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Please note: These electronic articles are posted for individual, non-commercial use to ensure timely dissemination of scholarly work. They are intended for teaching and training purposes only. Articles may not be reposted or disseminated without permission by the copyright holder. Copyright holders retain all rights as indicated within each article.

 

* Denotes that the first author is a current or former student/trainee or member of my lab

In Press

In press

Accepted by Social Psychiatry and Psychiatric Epidemiology
Clinical and psychosocial outcomes in the Recovery after an Initial Schizophrenia Episode – Early Treatment Program (RAISE-ETP) study

*Nagendra, A., Weiss, D. W., Merritt, C., Mueser, K. T., Cather, C., Sosoo, E. E., & Penn, D. L. (in press). Clinical and psychosocial outcomes in the Recovery after an Initial Schizophrenia Episode – Early Treatment Program (RAISE-ETP) study. Social Psychiatry and Psychiatric Epidemiology.

In press

Accepted by Schizophrenia Bulletin
Outcomes during and after early intervention services for first episode psychosis: Results over five years from the RAISE-ETP cluster randomization trial.

Robinson, D. G., Schooler, N. R., Marcy, P., Gibbons, R. D., Brown, H., John, M., Mueser, K. T., Penn, D. L., Rosenheck, R. A., Addington, J., Brunette, M. F., Correll, C. U., Estroff, S. E., Meyer-Kalos, P. S., Gottlieb, J. D., Glynn, S. M., Lynde, D. W., Gingerich, S., Pipes, R., Miller, A., Severe, J. B., & Kane, J. M. (in press). Outcomes during and after early intervention services for first episode psychosis: Results over five years from the RAISE-ETP cluster randomization trial. Schizophrenia Bulletin.

2022

Published

Keywords: schizophrenia, schizoaffective disorder, social cognition, measurement
Brief battery of the Social Cognition Psychometric Evaluation study (BB-SCOPE): Development and validation in schizophrenia spectrum disorders

*Halverson, T. F., Pinkham, A. E., Harvey, P. D., & Penn, D. L. (2022). Brief battery of the Social Cognition Psychometric Evaluation study (BB-SCOPE): Development and validation in schizophrenia spectrum disorders. Journal of Psychiatric Research, 150, 307-316. doi:10.1016/j.jpsychires.2022.03.017

The aim of the present study was to develop an abbreviated social cognition (SC) battery for individuals with schizophrenia spectrum disorders (SSD) to reduce the heterogeneity of and increase the frequency of assessment of SC impairment. To this end, the present study utilized Item Response Theory to develop brief versions of SC tasks administered to individuals with SSD (n = 386) and individuals without a psychiatric diagnosis (n = 292) during the Social Cognition Psychometric Evaluation (SCOPE) Study...read more
Published

Keywords: loneliness, qualitative interviews, schizophrenia, social isolation, social relationships
Lived experience of loneliness in psychosis: A qualitative approach

*Ludwig, K. A., Brandrett, B., Lim, M. H., Mihas, P., & Penn, D. L. (2022). Lived experience of loneliness in psychosis: A qualitative approach. Journal of Mental Health, 1-8. doi:10.1080/09638237.2021.2022622

Loneliness impedes recovery from mental illness. Despite increased interest in loneliness in psychosis, qualitative methods are underused in clinical research on this topic. We used qualitative interviews to explore loneliness among persons with schizophrenia spectrum disorders (SSDs). We examined which aspects of living with psychosis were associated with the experience of loneliness, including symptomatology, social relationships, and disruptions in school/work...read more
Published

Keywords: psychosis, schizophrenia, neurocognition, functioning, cluster analysis
Examining the association of life course neurocognitive ability with real-world functioning in schizophrenia-spectrum disorders

Romanowska, S., Best, M. W., Bowie, C. R., Depp, C. A., Patterson, T. L., Penn, D. L., Pinkham, A. E. & Harvey, P. D. (2022). Examining the association of life course neurocognitive ability with real-world functioning in schizophrenia-spectrum disorders. Schizophrenia Research: Cognition, 29, 100254. doi:10.1016/j.scog.2022.100254

There is considerable variability in neurocognitive functioning within schizophrenia-spectrum disorders, and neurocognitive performance ranges from severe global impairment to normative performance. Few investigations of neurocognitive clusters have considered the degree to which deterioration relative to premorbid neurocognitive abilities is related to key illness characteristics. Moreover, while neurocognition and community functioning are strongly related, understanding of the sources of variability in the association between these two domains is also limited; it is unknown what proportion of participants would over-perform or under-perform the level of functioning expected based on current neurocognitive performance vs. lifelong attainment...read more
Published

Keywords: schizophrenia, daily diary, stress
The use of diary methods to evaluate daily experiences in first-episode psychosis

*Welch, K. G., Stiles, B. J., Palsson, O. S., Meyer-Kalos, P. S., Perkins, D. O., Halverson, T. F., & Penn, D. L. (2022). The use of diary methods to evaluate daily experiences in first-episode psychosis. Psychiatry Research, 312, 114548. doi:10.1016/j.psychres.2022.114548

Integrated Coping Awareness Therapy (I-CAT) is an intervention that targets stress reactivity in first-episode psychosis (FEP). This study extends prior outcome research on I-CAT by examining predictors of online daily diary completion among 38 young adults with FEP and treatment group differences in diary ratings...read more

2021

Published

Keywords: Horyzons, first-episode psychosis, digital intervention, peer support, social functioning, employment, educational attainment, use
of emergency services, hospitalization
The Horyzons project: a randomized controlled trial of a novel online social therapy to maintain treatment effects from specialist first-episode psychosis services

Alvarez-Jimenez, M., Koval, P., Schmaal, L., Bendall, S., O'Sullivan, S., Cagliarini, D., D'Alfonso, S., Rice, S., Valentine, L., Penn, D. L., Miles, C., Russon, P., Phillips, J., McEnery, C., Lederman, R., Killackey, E., Mihalopoulos, C., Gonzalez-Blanch, C., Gilbertson, T., Lai, S., Cotton, S. M., Herrman, H., McGorry, P. D., & Gleeson, J. F. M. (2021). The Horyzons project: a randomized controlled trial of a novel online social therapy to maintain treatment effects from specialist first-episode psychosis services. World Psychiatry, 20, 233-243. doi:10.1002/wps.20858

This study aimed to determine whether, following two years of specialized support for first episode psychosis, the addition of a new digital intervention (Horyzons) to treatment as usual (TAU) for 18 months was more effective than 18 months of TAU alone. We conducted a single-blind randomized controlled trial. Participants were people with first episode psychosis (N=170), aged 16-27 years, in clinical remission and nearing discharge from a specialized service...read more
Published

Keywords: Machine learning, neural networks, social cognition, psychosis
Computational methods for integrative evaluation of confidence, accuracy, and reaction time in facial affect recognition in schizophrenia


Badal, V. D., Depp, C. A., Hitchcock, P. F., Penn, D. L., Harvey, P. D., & Pinkham, A. E. (2021). Computational methods for integrative evaluation of confidence, accuracy, and reaction time in facial affect recognition in schizophrenia. Schizophrenia Research: Cognition, 25, 233-243. doi:10.1016/j.scog.2021.100196

People with schizophrenia (SZ) process emotions less accurately than do healthy comparators (HC), and emotion recognition have expanded beyond accuracy to performance variables like reaction time (RT) and confidence. These domains are typically evaluated independently, but complex inter-relationships can be evaluated through machine learning at an item-by-item level. Using a mix of ranking and machine learning tools, we investigated item-by-item discrimination...read more
Published

Keywords: exercise, serious mental illness, motivation, cardiorespiratory fitness, psychosis, walking
Targeting physical health in schizophrenia: Results from the Physical Activity can Enhance Life (PACE-Life) 24-week open trial

*Browne, J., Battaglini, C., Jarskog, L. F., Sheeran, P., Abrantes, A. M., McDermott, J., Elliott, T., Gonzalez, O., & Penn, D. L. (2021). Targeting physical health in schizophrenia: Results from the Physical Activity can Enhance Life (PACE-Life) 24-week open trial. Mental Health and Physical Activity, 20. doi:10.1016/j.mhpa.2021.100393.

Poor health and low cardiorespiratory tness (CRF) contribute substantially to the shortened lifespan of in- dividuals with schizophrenia spectrum disorders (SSDs). Increasing physical activity has demonstrated value; however, there are limited interventions that are accessible and adequately address motivational challenges. This paper reports on an open trial of Physical Activity Can Enhance Life (PACE-Life), a motivational theory-based manualized multicomponent walking intervention...read more
Published

Keywords: exercise, serious mental illness, motivation, cardiorespiratory fitness, psychosis, walking
The alliance-outcome relationship in individual psychosocial treatmentfor schizophrenia and early psychosis: A meta-analysis

*Browne, J., Wright, A., Berry, K., Mueser, K. T., Cather, C., Penn, D. L., & Kurtz, M. M. (2021). The alliance-outcome relationship in individual psychosocial treatment
for schizophrenia and early psychosis: A meta-analysis. Schizophrenia Research, 231, 154-163. doi:10.1016/j.schres.2021.04.002.

The therapeutic alliance, or client-provider relationship, has been associated with better treatment engagement and outcomes for persons with schizophrenia-spectrum disorders (SSDs) and early psychosis in some studies, but not others. We conducted a meta-analysis of the research on alliance in SSDs and early psychosis across a range of interventions and outcomes...read more
Published

Keywords: schizophrenia, autism spectrum disorder, social cognition, PAUSS, real-world outcomes
Autistic symptoms in people with schizophrenia: Neurocognitive, socio-cognitive, clinical and real-world functional characteristics of individuals without autistic features


Deste, G., Vita, A., Nibbio, G., Barlati, S., Penn, D. L., Pinkham, A. E., & Harvey, P. D. (2021). Autistic symptoms in people with schizophrenia: Neurocognitive, socio-cognitive, clinical and real-world functional characteristics of individuals without autistic features. Schizophrenia Research, 236, 12-18. doi:10.1016/j.schres.2021.07.037

Autism spectrum disorders (ASD) symptoms are frequent in people living with schizophrenia spectrum disorders (SSD) and have a relevant impact on their daily life. However, current literature is mostly focused on investigating correlates of high levels of ASD symptoms, leaving largely unexplored the clinical, neurocognitive, socio-cognitive and functional characterization of individuals with minimal or absent ASD symptoms, which may represent a peculiar sub-population...read more
Published

Keywords: schizophrenia, human behavior
The effect of sex on social cognition and functioning in schizophrenia

Ferrer-Quintero, M., Green, M. F., Horan, W. F., Penn, D. L., Kern, R. S., & Lee, J. (2021). The effect of sex on social cognition and functioning in schizophrenia. NPJ Schizophrenia, 7. doi:10.1038/s41537-021-00188-7.

Social cognitive impairment is a core feature of schizophrenia and plays a critical role in poor community functioning in the disorder. However, our understanding of the relationship between key biological variables and social cognitive impairment in schizophrenia is limited. This study examined the effect of sex on the levels of social cognitive impairment and the relationship between social cognitive impairment and social functioning in schizophrenia...read more
Published

Keywords: employment, schizophrenia, social cognition, neurocognition, premorbid functioning
Lifetime employment in schizophrenia: Correlates of developing long term unemployment after being employed before

Fundora, C., Cruz, M., Barone, K., Penn, D. L., Jarskog, L. F., Pinkham, A. E., & Harvey, P. D. (2021). Lifetime employment in schizophrenia: Correlates of developing long term
unemployment after being employed before. Cognitive Neuropsychiatry, 26, 95-106. doi:10.1016/j.mhpa.2021.100393.

Challenges in employment are highly prevalent among people with schizophrenia regardless of their employment history. Although supportive employment can be effective, few participants sustain meaningful competitive employment. Our goal was to identify the correlates of developing sustained unemployment...read more
Published

Keywords: social skills intervention, treatment outcome, autism spectrum disorder, eye tracking
Dynamic Eye Tracking as a Predictor and Outcome Measure of Social Skills Intervention in Adolescents and Adults with Autism Spectrum Disorder

Greene, R. K., Parish-Morris, J., Sullivan, M., Kinard, J. L., Mosner, M. G., Turner-Brown, L. M., Penn, D. L., Wiesen, C. A., Brodkin, E. S., Schultz, R. T., & Dichter, G. S. (2021). Dynamic eye tracking as a predictor and outcome measure of social skills intervention in adolescents and adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 51, 1173-1187. doi:10.1007/s10803-020-04594-1.

To evaluate an eye tracking task as a predictor and outcome measure of treatment response for autism spectrum disorder (ASD) social skills interventions, adolescents and young adults with ASD completed the eye tracking task before, immediately after, and two months after completing Social Cognition and Interaction Training for Autism (SCIT-A)...read more
Published

Keywords: schizophrenia, cognition, social cognition, competence, functional outcomes, network analysis
Social cognition, neurocognition, symptomatology, functional competences and outcomes in people with schizophrenia – A network analysis perspective

Hajduk, M., Penn, D. L., Harvey, P. D., & Pinkham, A. E. (2021). Social cognition, neurocognition, symptomatology, and functional outcomes in people with schizophrenia: A network analysis. Journal of Psychiatric Research, 144, 8-13. doi:10.1016/j.jpsychires.2021.09.041.

Extensive difficulties in reaching functional milestones characterize schizophrenia and related psychotic disorders. These impairments are in part explained by lower social cognitive abilities, cognitive impairment, and current psychopathology. The present study aims to model dynamic associations among social cognition, neurocognition, psychopathology, social skills, functional capacity, and functional outcomes in schizophrenia using network analysis in order to identify those factors that are most central to functioning...read more
Published

Keywords: Association of Behavioral and Cognitive Therapies, CBT for schizophrenia, literature review
Behavioral and cognitive therapies in psychiatric rehabilitation for the schizophrenia spectrum: Finding the forgotten stepchild

*Halverson, T. F., Davidson, C. A., Spaulding, W., & Penn, D. L. (2021). Behavioral and cognitive therapies in psychiatric rehabilitation for the schizophrenia spectrum: Finding the forgotten stepchild. Behavior Therapist, 44, 15-23.

Alan Bellack famously characterized schizophrenia as cognitive behavioral therapy’s “forgotten stepchild” in his 1985 association for advancement of Behavior therapy (later renamed the association for
Behavioral and cognitive therapies) presidential address, a characterization that largely rings true today...read more
Published

Keywords: first episode psychosis, early intervention, mindfulness, positive psychology, stress reactivity
Enhancing stress reactivity and wellbeing in early schizophrenia: A randomized controlled trial of Integrated Coping Awareness Therapy (I-CAT)

*Halverson, T. F., Meyer-Kalos, P. S., Perkins, D. O., Gaylord, S. A., Palsson, O. S., Nye, L., Algoe, S. B., Grewen, K., & Penn, D. L. (2021). Enhancing stress reactivity and wellbeing in early schizophrenia: A randomized controlled trial of Integrated Coping Awareness Therapy (I-CAT). Schizophrenia Research, 235, 91-101. doi:10.1016/j.schres.2021.07.022.

Individuals with schizophrenia spectrum disorders (SSD) are at heightened risk for exposure to stressful life events which can lead to increased sensitivity to stress and a dysregulated stress response, which are in turn associated with poor long-term functioning. Stress reactivity is thus a promising treatment target in the early stages of SSD. Integrated-Coping Awareness Therapy (I-CAT) is a manualized intervention integrating mindfulness and positive psychology...read more
Published

Keywords: social cognition, schizophrenia, psychosis, training, rehabilitation, theory of mind, facial affect recognition
Social cognition and interaction training (SCIT) versus training in affect recognition (TAR) in patients with schizophrenia: A randomized controlled trial

Lahera, G., Reboreda, A., Vallespi, A., Vidal, C., Lopez, V., Aznar, A., Fernandez, P., Escolar, M., Martinez-Ales, Rodriguez-Jimenez, R., Halverson, T., Frommann, N., Wolwer, W., & Penn, D. L. (2021). Social cognition and interaction training (SCIT) versus training in affect recognition (TAR) in patients with schizophrenia: A randomized controlled trial. Journal of Psychiatric Research, 142, 101-109. doi:10.1016/j.jpsychires.2021.07.029.

Training in Affect Recognition (TAR) is a “targeted” and computer-aided program that has been shown to effectively attenuate facial affect recognition deficits and improve social functioning in patients with schizophrenia. Social Cognition and Interaction Training (SCIT) is a group “broad-based” intervention, that has also been shown to improve emotion recognition, theory of mind (ToM), and social functioning. To date, no study has compared the efficacy of two different social cognitive interventions...read more
Published

Keywords: social functioning, social competence, cognition, functional capacity
Performance-based assessment of social skills in a large sample of participants with schizophrenia, bipolar disorder and healthy controls: Correlates of social competence and social appropriateness

Miller, M. L., Strassnig, M. T., Bromet, E., Depp, C. A., Jonas, K., Lin, W., Moore, R. C., Patterson, T. L., Penn, D. L., Pinkham, A. E., Kotov, R. A., & Harvey, P. D. (2021). Performance-based assessment of social skills in a large sample of participants with schizophrenia, bipolar disorder and healthy controls: Correlates of social competence and social appropriateness. Schizophrenia Research, 236, 80-86. doi:10.1016/j.schres.2021.08.012.

Performance-based assessments of social skills have detected impairments in people with severe mental illness and are correlated with functional outcomes in people with schizophrenia and bipolar disorder. The most common of these assessments, the Social Skills Performance Assessment (SSPA), has two communication scenarios and items measuring both social competence and appropriateness. As real-world competence and appropriateness appear to have different correlates, we hypothesized that SSPA Items measuring competence and appropriateness would be distinct and have different correlations with other outcomes...
Published

Keywords: schizophrenia, exercise, health intervention, physical activity
Physical Activity Can Enhance Life (PACE-Life): results from a 10-week walking intervention for individuals with schizophrenia spectrum disorders

*Orleans-Pobee, M., Brown, J., Ludwig, K., Merritt, C., Battaglini, C. L., Jarskog, L. F., Sheeran, P., & Penn, D. L. (2021). Physical Activity Can Enhance Life (PACE-Life): results from a 10-week walking intervention for individuals with schizophrenia spectrum disorders. Journal of Mental Health, Advanced online publication. doi:10.1080/09638237.2021.1875403.

Premature mortality in individuals with schizophrenia spectrum disorders (SSDs) is largely due to high rates of chronic health conditions. Although exercise has been shown to improve health in this population, scalable and accessible interventions are limited. Sixteen individuals with SSDs were enrolled in a 10-week open trial. The intervention included walking groups, home-based walks, Fitbit use, and goal-setting and if-then plans. Within-group effect sizes were calculated to represent changes from baseline to post-test and 1-month follow-up...read more
Published

Keywords: first episode psychosis, young adults, peer support, coordinated specialty care, shared decision making
Facilitating treatment engagement for early psychosis through peer-delivered decision support: intervention development and protocol for pilot evaluation

Thomas, E. C., Suarez, J., Lucksted, A., Siminoff, L. A., Hurford, I., Dixon, L. B., O'Connell, M., Penn, D. L., & Salzer, M. S. (2021). Facilitating treatment engagement for early psychosis through peer-delivered decision support: intervention development
and protocol for pilot evaluation. Pilot and Feasibility Studies, 7. doi:10.1186/s40814-021-00927-8.

Emerging adults with early psychosis demonstrate high rates of service disengagement from critical early intervention services. Decision support interventions and peer support have both been shown to enhance
service engagement but are understudied in this population. The purposes of this article are to describe the development of a novel peer-delivered decision coaching intervention for this population and to report plans for a pilot study designed to gather preliminary data about its feasibility, acceptability, and potential impact...read more
Published

Keywords: hostile attributions, situational context, schizophrenia, autism spectrum disorder
Situational context influences the degree of hostile attributions made by individuals with schizophrenia or autism spectrum disorder

Zajenkowska, A., Rogoza, R., Sasson, N. J., Harvey, P. D., Penn, D. L., & Pinkham, A. E. (2021). Situational context influences the degree of hostile attributions made by individuals with schizophrenia or autism spectrum disorder. British Journal of Clinical Psychology, 60, 160-176. doi:10.1111/bjc.12283.

Previous work has demonstrated that the tendency to make hostile attributions is not a stable trait but varies across different social situations. Therefore, we sought to investigate whether hostile attributions within clinical samples are better understood as a persistent characteristic or one that varies across contexts. The current analyses investigated patterns of attributions among people diagnosed with schizophrenia (SCZ, n = 271) or autism spectrum disorder (ASD, n = 100) and non-clinical control participants (NCC, n = 233) in an existing data set...read more

2020

Published

Keywords: schizophrenia, social cognition, attributional style, hostile attribution bias
Hostile attribution bias in schizophrenia-spectrum disorders: Narrative review of the literature and persisting questions

*Buck, B., Browne, J., Gagen, E., & Penn, D. L. (2020). Hostile attribution bias in schizophrenia-spectrum disorders: Narrative review of the literature and persisting questions. Journal of Mental Health, Advance online publication. doi:10.1080/09638237.2020.1739240

The present paper offers a descriptive and critical review of the literature on hostile attribution bias in psychotic disorders, in order to examine (1) its impact on persecutory symptoms in schizophrenia-spectrum disorders, (2) impact on other related psychopathology among those experiencing psychosis and (3) relationship to functioning....read more
Published

Keywords: social deficits, schizophrenia spectrum disorders, social cognition interaction training (SCIT)
Randomized controlled trial of social cognition and interaction training compared to befriending group

Dark, F., Scott, J., Baker, A., Parker, S., Gordon, A., Newman, E., Gore-Jones, V., Lim, C., Jones, L., & Penn, D. L. (2020). Randomized controlled trial of social cognition and interaction training compared to befriending group. British Journal of Clinical Psychology, 59, 384-402. doi:10.1111/bjc.12252

One hundred and twenty adults diagnosed with schizophrenia spectrum disorder were randomized to receive SCIT (n = 61) or Befriending Therapy (BT) (n = 59). Both intervention groups were delivered weekly for 2 hr over 12 weeks....read more
Published

Keywords: autism spectrum disorder, real-world functioning, autistic symptoms, social cognition, schizophrenia
Autistic Symptoms and Social Cognition Predict Real-World Outcomes in Patients With Schizophrenia

Deste, G., Vita, A., Nibbio, G., Penn, D. L., Pinkham, A. E., & Harvey, P. D. (2020). Autistic symptoms and social cognition predict real-world outcomes in patients with schizophrenia. Frontiers in Psychiatry, Schizophrenia, 524. doi:10.3389/fpsyt.2020.00524

Real-world functioning is a complex construct influenced by different factors. A total of 361 patients (mean age 41.7 years; 117 females) were assessed with measures of symptom severity, neuro- and socio-cognitive abilities, functional capacity, social skills, and informant-reported real-world functioning outcomes, were analyzed.....read more
Published

Keywords: early psychosis, eudaimonia, psychological well-being, self-determination, self-esteem
Positive and meaningful lives: Systematic review and meta-analysis of eudaimonic well-being in first-episode psychosis

Gleeson, J., Eleftheriadis, D., Santesteban-Echari, O., Koval, P, Bastian, B., Penn, D. L., Lim, M. H., Ryan, R. M., & Alvarez-Jimenez, M. (2020). Positive and meaningful lives: Systematic review and meta-analysis of eudaimonic well-being in first-episode psychosis. Early Intervention in Psychiatry, Advance online publication. doi:10.1111/eip.13049

Our aim was to systematically review the evidence for: the predictors of EWB, the effectiveness of EWB interventions and to examine the quality of this research in FEP. Selected studies measured either composite or components of EWB. A systematic search produced 2876 abstracts and 122 articles were identified for full screening which produced 17 final papers with 2459 participants....read more
Published

Keywords: psychometric properties, schizophrenia, Observable Social Cognition Rating Scale (OSCARS), social cognitive abilities
Psychometric properties of the Observable Social Cognition Rating Scale (OSCARS)- Self-report and informant-rated social cognitive abilities in schizophrenia

*Halverson, T. F., Hajduk, M., Pinkham, A. E., Harvey, P.D., Jarskog, L. F., Nye, L., & Penn, D. L. (2020). Psychometric properties of the Observable Social Cognition Rating Scale (OSCARS)- Self-report and informant-rated social cognitive abilities in schizophrenia. Psychiatry Research, 286, Article number = 112891. doi:10.1016/j.psychres.2020.112891

Individuals with schizophrenia spectrum disorders (SSD) consistently show deficits in social cognition (SC) which is associated with real world outcomes. This study investigated psychometric properties of the OSCARS as both a self and informant-reported scale in a large sample of SSD (n = 382) and individuals without a psychiatric diagnosis (n = 289). A two-factor structure (Social Cognitive Bias and Social Cognitive Ability) of the OSCARS demonstrated acceptable model fit with good internal consistency for both self- and informant-report....read more
Published

Keywords: social cognition, self-assessment, social functioning, schizophrenia, confidence
Confidence, performance, and accuracy of self-assessment of social cognition- A comparison of schizophrenia patients and healthy controls

Jones, M. T., Deckler, E., Larrauri, C., Jarskog, L. F., Penn, D. L., Pinkham, A. E., & Harvey, P.D. (2020). Confidence, performance, and accuracy of self-assessment of social cognition- A comparison of schizophrenia patients and healthy controls. Schizophrenia Research: Cognition, 19, Article number 100133. doi:10.1016/j.scog.2019.01.002

This study examines the correlations between performance on a social cognitive test, confidence in performance, effort allocated to the task, and correlates of confidence in patients with schizophrenia and healthy controls (HC). Measures included self-reports of depression, social cognitive ability, and social functioning. A performance-based emotion recognition test assessed social cognitive performance and provided the basis for confidence judgments....read more

Schizophrenia Research: Cognition, Among the most cited articles as of May 2021
Published

Keywords: methodology, scale validation, schizophrenia, SCOPE scoring, theory of mind
Measuring mentalizing- A comparison of scoring methods for the hinting task

Klein, H. S., Springfield, C. R., Bass, E., Ludwig, K., Penn, D. L., Harvey, P. D., & Pinkham, A. E. (2020). Measuring mentalizing- A comparison of scoring methods for the hinting task. International Journal of Methods in Psychiatric Research, 29, e1827. doi:10.1002/mpr.1827

Independent raters rescored data from the three phases of SCOPE using the Hinting task's original scoring criteria. Psychometric properties of the task when scored with the original criteria versus more stringent SCOPE criteria were compared in a large sample of individuals with chronic schizophrenia (n = 397) and matched controls (n = 300) as well as a smaller sample of individuals with early psychosis(n = 38) and controls (n = 39)....read more
Published

Keywords: loneliness, psychosis, positive psychology intervention, digital intervention
A pilot digital intervention targeting loneliness in young people with psychosis

Lim, M. H., Gleeson, J., Rodebaugh, T., Eres, R., Long, K., Casey, K., Abbott, J., Thomas, N., & Penn, D. L. (2020). A pilot digital intervention targeting loneliness in young people with psychosis. Social Psychiatry and Psychiatric Epidemiology, 55, 877-889. doi:10.1007/s00127-019-01681-2

Twelve participants diagnosed with a psychotic disorder were recruited from early psychosis services. Loneliness was assessed pre-intervention, post-intervention, and 3-month post-intervention. Acceptability, feasibility, and usability were measured post-intervention, including a semi-structured interview on the user’s experience of +Connect....read more

Web of Science highly cited paper as of May 2021
Published

Keywords: loneliness, psychosis, positive psychology intervention, social anxiety
Is loneliness a feasible treatment target in psychosis?

Lim, M. H., Penn, D. L., Thomas, N., & Gleeson, J. F. M. (2020). Is loneliness a feasible treatment target in psychosis? Social Psychiatry and Psychiatric Epidemiology, 55, 901-906. doi:10.1007/s00127-019-01731-9.

Loneliness is a challenge for individuals with psychosis; however, interventions rarely target loneliness in this group. We developed a pilot positive psychology group intervention designed to reduce loneliness in psychosis and examined its feasibility and acceptability. Sixteen participants attended 5.38 (SD =0.70) out of six sessions...read more
Published

Keywords: early intervention, first-episode psychosis, loneliness, social integration, social media
Horyzons USA: A moderated online social interventionfor first episode psychosis

*Ludwig, K. A., Browne, J. W., Nagendra, A., Gleeson, J. F, Penn, D. L., & Alvarez-Jimenez, M. (2020). Horyzons USA: A moderated online social interventionfor first episode psychosis. Early Intervention in Psychiatry, 15, 335-343. doi:10.1111/eip.12947

Twenty-six participants diagnosed with a schizophrenia spectrum disorder were provided access to the moderated Horyzons platform for 12 weeks. During the intervention period, participants were encouraged to access therapeutic content and social components embedded within the site. Participants were recruited from three first-episode coordinated specialty care clinics in North Carolina and assessed at four time points: baseline, mid-treatment, post-treatment and 1-month follow-up....read more
Published

Keywords: loneliness, psychosis, schizophrenia, social cognition, self-esteem, guilt
Correlates of loneliness among persons with psychotic disorders

*Ludwig, K.A., Nye, L. N., Simmons, G. L., Jarskog, L. F., Pinkham, A. E., Harvey, P. D., & Penn, D. L. (2020). Correlates of loneliness among persons with psychotic disorders. Social Psychiatry and Psychiatric Epidemiology, 55, 549-559. doi:10.1007/s00127-019-01789-5

This study evaluated the relationship between loneliness, social cognitive ability, and social functioning in the context of a large-scale psychometric investigation. We also explored the associations of select demographic characteristics and clinical variables on the endorsement of loneliness in persons diagnosed with a psychotic disorder....read more
Published

Keywords: first-episode psychosis (FEP), stigma, untreated psychosis
Clinical and demographic correlates of stigma in first-episode psychosis: The impact of duration of untreated psychosis

Mueser, K. T., DeTore, N. R., Kredlow, M. A., Bourgeois, M. L., Penn, D. L., & Hintz, K. (2020). Clinical and demographic correlates of stigma in first-episode psychosis: The impact of duration of untreated psychosis. Acta Psychiatrica Scandinavica, 141, 157-166. doi:10.1111/acps.13102

A total of 399 participants with FEP presenting for treatment at 34 sites in 21 states throughout the United States were evaluated using standardized instruments to assess diagnosis, symptoms, psychosocial functioning, perceived stigma, wellbeing, and subjective recovery....read more
Published

Keywords: functional outcomes, schizophrenia, race, African Americans, cognition, socioeconomic status
Neighborhood socioeconomic status and racial disparities in schizophrenia: An exploration of domains of functioning

*Nagendra, A., Halverson, T. F., Pinkham, A. E., Harvey, P. D., Jarskog, L. F., Weisman de Mamani, A., & Penn, D. L. (2020). Neighborhood socioeconomic status and racial disparities in schizophrenia: An exploration of domains of functioning. Schizophrenia Research, 224, 95-101. doi:10.1016/j.schres.2020.09.020

This study assessed race and domains of functioning (e.g., neurocognition, functional capacity) known to be associated with objective outcomes in a sample of 108 non-Hispanic Black and 61 non-Hispanic White individuals with schizophrenia-spectrum disorders from the Social Cognition Psychometric Evaluation (SCOPE) study. Three primary findings emerged....read more
Published

Keywords: racial disparities, schizophrenia, psychosis, race, ethnicity, serious mental illness
How often do US-based schizophrenia papers published in high-impact psychiatric journals report on race and ethnicity? A 20-year update of Lewine and Caudle (1999)

*Nagendra, A., Orleans-Pobee, M., Spahn, R., Monette, M., Sosoo, E., Pinkham, A. E., & Penn, D. L. (2020). How often do US-based schizophrenia papers published in high-impact psychiatric journals report on race and ethnicity? A 20-year update of Lewine and Caudle (1999). Journal of Mental Health, doi:10.1080/09638237.2020.1837356

The current paper updates Lewine and Caudle’s (1999) and Chakraborty and Steinhauer’s (2010) works, which quantified how frequently schizophrenia studies included information on race and ethnicity in their analyses. We examined all US-based papers on schizophrenia-spectrum, first-episode psychosis, and clinical high-risk groups, published between 2014 to 2016 in four major psychiatric journals: American Journal of Psychiatry, Journal of the American Medical Association – Psychiatry, Schizophrenia Bulletin, and Schizophrenia Research....read more
Published

Keywords: schizophrenia, depression, self assessment, social cognition, social functioning
Depression predicts self assessment of social function in both patients with schizophrenia and healthy people

Oliveri, L. N., Awerbuch, A. W., Jarskog, L. F., Penn, D. L., Pinkham, A. E., & Harvey, P. D. (2020). Depression predicts self assessment of social function in both patients with schizophrenia and healthy people. Psychiatry Research, 284, Article number = 112681. doi:10.1016/j.psychres.2019.112681

This study examined depression, gender, and schizophrenia as predictors of self-reported everyday functioning. 218 people with SCZ and 154 healthy controls self-reported their social functioning. They self-reported their depression with the Beck Depression Inventory (BDI) and their social cognitive ability on the Observable Social Cognition Rating Scale (OSCARS)....read more
Published

Keywords: schizophrenia, neurocognition, social cognition, confidence, intelligence, self-assessment
Overconfidence in social cognitive decision making: Correlations with social cognitive and neurocognitive performance in participants with schizophrenia and healthy individuals

Perez, M. M., Tercero, B. A., Penn, D. L., Pinkham, A. E., & Harvey, P. D. (2020). Overconfidence in social cognitive decision making: Correlations with social cognitive and neurocognitive performance in participants with schizophrenia and healthy individuals. Schizophrenia Research, 224, 51-57. doi:10.1016/j.schres.2020.10.005

This study examines how overconfidence on a social cognitive emotion recognition task is correlated with performance on other social cognitive tests, measures of neurocognition, and intelligence. The sample includes 154 healthy controls and 218 outpatient individuals diagnosed with schizophrenia. The data suggest that a bias toward overestimation of performance aligns with poorer performance social cognitive domains, as well as neurocognitive domains in participants with schizophrenia....read more
Published

Keywords: social cognitive performance, autism spectrum disorder, schizophrenia, social functioning
Comprehensive comparison of social cognitive performance in autism spectrum disorder and schizophrenia

*Pinkham, A. E., Morrison, K. E., Penn, D. L., Harvey, P. D., Kelsven, S., Ludwig, K., & Sasson, N. J. (2020). Comprehensive comparison of social cognitive performance in autism spectrum disorder and schizophrenia. Psychological Medicine, 50, 2557-2565. doi:10.1017/S0033291719002708

In total, 101 individuals with ASD, 92 individuals with SCZ or schizoaffective disorder, and 101 typically developing (TD) controls, all with measured intelligence in the normal range and a mean age of 25.47 years, completed a large battery of psychometrically validated social cognitive assessments spanning the domains of emotion recognition, social perception, mental state attribution, and attributional style....read more

Web of Science highly cited paper as of May 2021
Published

Keywords: depression, hostility, attributional biases, paranoia, schizophrenia, self-assessment, social functioning
Depression, hostility, attributional biases, and paranoia in schizophrenia and healthy controls: Intercorrelations and associations with self-assessment of social functioning (letter to the editor)

Strassnig, M., Jarskog, L., Harvey, P., Pinkham, A., Penn, D. L., & Jones, M. (2020). Depression, hostility, attributional biases, and paranoia in schizophrenia and healthy controls: Intercorrelations and associations with self-assessment of social functioning (letter to the editor). Psychiatry Research, 293, Article number = 113388. doi:10.1016/j.psychres.2020.113388

In this study, we examined correlations between depression, the attributional style of blaming others, hostility, and self-reported paranoia in people with schizophrenia and healthy controls. We related all of these variables to self-reported interpersonal functioning, because of our previous findings that depression predicted self- reports of greater impairments....read more