ABSTRACT
Social cognition impairments may be associated with poor functional outcomes, symptoms, and disability in social anxiety disorder (SAD) and generalized anxiety disorder (GAD). This meta-analysis aims to determine if emotion recognition and theory of mind (ToM) are impaired in SAD or GAD compared to healthy controls. A systematic review was conducted in electronic databases (PubMed, PsycNet, and Web of Science) to retrieve studies assessing emotion recognition and/or ToM in patients with SAD or GAD, compared to healthy controls, up to March 2022. Meta-analyses using random-effects models were conducted. We identified 21 eligible studies: 13 reported emotion recognition and 10 ToM outcomes, with 585 SAD patients, 178 GAD patients, and 753 controls. Compared to controls, patients with SAD exhibited impairments in emotion recognition (SMD = -0.32, CI = -0.47 - -0.16, z = -3.97, p < 0.0001) and ToM (SMD = -0.44, CI = -0.83 -0.04, z = -2.18, p < 0.01). Results for GAD were inconclusive due to the limited number of studies meeting the inclusion criteria (two for each domain). Relevant demographic and clinical variables (age, sex, education level, and anxiety scores) were not significantly correlated with emotion recognition or ToM impairments in SAD and GAD. Further studies employing ecological measures with larger and homogenous samples are needed to better delineate the factors influencing social cognition outcomes in both SAD and GAD.
ABSTRACT
The present study explored the psychometric properties of the Multi-Component Gratitude Measure (MCGM), in Spanish with a sample of Colombian children. The sample was composed of 540 schoolchildren between 8-12 years old (265 females, mean age 10.04 years; 75 males, mean age 10.08 years). The MCGM aims to examine more comprehensively the moral virtue of gratitude as a construct with 3 components (emotional, conative/attitudinal, and behavioral) distributed across 6 subscales. We translated the MCGM into Spanish and validated the factor structure in a principal component analysis, basing the analysis on the 6 subscales. We corroborated that gratitude can be understood as a complex, multi-component construct from children's perspectives. Overall, the MCGM subscales showed good reliability coefficients between 0.7 and 0.9. Confirmatory factor analysis indicated that a 4-factor model structure (obtained in the PCA) presented the best-adjusted fit indices. Factor 1 represented the feelings subscale, factor 2 represented the attitudinal component, and factors 3 and 4 the behavioral component. Convergent validity was evaluated with other instruments of gratitude, along with additional variables including positive emotion, prosocial behavior and wellbeing, in a subsample of 210 children. Multiple sources of evidence indicate that the translated and validated measure, the MCGM-Spanish Youth (MCGM-SY), is an instrument with good reliability and validity for measuring gratitude in Spanish-speaking children.
