Relationship between cognitive reserve (education), social cognition and negative symptoms
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.
| 2025 | |
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Cognitive reserve Social cognition Negative symptoms Schizophrenia Psychosis Mediation analysis Regression analysis |
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| 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) |
| _version_ | 1877555226172456960 |
|---|---|
| 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 |
| format | article |
| id | COLIBRI_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 | COLIBRI |
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| oai_identifier_str | oai:colibri.udelar.edu.uy:20.500.12008/54044 |
| publishDate | 2025 |
| reponame_str | COLIBRI |
| 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. 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)Cognitive reserveSocial cognitionNegative symptomsSchizophreniaPsychosisMediation analysisRegression analysisRelationship between cognitive reserve (education), social cognition and negative symptomsArtículoinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionreponame:COLIBRIinstname:Universidad de la Repúblicainstacron:Universidad de la RepúblicaLema Spinelli, SebastiánRodríguez-Testal, Juan FranciscoCabana Fajardo, Álvaro J.Romano Fuzul, SandraGómez Sena, Leonel FranciscoLICENSElicense.txtlicense.txttext/plain; charset=utf-84267http://localhost:8080/xmlui/bitstream/20.500.12008/54044/5/license.txt6429389a7df7277b72b7924fdc7d47a9MD55CC-LICENSElicense_urllicense_urltext/plain; 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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 |