Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2018-0001
Trends in Psychiatry and Psychotherapy
Review Article

Emotional intelligence and schizophrenia spectrum disorders: a critical review

Inteligência emocional e transtornos do espectro da esquizofrenia: uma revisão crítica da literatura

Fernanda de Marzio Pestana Martins; Keila Pereira Leite; Alisson Paulino Trevizol; Julio Ricardo de Souza Noto; Elisa Brietzke

http://dx.doi.org/10.1590/2237-6089-2018-0001 Trends Psychiatry Psychother, vol.41, n1, p.94-102, 2019
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Abstract

Abstract Introduction Emotional intelligence (EI) is a theoretical construct postulated by Mayer and Salovey to designate the ability to perceive, understand, use and manage emotions. The study of EI in schizophrenia offers new insights into the disorder’s cognitive and functional impacts. Objectives To comprehensively review studies analyzing EI impairment in schizophrenia spectrum disorders using standardized instruments. Methods Searches were run on MEDLINE/PubMed, Google Scholar, Cochrane, LILACS, Embase, ClinicalTrials.gov and SciELO databases. The only validated instrument used was the Multifactor Emotional Intelligence Scale (MSCEIT). Articles that used all branches of the MSCEIT to assess EI in schizophrenia spectrum disorders and healthy controls were included in the review. Results We found 30 articles on this topic. The studies analyzed showed a significant impairment of MSCEIT total score in patients with schizophrenia spectrum disorders when compared to healthy controls. In relation to the MSCEIT branches, understanding of emotions and management of emotions are the most impaired branches. Conclusion Since most studies are cross-sectional, it is not possible to establish a cause and effect relationship between EI deficits and schizophrenia spectrum disorders. Therefore, longitudinal studies are needed to establish a clearer relationship between these variables. By so doing, we may be able to intervene for prevention and management of these disorders, aiming at better quality of life for patients.

Keywords

Emotional intelligence, schizophrenia, psychotic disorders

Resumo

Resumo Introdução Inteligência emocional (IE) é um constructo postulado por Mayer e Salovey para designar a habilidade de perceber, entender, utilizar e gerenciar emoções. O estudo de IE em esquizofrenia oferece novos insights quanto ao impacto deste transtorno em funções cognitivas e funcionais. Objetivos Conduzir revisão da literatura que analisa o prejuízo em IE nos transtornos do espectro da esquizofrenia utilizando instrumentos padronizados. Métodos Buscas foram realizadas nos bancos de dados MEDLINE/PubMed, Google Scholar, Cochrane, LILACS, Embase, ClinicalTrials.gov e SciELO. O único instrumento validado utilizado foi a Multifactor Emotional Intelligence Scale (MSCEIT). Artigos que utilizaram todas as ramificações da MSCEIT para avaliar IE em transtornos do espectro da esquizofrenia e em controles saudáveis foram incluídos na revisão. Resultados Encontramos 30 artigos no tópico estudado. Os estudos analisados mostraram um prejuízo significativo da IE pela MSCEIT em pacientes com transtornos do espectro da esquizofrenia quando comparados com controles saudáveis. Em relação às ramificações da MSCEIT, compreensão das emoções e gerenciamento das emoções foram as ramificações com maior prejuízo. Conclusão Devido à maior parte dos estudos serem estudos transversais, não é possível estabelecer uma relação de causa e efeito entre os déficits em IE e transtornos do espectro da esquizofrenia. Portanto, estudos longitudinais são necessários para se estabelecer uma relação mais clara entre essas variáveis. Assim, talvez possamos intervir na prevenção e manejo desses transtornos, para uma melhor qualidade de vida dos pacientes.

Palavras-chave

Inteligência emocional, esquizofrenia, transtornos psicóticos

References

Mayer JD, Salovey P. What is emotional intelligence?. Emotional development and emotional intelligence: Educational implications. 1997:3-34.

Mayer JD, Caruso D, Salovey P. Emotional intelligence meets traditional standards for an intelligence. Intelligence. 1999;27:267-98.

Mayer JD, Salovey P, Caruso DR, Sitarenios G. Measuring emotional intelligence with the MSCEIT V2.0. Emotion. 2003;3:97-105.

Fett AK, Viechtbauer W, Dominguez MD, Penn DL, van Os J, Krabbendam L. The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: a meta-analysis. Neurosci Biobehav Rev. 2011;35:573-88.

Green MF, Olivier B, Crawley JN, Penn DL, Silverstein S. Social cognition in schizophrenia: recommendations from the measurement and treatment research to improve cognition in schizophrenia new approaches conference. Schizophr Bull. 2005;31:882-7.

Nuechterlein KH, Green MF, Kern RS, Baade LE, Barch DM, Cohen JD. The MATRICS Consensus Cognitive Battery, part 1: test selection, reliability, and validity. Am J Psychiatry. 2008;165:203-13.

Hertel J, Schutz A, Lammers CH. Emotional intelligence and mental disorder. J Clin Psychol. 2009;65:942-54.

Albacete A, Bosque C, Custal N, Crespo JM, Gilabert E, Albiach A. Emotional intelligence in non-psychotic first-degree relatives of people with schizophrenia. Schizophr Res. 2016;175:103-8.

Brambillaa M, Cotellia M, Manentia R, Daganib J, Sistic D, Rocchic M. Oxytocin to modulate emotional processing in schizophrenia: A randomized, double-blind, cross-over clinical trial. Eur Neuropsychopharmacol. 2016;26:1619-28.

Cicero DC, Klaunig MJ, Trask CL, Neis AM. Anomalous self-experiences and positive symptoms are independently associated with emotion processing deficits in schizophrenia. Schizophr Res. 2016;176:456-61.

Dawson S, Kettler L, Burton C, Galletly C. Do people with schizophrenia lack emotional intelligence?. Schizophr Res Treatment. 2012;2012.

Eack SM, Greeno CG, Pogue-Geile MF, Newhill CE, Hogarty GE, Keshavan MS. Assessing social-cognitive deficits in schizophrenia with the Mayer-Salovey-Caruso Emotional Intelligence Test. Schizophr Bull. 2010;36:370-80.

Eack SM, Pogue-Geile MF, Greeno CG, Keshavan MS. Evidence of factorial variance of the Mayer-Salovey-Caruso emotional intelligence test across schizophrenia and normative samples. Schizophr Res. 2009;114:105-9.

Eack SM, Pogue-Geile MF, Greeno CG, Greenwald DP, Hogarty SS, Keshavan MS. Mechanisms of functional improvement in a two-year trial of cognitive enhancement therapy for early schizophrenia. Psychol Med. 2011;41:1253-61.

Eack SM, Greenwald DP, Hogarty SS, Cooley SJ, DiBarry AL, Montrose DM. Cognitive enhancement therapy for early-course schizophrenia: effects of a two-year randomized controlled trial. Psychiatr Serv. 2009;60:1468-76.

Frajo-Apor B, Pardeller S, Kemmler G, Welte AS, Hofer A. Emotional intelligence deficits in schizophrenia: The impact of non-social cognition. Schizophr Res. 2016;172:131-6.

Frajo-Apor B, Kemmler G, Pardeller S, Plass T, Mühlbacher M, Welte AS. Emotional intelligence and non-social cognition in schizophrenia and bipolar I disorder. Psychol Med. 2017;47:35-42.

Green MF, Bearden CE, Cannon TD, Fiske AP, Hellemann GS, Horan WP. Social cognition in schizophrenia, part 1: performance across phase of illness. Schizophr Bull. 2012;38:854-64.

Kee KS, Horan WP, Salovey P, Kern RS, Sergi MJ, Fiske AP. Emotional intelligence in schizophrenia. Schizophr Res. 2009;107:61-8.

Lin YC, Wynn JK, Hellemann G, Green MF. Factor structure of emotional intelligence in schizophrenia. Schizophr Res. 2012;139:78-81.

Mao WC, Chen LF, Chia CH, Line CH, Kaof YC, Hsug WY. Traditional Chinese version of the Mayer Salovey Caruso Emotional Intelligence Test (MSCEIT-TC): its validation and application to schizophrenic individuals. Psychiatry Res. 2016;243:61-70.

McCleery A, Lee J, Fiske AP, Ghermezi L, Hayata JN, Hellemann GS. Longitudinal stability of social cognition in schizophrenia: A 5-year follow-up of social perception and emotion processing. Schizophr Res. 2016;176:467-72.

O’Reilly K, Donohoe G, Coyle C, O’Sullivan D, Rowe A, Losty M. Prospective cohort study of the relationship between neuro-cognition, social cognition and violence in forensic patients with schizophrenia and schizoaffective disorder. BMC psychiatry. 2015;15.

Wojtalik JA, Eack SM, Keshavan MS. Structural neurobiological correlates of Mayer-Salovery-Caruso Emotional Intelligence Test performance in early course schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. 2013;40:207-12.

Tso IF, Carp J, Taylor SF, Deldin PJ. Role of visual integration in gaze perception and emotional intelligence in schizophrenia. Schizophr Bull. 2014;40:617-25.

Hurtado MM, Triviño M, Arnedo M, Roldán G, Tudela P. Are executive functions related to emotional intelligence? A correlational study in schizophrenia and borderline personality disorder. Psychiatry Res. 2016;246:84-8.

Kun B, Demetrovics Z. Emotional intelligence and addictions: a systematic review. Subst Use Misuse. 2010;45:1131-60.

Tabak NT, Green MF, Wynn JK, Proudfit GH, Altshuler L, Horan WP. Perceived emotional intelligence is impaired and associated with poor community functioning in schizophrenia and bipolar disorder. Schizophr Res. 2015;162:189-95.

Palmer BR, Gignac G, Manocha R, Stough C. A psychometric evaluation of the Mayer-Salovey-Caruso Emotional Intelligence Test Version 2.0. Intelligence. 2005;33:285-305.

Henry JD, Green MJ, de Lucia A, Restuccia C, McDonald S, O’Donnell M. Emotion dysregulation in schizophrenia: reduced amplification of emotional expression is associated with emotional blunting. Schizophr Res. 2007;95:197-204.

Copestake S, Gray NS, Snowden RJ. Emotional intelligence and psychopathy: a comparison of trait and ability measures. Emotion. 2013;13:691-702.

Bar-On R. The Bar-On Emotional Quotient Inventory (EQ-i): technical manual. 1997.

Salovey P, Mayer JD, Goldman SL, Turvey C, Palfai TP. Emotional attention, clarity, and repair: Exploring emotional intelligence using the trait meta-mood scale. Emotion, disclosure, and health. 1995:125-54.

Schutte NS, Malouff JM, Hall LE, Haggerty DJ, Cooper JT, Golden CJ. Development and validation of a measure of emotional intelligence. Pers Individ Dif. 1998;25:167-77.

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