Social Cognition in Longstanding Psychosis

• Emotion Recognition [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in ability to recognize emotions displayed by others assessed using the Facial Emotion Identification Test
  
  
• Attribution Style [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in tendency to attribute events that occur to situational, personal, or internal factors assessed using the Internal, Personal, and Situational Attributions Questionnaire
  
  
• Social Perception [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in ability to understand concrete and abstract components of everyday social interactions assessed using the Social Cues Recognition Test
  
  
• Social Knowledge [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in knowledge of goals and actions associated with familiar and unfamiliar social activities assessed using the Situational Features Recognition Test
  
  
• Theory of Mind [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in ability to identify the mental states of other individuals assessed using the Hinting Test
  
  

• Anxiety [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in anxiety assessed using the Beck Anxiety Inventory
  
  
• Depression [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in depression assessed using the Beck Depression Inventory
  
  
• Psychosis [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in severity of positive and negative psychotic symptoms assessed using the Positive and Negative Syndrome Scale
  
  
• Social Functioning [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in level of social functioning assessed using the Social Functioning Scale
  
  
• Service Utilization [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in utilization of medical services assessed using the Service Utilization Record Form
  
  
• Self-Determination Needs Satisfaction [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in ability to fulfill basic needs for autonomy, competence, and relatedness assessed using the Basic Psychological Needs Scale
  
  
• Locus of Control [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in perception of one's ability to control events in the environment assessed using the Multidimensional Locus of Control Scale
  
  
• Cognitive representation of illness [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in understanding of nature of psychotic illness assessed using the Illness Perception Questionnaire
  
  
• Emotional Awareness [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in awareness of one's own emotions as well as emotions of others assessed using the Levels of Emotional Awareness Scale
  
  
• Mindfulness [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in awareness and acceptance of feelings and events assessed using the Philadelphia Mindfulness Scale
  
  
• Medication adherence [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in adherence to psychiatric medication assessed using the Medication Adherence Rating Scale
  
  
• Neuropsychological functioning [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in neuropsychological functioning assessed using the MATRICS Consensus Cognitive Battery
  
  
• Social Support [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in level of social support assessed using the Measure of Perceived Support
  
  
• Illness Uncertainty [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in uncertainty with regard to cause, course, and treatment of illness assessed using the Mischel Uncertainty in Illness Scale
  
  
• Relationship with familial caregivers [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in relationship with familial caregivers assessed using the Perception of Parents Scale
  
  
• Self-efficacy [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in confidence with regard to control of psychotic symptoms assessed using the Self-Efficacy Scale for Schizophrenia
  
  
• Experience of Stigma [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in experience of stigma with regard to mental illness assessed using the Stigma Questionnaire
  
  
• quality of life [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in quality of life assessed using the WHO Quality of Life Scale-Brief
  
  
• stage of recovery [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in stage of recovery with regard to mental illness assessed using the Stages of Recovery Instrument
  
  
• Coping skills [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in level of coping skills assessed using the Ways of Coping Questionnaire
  
  
• Time perspective [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
  Change from baseline to 6 month assessment in time orientation assessed using the Zimbardo Time Perspective Instrument
  
  

There is growing evidence that individuals with longstanding psychotic disorders suffer from deficits in social cognition (i.e., the cognitive skills needed to successfully navigate social interactions). However, to date, there have been few attempts to measure multiple components of social cognition within the same population of individuals with psychosis. Thus, the interrelationships between various aspects of social cognition remain unclear. In the current study, the investigators propose to measure the five domains of social cognition identified by NIMH as relevant to individuals with psychosis (i.e., theory of mind, attribution style, emotion recognition, social perception, and social knowledge). The investigators will also explore the association between different domains of social cognition and outcomes relevant to psychotic disorder (e.g., symptomatology, social functioning, and vocational functioning).