Social cognition and paranoia in forensic inpatients with schizophrenia: A cross-sectional study

Helen Bratton; Suzanne O'Rourke; Louise Tansey; Paul Hutton

doi:10.1016/j.schres.2016.12.004

Social cognition and paranoia in forensic inpatients with schizophrenia: A cross-sectional study

Helen Bratton, Suzanne O'Rourke, Louise Tansey, Paul Hutton

School of Health in Social Science

Research output: Contribution to journal › Article › peer-review

Abstract

Background: People diagnosed with schizophrenia have difficulties in emotion recognition and theory of mind, and these may contribute to paranoia. The aim of this study was to determine whether this relationship is evident in patients residing in a secure forensic setting.

Method: Twenty-seven male participants with a diagnosis of schizophrenia and a history of offending behaviour were assessed using The Awareness of Social Inference Test (TASIT), The Ambiguous Intentions Hostility Questionnaire
(AIHQ) and The Green et al. Paranoid Thought Scales (G-PTS). Individuals were recruited from two medium secure and one high secure forensic hospital in Scotland.

Results: Correlation, logistic and multiple regression analyses did not find that emotion recognition and theory of mind were associated with indices of paranoid thinking.

Conclusion: Social cognition did not appear to be related to indices of paranoia in this forensic sample. Although participants reported low levels of paranoia overall, the results are consistent with recent conclusions that theory of mind impairments are not specifically linked to paranoia in people diagnosed with schizophrenia.

Original language	English
Article number	SCHRES-D-16-))487R1
Pages (from-to)	96-102
Journal	Schizophrenia Research
Volume	184
Early online date	12 Dec 2016
DOIs	https://doi.org/10.1016/j.schres.2016.12.004
Publication status	Published - Jun 2017

Keywords / Materials (for Non-textual outputs)

paranoia
hostile attribution bias
emotion recognition
theory of mind
social cognition
mentally disordered offenders

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10.1016/j.schres.2016.12.004

BrattonEtalSR2016SocialCognitionAndParanoiaInForensicAccepted author manuscript, 232 KBLicence: Creative Commons: Attribution-NonCommercial-NoDerivatives (CC BY-NC-ND)

Suzanne O'Rourke
- School of Health in Social Science - Senior Lecturer
- Edinburgh Neuroscience
- Fetal Alcohol Advisory Support and Training Team
Person: Academic: Research Active

Cite this

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title = "Social cognition and paranoia in forensic inpatients with schizophrenia: A cross-sectional study",

abstract = "Background: People diagnosed with schizophrenia have difficulties in emotion recognition and theory of mind, and these may contribute to paranoia. The aim of this study was to determine whether this relationship is evident in patients residing in a secure forensic setting.Method: Twenty-seven male participants with a diagnosis of schizophrenia and a history of offending behaviour were assessed using The Awareness of Social Inference Test (TASIT), The Ambiguous Intentions Hostility Questionnaire(AIHQ) and The Green et al. Paranoid Thought Scales (G-PTS). Individuals were recruited from two medium secure and one high secure forensic hospital in Scotland.Results: Correlation, logistic and multiple regression analyses did not find that emotion recognition and theory of mind were associated with indices of paranoid thinking.Conclusion: Social cognition did not appear to be related to indices of paranoia in this forensic sample. Although participants reported low levels of paranoia overall, the results are consistent with recent conclusions that theory of mind impairments are not specifically linked to paranoia in people diagnosed with schizophrenia.",

keywords = "paranoia, hostile attribution bias, emotion recognition, theory of mind, social cognition, mentally disordered offenders",

author = "Helen Bratton and Suzanne O'Rourke and Louise Tansey and Paul Hutton",

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journal = "Schizophrenia Research",

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T2 - A cross-sectional study

AU - Bratton, Helen

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AU - Hutton, Paul

PY - 2017/6

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N2 - Background: People diagnosed with schizophrenia have difficulties in emotion recognition and theory of mind, and these may contribute to paranoia. The aim of this study was to determine whether this relationship is evident in patients residing in a secure forensic setting.Method: Twenty-seven male participants with a diagnosis of schizophrenia and a history of offending behaviour were assessed using The Awareness of Social Inference Test (TASIT), The Ambiguous Intentions Hostility Questionnaire(AIHQ) and The Green et al. Paranoid Thought Scales (G-PTS). Individuals were recruited from two medium secure and one high secure forensic hospital in Scotland.Results: Correlation, logistic and multiple regression analyses did not find that emotion recognition and theory of mind were associated with indices of paranoid thinking.Conclusion: Social cognition did not appear to be related to indices of paranoia in this forensic sample. Although participants reported low levels of paranoia overall, the results are consistent with recent conclusions that theory of mind impairments are not specifically linked to paranoia in people diagnosed with schizophrenia.

AB - Background: People diagnosed with schizophrenia have difficulties in emotion recognition and theory of mind, and these may contribute to paranoia. The aim of this study was to determine whether this relationship is evident in patients residing in a secure forensic setting.Method: Twenty-seven male participants with a diagnosis of schizophrenia and a history of offending behaviour were assessed using The Awareness of Social Inference Test (TASIT), The Ambiguous Intentions Hostility Questionnaire(AIHQ) and The Green et al. Paranoid Thought Scales (G-PTS). Individuals were recruited from two medium secure and one high secure forensic hospital in Scotland.Results: Correlation, logistic and multiple regression analyses did not find that emotion recognition and theory of mind were associated with indices of paranoid thinking.Conclusion: Social cognition did not appear to be related to indices of paranoia in this forensic sample. Although participants reported low levels of paranoia overall, the results are consistent with recent conclusions that theory of mind impairments are not specifically linked to paranoia in people diagnosed with schizophrenia.

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KW - hostile attribution bias

KW - emotion recognition

KW - theory of mind

KW - social cognition

KW - mentally disordered offenders

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DO - 10.1016/j.schres.2016.12.004

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Social cognition and paranoia in forensic inpatients with schizophrenia: A cross-sectional study

Abstract

Keywords / Materials (for Non-textual outputs)

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Suzanne O'Rourke

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