performance in social phobia, posttraumatic stress disorder and other anxiety disorders. Journal of anxiety disorders, 28(2), 169-177.

Lee, H. S., Corbera, S., Poltorak, A., Park, K., Assaf, M., Bell, M. D., ... y Choi, K. H. (2018). Measuring theory of mind in schizophrenia research: Cross-cultural validation. Schizophrenia research, 201, 187-195.

Liu, W., Fan, J., Gan, J., Lei, H., Niu, C., Chan, R. C., y Zhu, X. (2017). Disassociation of cognitive and affective aspects of theory of mind in obsessive-compulsive disorder. Psychiatry research, 255, 367-372.

Melloni, M., Sedeño, L., Couto, B., Reynoso, M., Gelormini, C., Favaloro, R., ... y Ibáñez, A. (2013). Preliminary evidence about the effects of meditation on interoceptive sensitivity and social cognition. Behavioral and Brain Functions, 9(1), 47.

Mısır, E., Bora, E., y Akdede, B. B. (2018). Relationship between social-cognitive and social-perceptual aspects of theory of mind and neurocognitive deficits, insight level and schizotypal traits in obsessive-compulsive disorder. Comprehensive psychiatry, 83, 1-6.

Pallant, J. F., y Tennant, A. (2007). An introduction to the Rasch measurement model: an example using the Hospital Anxiety and Depression Scale (HADS). British Journal of Clinical Psychology, 46(1), 1-18.

Pérez-Albéniz, A., de Paúl, J., Etxeberría, J., Montes, M. P., y Torres, E. (2003). Adaptación de Interpersonal Reactivity Index (IRI) al español. Psicothema, 15(2), 267–272.

Pinkham, A. E. (2014). Social cognition in schizophrenia. The Journal of clinical psychiatry.

Pino, M. C., De Berardis, D., Mariano, M., Vellante, F., Serroni, N., Valchera, A., ... y Mazza, M. (2016). Two systems for empathy in obsessive-compulsive disorder: mentalizing and experience sharing. Brazilian Journal of Psychiatry, 38(4), 307-313.

Preacher, K. J., y Hayes, A. (2004). SPSS and SAS macros for bootstrapping indirect effects in multiple mediator models. Retrieved August, 17, 2006.

Savla, G. N., Vella, L., Armstrong, C. C., Penn, D. L., y Twamley, E. W. (2012). Deficits in domains of social cognition in schizophrenia: a meta-analysis of the empirical evidence. Schizophrenia bulletin, 39(5), 979-992.

Selchen, S., Hawley, L. L., Regev, R., Richter, P., y Rector, N. A. (2018). Mindfulness-Based Cognitive Therapy for OCD: Stand-Alone and Post-CBT Augmentation Approaches. International Journal of Cognitive Therapy, 11(1), 58-79.

Soler, J., Tejedor, R., Feliu-Sol, A., Pascual, J. C., Cebolla, A., Soriano, J., … Perez, V. (2012). Psychometric Proprieties of Spanish Version of Mindful Attention Awareness Scale (MAAS), Actas Esp Psiquiat 40(1), 19–26.

Tabak, N. T., Horan, W. P., y Green, M. F. (2015). Mindfulness in schizophrenia: associations with self-reported motivation, emotion regulation, dysfunctional attitudes, and negative symptoms. Schizophrenia research, 168(1-2), 537-542.

Tan, L. B., Lo, B. C., y Macrae, C. N. (2014). Brief mindfulness meditation improves mental state attribution and empathizing. PLoS One, 9(10), e110510.

Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, S., y Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: empirical evidence. Journal of consulting and clinical psychology, 70(2), 275.

Tejero, A., Guimerá, E. M., Farré, J. M., y Peri, J. M. (1986). Clinical use of HADS in psychiatric simples: a sensitivity, reliability and validity study. Rev Dep Psiquiatr Fac Med Barc, 13, 233-238.

Terol, M. C., López-Roig, S., Rodríguez-Marín, J., Martí-Aragón, M., Pastor, M. A., y

Reig, M. T. (2007). Propiedades Psicométricas de la Escala Hospitalaria de Ansiedad y Depresión (HADS) En Población Española. Ansiedad y Estrés, 13.

Thabane, L., Mbuagbaw, L., Zhang, S., Samaan, Z., Marcucci, M., Ye, C., ... y

Debono, V. B. (2013). A tutorial on sensitivity analyses in clinical trials: the what, why, when and how. BMC medical research methodology, 13(1), 92.

Tripathi, A., Kar, S. K., y Shukla, R. (2018). Cognitive deficits in schizophrenia: Understanding the biological correlates and remediation strategies. Clinical Psychopharmacology and Neuroscience, 16(1), 7.

Tulacı, R. G., Cankurtaran, E. Ş., Özdel, K., Öztürk, N., Kuru, E., y Özdemir, İ. (2018). The relationship between theory of mind and insight in obsessive-compulsive disorder. Nordic journal of psychiatry, 72(4), 273-280.

Van Doesum, N. J., Van Lange, D. A., and Van Lange, P. A. M. (2013). Social mindfulness: Skill 767 and will to navigate the social world. J Pers Soc Psychol, 105, 86-103. doi: 10.1037/a0032540.

Vrbova, K., Prasko, J., Holubova, M., Slepecky, M., y Ociskova, M. (2018). Positive and negative symptoms in schizophrenia and their relation to depression, anxiety, hope, self-stigma and personality traits–a cross-sectional study. Neuroendocrinology Letters, 39(1).

Whitton, A. E., y Henry, J. D. (2013). The relationship between sub‐clinical obsessive‐compulsive symptoms and social cognition in chronic schizophrenia. British Journal of Clinical Psychology, 52(2), 115-128.

Zhou, T., Baytunca, B., Yu, X., y Öngür, D. (2016). Schizo-obsessive disorder: the epidemiology, diagnosis, and treatment of comorbid schizophrenia and OCD. Current Treatment Options in Psychiatry, 3(3), 235-245.

Zigmond, A. S., y Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatrica scandinavica, 67(6), 361-370.

Zou, L., Yeung, A., Quan, X., Hui, S. S. C., Hu, X., Chan, J. S., ... y Wang, H. (2018). Mindfulness-based Baduanjin exercise for depression and anxiety in people with physical or mental illnesses: a systematic review and meta-analysis. International journal of environmental research and public health, 15(2), 321.




DOI: https://doi.org/10.5944/rppc.24170

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