Relationship between cognitive reserve (education), social cognition and negative symptoms

Background: Negative symptoms (NS) are a core feature of schizophrenia spectrum disorders, yet their rela- tionship with cognitive reserve (defined by educational attainment) and social cognition remains underexplored. This study examined whether education predicts NS and whether this relationship i...

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Autor principal: Lema Spinelli, Sebastián (author)
Outros Autores: Rodríguez-Testal, Juan Francisco (author), Cabana Fajardo, Álvaro J. (author), Romano Fuzul, Sandra (author), Gómez Sena, Leonel Francisco (author)
Formato: article
Idioma:inglês
Publicado em: 2025
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Acesso em linha:https://hdl.handle.net/20.500.12008/54044
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author Lema Spinelli, Sebastián
author2 Rodríguez-Testal, Juan Francisco
Cabana Fajardo, Álvaro J.
Romano Fuzul, Sandra
Gómez Sena, Leonel Francisco
author2_role author
author
author
author
author_browse Cabana Fajardo, Álvaro J.
Gómez Sena, Leonel Francisco
Lema Spinelli, Sebastián
Rodríguez-Testal, Juan Francisco
Romano Fuzul, Sandra
author_facet Lema Spinelli, Sebastián
Rodríguez-Testal, Juan Francisco
Cabana Fajardo, Álvaro J.
Romano Fuzul, Sandra
Gómez Sena, Leonel Francisco
author_role author
collection COLIBRI
dc.contributor.none.fl_str_mv Lema Spinelli Sebastián, Universidad de la República (Uruguay). Facultad de Medicina.
Rodríguez-Testal Juan Francisco
Cabana Fajardo Álvaro J., Universidad de la República (Uruguay). Facultad de Psicología.
Romano Fuzul Sandra, Universidad de la República (Uruguay). Facultad de Medicina.
Gómez Sena Leonel Francisco, Universidad de la República (Uruguay). Facultad de Ciencias. Instituto de Biología.
dc.creator.none.fl_str_mv Lema Spinelli, Sebastián
Rodríguez-Testal, Juan Francisco
Cabana Fajardo, Álvaro J.
Romano Fuzul, Sandra
Gómez Sena, Leonel Francisco
dc.date.none.fl_str_mv 2025
2026-03-23T16:05:01Z
2026-03-23T16:05:01Z
dc.format.none.fl_str_mv 8 h
application/pdf
dc.identifier.none.fl_str_mv Lema Spinelli, S, Rodríguez-Testal, J, Cabana Fajardo, Á [y otros autores]. "Relationship between cognitive reserve (education), social cognition and negative symptoms". Schizophrenia Research: Cognition. [en línea] 2025, 42: 100379. 8 h. DOI: 10.1016/j.scog.2025.100379
2215-0013
https://hdl.handle.net/20.500.12008/54044
10.1016/j.scog.2025.100379
dc.language.none.fl_str_mv en
eng
dc.publisher.none.fl_str_mv Elsevier
dc.relation.none.fl_str_mv Schizophrenia Research: Cognition, 2025, 42: 100379.
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0)
dc.source.none.fl_str_mv reponame:COLIBRI
instname:Universidad de la República
instacron:Universidad de la República
dc.subject.none.fl_str_mv Cognitive reserve
Social cognition
Negative symptoms
Schizophrenia
Psychosis
Mediation analysis
Regression analysis
dc.title.none.fl_str_mv Relationship between cognitive reserve (education), social cognition and negative symptoms
dc.type.none.fl_str_mv Artículo
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
description Background: Negative symptoms (NS) are a core feature of schizophrenia spectrum disorders, yet their rela- tionship with cognitive reserve (defined by educational attainment) and social cognition remains underexplored. This study examined whether education predicts NS and whether this relationship is mediated by social cognition, specifically emotional or inferential theory of mind Reading the Mind in the Eyes Test (RMET) vs. the Hinting Test. Methods: A mediation model and multiple regression analysis were conducted within an ex-post-facto, cross- sectional design. The sample included 144 participants: 69 diagnosed with schizophrenia spectrum disorders and 75 healthy controls. Women comprised 52.8 % of the sample, with a mean age of 42.67 years (SD = 15.88). The average years of formal education were 8.37 (SD = 2.77) in the patient group and 8.62 (SD = 3.66) in the control group. Results: The mediation model explained 67.57 % of the variance in NS, with age as a covariate. RMET showed a significant indirect effect (d = 0.22) in predicting NS, while HT did not (d = 0.12). In the patient group, multiple regression analysis explained 69.2 % of the variance, with education emerging as a significant predictor of NS. Conclusions: Education, as an indicator of cognitive reserve, significantly predicts NS. This relationship is mediated by social cognition, with differential effects depending on the specific type of social cognition, either within the patient group or across the entire sample. These findings highlight the importance of cognitive reserve and social cognition in understanding and potentially mitigating NS in schizophrenia.
eu_rights_str_mv openAccess
format article
id anni_65da1eb055a6a5ea1cc10d14ea6aa4ef
identifier_str_mv Lema Spinelli, S, Rodríguez-Testal, J, Cabana Fajardo, Á [y otros autores]. "Relationship between cognitive reserve (education), social cognition and negative symptoms". Schizophrenia Research: Cognition. [en línea] 2025, 42: 100379. 8 h. DOI: 10.1016/j.scog.2025.100379
2215-0013
10.1016/j.scog.2025.100379
instacron_str Universidad de la República
institution Universidad de la República
instname_str Universidad de la República
language eng
language_invalid_str_mv en
network_acronym_str anni
network_name_str oai-lr-anni
oai_identifier_str oai:colibri.udelar.edu.uy:20.500.12008/54044
publishDate 2025
publishDateSort 2025
publisher.none.fl_str_mv Elsevier
reponame_str COLIBRI
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0)
spelling Relationship between cognitive reserve (education), social cognition and negative symptomsLema Spinelli, SebastiánRodríguez-Testal, Juan FranciscoCabana Fajardo, Álvaro J.Romano Fuzul, SandraGómez Sena, Leonel FranciscoCognitive reserveSocial cognitionNegative symptomsSchizophreniaPsychosisMediation analysisRegression analysisBackground: Negative symptoms (NS) are a core feature of schizophrenia spectrum disorders, yet their rela- tionship with cognitive reserve (defined by educational attainment) and social cognition remains underexplored. This study examined whether education predicts NS and whether this relationship is mediated by social cognition, specifically emotional or inferential theory of mind Reading the Mind in the Eyes Test (RMET) vs. the Hinting Test. Methods: A mediation model and multiple regression analysis were conducted within an ex-post-facto, cross- sectional design. The sample included 144 participants: 69 diagnosed with schizophrenia spectrum disorders and 75 healthy controls. Women comprised 52.8 % of the sample, with a mean age of 42.67 years (SD = 15.88). The average years of formal education were 8.37 (SD = 2.77) in the patient group and 8.62 (SD = 3.66) in the control group. Results: The mediation model explained 67.57 % of the variance in NS, with age as a covariate. RMET showed a significant indirect effect (d = 0.22) in predicting NS, while HT did not (d = 0.12). In the patient group, multiple regression analysis explained 69.2 % of the variance, with education emerging as a significant predictor of NS. Conclusions: Education, as an indicator of cognitive reserve, significantly predicts NS. This relationship is mediated by social cognition, with differential effects depending on the specific type of social cognition, either within the patient group or across the entire sample. These findings highlight the importance of cognitive reserve and social cognition in understanding and potentially mitigating NS in schizophrenia.ElsevierLema Spinelli Sebastián, Universidad de la República (Uruguay). Facultad de Medicina.Rodríguez-Testal Juan FranciscoCabana Fajardo Álvaro J., Universidad de la República (Uruguay). Facultad de Psicología.Romano Fuzul Sandra, Universidad de la República (Uruguay). Facultad de Medicina.Gómez Sena Leonel Francisco, Universidad de la República (Uruguay). Facultad de Ciencias. Instituto de Biología.2026-03-23T16:05:01Z2026-03-23T16:05:01Z2025Artículoinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion8 happlication/pdfLema Spinelli, S, Rodríguez-Testal, J, Cabana Fajardo, Á [y otros autores]. "Relationship between cognitive reserve (education), social cognition and negative symptoms". Schizophrenia Research: Cognition. [en línea] 2025, 42: 100379. 8 h. DOI: 10.1016/j.scog.2025.1003792215-0013https://hdl.handle.net/20.500.12008/5404410.1016/j.scog.2025.100379reponame:COLIBRIinstname:Universidad de la Repúblicainstacron:Universidad de la RepúblicaenengSchizophrenia Research: Cognition, 2025, 42: 100379.Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)info:eu-repo/semantics/openAccessLicencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0)oai:colibri.udelar.edu.uy:20.500.12008/540442026-04-14T10:11:00Z
spellingShingle Relationship between cognitive reserve (education), social cognition and negative symptoms
Lema Spinelli, Sebastián
Cognitive reserve
Social cognition
Negative symptoms
Schizophrenia
Psychosis
Mediation analysis
Regression analysis
status_str publishedVersion
title Relationship between cognitive reserve (education), social cognition and negative symptoms
title_full Relationship between cognitive reserve (education), social cognition and negative symptoms
title_fullStr Relationship between cognitive reserve (education), social cognition and negative symptoms
title_full_unstemmed Relationship between cognitive reserve (education), social cognition and negative symptoms
title_short Relationship between cognitive reserve (education), social cognition and negative symptoms
title_sort Relationship between cognitive reserve (education), social cognition and negative symptoms
topic Cognitive reserve
Social cognition
Negative symptoms
Schizophrenia
Psychosis
Mediation analysis
Regression analysis
url https://hdl.handle.net/20.500.12008/54044