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108. Understanding hostility in first-episode psychosis: Associations with social cognition, neurocognition, and social functioning
People with psychotic disorders experience a variety of symptoms and impairments in functioning. Deficits in social functioning and related impairments in one’s ability to successfully navigate various social activities and situations are prominent features of psychosis that are present by the onset of illness (i.e., first-episode psychosis; FEP). Previous research suggests that the foundations of social impairments in psychotic disorders are multifaceted, with likely contributions from psychiatric symptomatology and cognitive and social cognitive changes that accompany the illness. Fewer studies, however, have examined the potential role of hostility in understanding functioning among individuals with FEP. As available research suggests that hostility may be related to diminished social functioning and social quality of life for people with longer-standing psychosis, examining hostility and its associations with social behavior and functioning in a FEP sample is important in elucidating social perceptions and motivations early in the course of illness. Thus, the goal of the present study is to examine hostility using a novel self-report scale (the Social Withdrawal Motivation Scale; SWiMs) and its associations with social functioning, cognitive functioning, and social cognition among youth and young adults receiving care in a specialized FEP clinic (N=33). Implications of these results for future research and potential relevance to clinical practice will be discussed.