Compared to TAU, emotion perception was improved by targeted SCT without CRT (d = 0.68) and broad-based SCT without CRT (d = 0.46). Moderators of outcome were investigated with meta-regression and long-term efficacy with multivariate meta-analysis. All SCT types were compared to treatment as usual (TAU the chosen reference group). Network meta-analysis was conducted, using both direct (original) and indirect (inferred from the network of comparisons) evidence. SCTs were categorized according to their focus (targeted/broad-based) and inclusion of cognitive remediation therapy (CRT). This meta-analysis included 46 randomized studies. Social Cognition Training (SCT) has been found to improve social cognition and functioning, but it is unknown which interventions are most effective, how characteristics of treatments and participants moderate efficacy, and whether improvements are durable. CRT did not enhance SCT effects.Ībstract = "Deficits in social cognition are common in people with psychotic disorders and negatively impact functioning.
While targeted SCT is the most effective for emotion perception and social perception, broad-based SCT produces the best overall outcomes. No effect was found on attribution, social cognition (miscellaneous), and psychiatric symptoms. At follow-up, a moderate effect on social functioning (d = 0.66) was found. Male gender was negatively related to effects on social functioning and psychiatric symptoms. Broad-based SCT (d = 0.82 without and d = 0.41 with CRT) improved functioning group treatments worked significantly better. Only broad-based SCT (d = 0.42) improved ToM. All treatments significantly improved social perception (active control, d = 0.98, targeted SCT with and without CRT, d = 1.38 and d = 1.36, broad-based SCT with and without CRT, d = 1.45 and d = 1.35). Individual treatments worked better for emotion perception.
Deficits in social cognition are common in people with psychotic disorders and negatively impact functioning.