Mediating role of cognition and social cognition on creativity among patients with schizophrenia and healthy controls: revisiting the Shared Vulnerability Model

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dc.contributor.authorSampedro, Agurne
dc.contributor.authorPeña Lasa, Javier
dc.contributor.authorIbarretxe Bilbao, Naroa
dc.contributor.authorSánchez Gómez, Pedro Manuel
dc.contributor.authorIriarte Yoller, Nagore
dc.contributor.authorLedesma González, Sara
dc.contributor.authorTous Espelosín, Mikel
dc.contributor.authorOjeda del Pozo, Natalia
dc.date.accessioned2025-06-09T10:16:34Z
dc.date.available2025-06-09T10:16:34Z
dc.date.issued2020-02
dc.date.updated2025-06-09T10:16:34Z
dc.description.abstractAim: As suggested by the Shared Vulnerability Model, impairment in executive functions could lead to worse creative performance among individuals with schizophrenia. Another impaired function in schizophrenia, previously related to creativity in healthy people, is theory of mind. However, little is known about the effect of theory of mind in creativity in schizophrenia. Therefore, the aim of this study was to analyze differences in creativity among patients with schizophrenia compared to healthy controls (HC) and to explore the potential role of executive functions and theory of mind as mediators of this relation. Methods: Forty-five patients with schizophrenia and 45 HC underwent a neuropsychological assessment, including executive functions (cognitive flexibility and working memory), theory of mind, and verbal and figural creativity. Results: As expected, patients with schizophrenia obtained lower scores in creativity, cognitive flexibility, working memory, and theory of mind compared to HC. Path analysis showed that theory of mind mediated the relation between group (schizophrenia or HC) and both figural (Z = 2.075, P = 0.037) and verbal creativity (Z = 2.570, P = 0.010). Working memory mediated the relation between group and figural creativity (Z = 2.034, P = 0.041) and was marginally significant for verbal creativity (Z = 1.930, P = 0.053). Finally, cognitive flexibility mediated between group and figural creativity (Z = 2.454, P = 0.014). Conclusion: Results suggest that the lower performance in creativity among patients with schizophrenia was partly due to an impairment in executive functions and theory of mind. The involvement of theory of mind opens up a new field of research as a possible risk factor in the Shared Vulnerability Model.en
dc.description.sponsorshipThis study has been supported by the Ministry of Economy and Competitiveness (PI16/01022) from Spain. A.S. was supported by a Fellowship from the Fundación Tatiana Pérez de Guzmán el Buenoen
dc.identifier.citationSampedro, A., Peña, J., Ibarretxe-Bilbao, N., Sánchez, P., Iriarte-Yoller, N., Ledesma-González, S., Tous-Espelosin, M., & Ojeda, N. (2020). Mediating role of cognition and social cognition on creativity among patients with schizophrenia and healthy controls: revisiting the Shared Vulnerability Model. Psychiatry and Clinical Neurosciences, 74(2), 149-155. https://doi.org/10.1111/PCN.12954
dc.identifier.doi10.1111/PCN.12954
dc.identifier.eissn1440-1819
dc.identifier.issn1323-1316
dc.identifier.urihttps://hdl.handle.net/20.500.14454/2979
dc.language.isoeng
dc.publisherBlackwell Publishing
dc.rights© 2019 The Authors
dc.subject.otherCognition
dc.subject.otherCreativity
dc.subject.otherExecutive function
dc.subject.otherSchizophrenia
dc.subject.otherTheory of mind
dc.titleMediating role of cognition and social cognition on creativity among patients with schizophrenia and healthy controls: revisiting the Shared Vulnerability Modelen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.endPage155
oaire.citation.issue2
oaire.citation.startPage149
oaire.citation.titlePsychiatry and Clinical Neurosciences
oaire.citation.volume74
oaire.licenseConditionhttps://creativecommons.org/licenses/by/4.0/
oaire.versionVoR
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