Neural correlates of social cognition in populations at risk of psychosis: a systematic review

Petya Kozhuharova, Francesca Saviola , Ulrich Ettinger, Paul Allen

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Social cognition refers to the mental operations governing social interactions. Recent research has highlighted the importance of social cognition in determining functional outcome in patients with schizophrenia and in psychosis risk populations. The aim of this review is to investigate the neural correlates of social cognition in different psychosis risk populations, potentially representing different levels of risk i.e. high schizotypy (SR), familial risk (FR) and clinical high risk (CHR). PsychINFO, Web of Science and PubMed were systematically searched, and 39 papers were included in the final review. Results in FR samples were highly inconclusive. In SR samples, findings showed a tendency towards increased task related activity in frontal cortex regions. The most consistent results come from CHR samples, where findings suggest increased task related activity in frontal and cingulate cortices. Interestingly, all studies of CHR populations also report increased activity in temporal cortex and abnormal response to neutral stimuli during emotional processing tasks. These findings are discussed in relation to dopamine models of psychosis due to temporal cortex abnormality.
© 2020, Elsevier Ltd. The attached document (embargoed until 12/11/2020) is an author produced version of a paper published in NEUROSCIENCE & BEHAVIOURAL REVIEWS uploaded in accordance with the publisher’s self-archiving policy. The final published version (version of record) is available online at the link. Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it.
Original languageEnglish
Pages (from-to)94-111
Number of pages18
JournalNeuroscience & Biobehavioral Reviews
Early online date12 Nov 2019
Publication statusPublished - 1 Mar 2020

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