Social Cognition in Opioid Use Disorder

Background: Opioid use disorder (OUD) is associated with significant functional impairment and neurocognitive dysfunction, but only a handful of studies have investigated social cognitive abilities in this condition. This study aimed to investigate facial emotion recognition accuracy/biases and two...

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Bibliographic Details
Published in:Substance use & misuse 2023, Vol.58 (8), p.996-1003
Main Authors: Yazgeç, Emre, Bora, Emre, İngeç, Seda, Çıray, R. Oğulcan, Bağcı, Başak, Alkın, Tunç
Format: Article
Language:English
Subjects:
Acknowledgment
Anger
Bias
Buprenorphine
Cognition
Cognitive ability
Cognitive Dysfunction
Cognitive impairment
Decoding
Emotion recognition
Emotions
Fear
Functional impairment
Humans
Mental states
Naloxone
Narcotics
Neuropsychological Tests
Opiates
Opioids
Social Cognition
Social functioning
Substance use disorder
Theory of mind
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Summary:Background: Opioid use disorder (OUD) is associated with significant functional impairment and neurocognitive dysfunction, but only a handful of studies have investigated social cognitive abilities in this condition. This study aimed to investigate facial emotion recognition accuracy/biases and two different aspects of theory of mind (ToM) (ToM-decoding vs ToM-reasoning) in people with recovered OUD. Methods: The participants included 32 people with recovered OUD who were on Buprenorphine + Naloxone (B/N) maintenance treatment and 32 healthy controls. In addition to neurocognitive tasks, both groups were assessed by a facial emotion recognition task, the faux pas recognition task, and the reading the mind from the eyes task. Results: In comparison to healthy controls, people on B/N maintenance treatment showed deficits in facial emotion recognition (d = 1.32) and both aspects of ToM (d = 0.87-1.21). In analyses of individual emotions, people on B/N maintenance treatment had decreased accuracy in recognition of anger and fear and had a bias to identify other emotions as sad. The duration of opioid use was robustly associated with difficulties in the recognition of anger. Conclusion: People in B/N maintenance treatment have significant difficulties in recognizing the emotions and mental states of others. Deficits in social cognition might be important for understanding the difficulties in interpersonal and social functioning in people with OUD.
ISSN:1082-6084
1532-2491
DOI:10.1080/10826084.2023.2201845