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

Lema Spinelli, Sebastián - Rodríguez-Testal, Juan Francisco - Cabana Fajardo, Álvaro J. - Romano Fuzul, Sandra - Gómez Sena, Leonel Francisco

Resumen:

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.

Detalles Bibliográficos
2025
Cognitive reserve
Social cognition
Negative symptoms
Schizophrenia
Psychosis
Mediation analysis
Regression analysis
Inglés
Universidad de la República
COLIBRI
https://hdl.handle.net/20.500.12008/54044
Acceso abierto
Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0)
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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_facet Lema Spinelli, Sebastián
Rodríguez-Testal, Juan Francisco
Cabana Fajardo, Álvaro J.
Romano Fuzul, Sandra
Gómez Sena, Leonel Francisco
author_role author
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collection COLIBRI
dc.contributor.filiacion.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.accessioned.none.fl_str_mv 2026-03-23T16:05:01Z
dc.date.available.none.fl_str_mv 2026-03-23T16:05:01Z
dc.date.issued.none.fl_str_mv 2025
dc.description.abstract.none.fl_txt_mv 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.
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dc.identifier.citation.es.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
dc.identifier.doi.none.fl_str_mv 10.1016/j.scog.2025.100379
dc.identifier.issn.none.fl_str_mv 2215-0013
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12008/54044
dc.language.iso.none.fl_str_mv en
eng
dc.publisher.es.fl_str_mv Elsevier
dc.relation.none.fl_str_mv Schizophrenia Research: Cognition, 2025, 42: 100379.
dc.rights.license.none.fl_str_mv Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0)
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv reponame:COLIBRI
instname:Universidad de la República
instacron:Universidad de la República
dc.subject.es.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.es.fl_str_mv Artículo
dc.type.none.fl_str_mv info:eu-repo/semantics/article
dc.type.version.none.fl_str_mv 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
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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
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language eng
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publishDate 2025
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repository.mail.fl_str_mv karina.camps@seciu.edu.uy
repository.name.fl_str_mv COLIBRI - Universidad de la República
repository_id_str 4771
rights_invalid_str_mv Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0)
spelling Lema 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.2026-03-23T16:05:01Z2026-03-23T16:05:01Z2025Lema 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.2025.100379Background: 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.Submitted by Pintos Natalia (nataliapintosmvd@gmail.com) on 2026-03-23T13:34:44Z No. of bitstreams: 2 license_rdf: 27293 bytes, checksum: d62648cf14c1e37917d392ac87012955 (MD5) 10.1016.j.scog.2025.100379.pdf: 656003 bytes, checksum: a0cb4b2a9bae31f9e647f06935cc20c1 (MD5)Approved for entry into archive by Faget Cecilia (lfaget@fcien.edu.uy) on 2026-03-23T13:37:37Z (GMT) No. of bitstreams: 2 license_rdf: 27293 bytes, checksum: d62648cf14c1e37917d392ac87012955 (MD5) 10.1016.j.scog.2025.100379.pdf: 656003 bytes, checksum: a0cb4b2a9bae31f9e647f06935cc20c1 (MD5)Made available in DSpace by Luna Fabiana (fabiana.luna@seciu.edu.uy) on 2026-03-23T16:05:01Z (GMT). No. of bitstreams: 2 license_rdf: 27293 bytes, checksum: d62648cf14c1e37917d392ac87012955 (MD5) 10.1016.j.scog.2025.100379.pdf: 656003 bytes, checksum: a0cb4b2a9bae31f9e647f06935cc20c1 (MD5) Previous issue date: 20258 happlication/pdfenengElsevierSchizophrenia 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. 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- Universidad de la Repúblicafalse
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