TY - JOUR PY - 2023// TI - Violent offending in males with or without schizophrenia: a role for social cognition? JO - Schizophrenia bulletin A1 - Vaskinn, Anja A1 - Rokicki, Jaroslav A1 - Bell, Christina A1 - Tesli, Natalia A1 - Bang, Nina A1 - Hjell, Gabriela A1 - Fischer-Vieler, Thomas A1 - Haukvik, Unn K. A1 - Friestad, Christine SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND AND HYPOTHESIS: Reduced social cognition has been reported in individuals who have committed interpersonal violence. It is unclear if individuals with schizophrenia and a history of violence have larger impairments than violent individuals without psychosis and non-violent individuals with schizophrenia. We examined social cognition in two groups with violent offenses, comparing their performance to non-violent individuals with schizophrenia and healthy controls. STUDY DESIGN: Two social cognitive domains were assessed in four groups: men with a schizophrenia spectrum disorder with (SSD-V, n = 27) or without (SSD-NV, n = 42) a history of violence, incarcerated men serving preventive detention sentences (V, n = 22), and healthy male controls (HC, n = 76). Theory of mind (ToM) was measured with the Movie for the Assessment of Social Cognition (MASC), body emotion perception with Emotion in Biological Motion (EmoBio) test. STUDY RESULTS: Kruskal-Wallis H-tests revealed overall group differences for social cognition. SSD-V had a global and clinically significant social cognitive impairment. V had a specific impairment, for ToM. Binary logistic regressions predicting violence category membership from social cognition and psychosis (SSD status) were conducted. The model with best fit, explaining 18%-25% of the variance, had ToM as the only predictor.

CONCLUSIONS: Social cognitive impairment was present in individuals with a history of violence, with larger and more widespread impairment seen in schizophrenia. ToM predicted violence category membership, psychosis did not. The results suggest a role for social cognition in understanding interpersonal violence.

Language: en

LA - en SN - 0586-7614 UR - http://dx.doi.org/10.1093/schbul/sbad151 ID - ref1 ER -