Does theory of mind predict specific domains of social functioning in individuals following a first episode psychosis?

Social functioning is a central aspect in the treatment of people with psychosis, even more so with the recovery movement promoting an optimal life in one's environment. A good ability to function socially is, among other things, associated with fewer future complications and a better overall quality of life. However, prognostic markers currently in use (i.e., cognitive functioning) to predict an individual's subsequent functioning do not always produce conclusive results in individuals who have recently experienced a first episode of psychosis (FEP). The objective of this study was to evaluate the prognostic value of theory of mind in FEP individuals. Thirty-seven individuals who were followed in a FEP clinic were recruited for the study. Multiple linear regressions were performed for data analysis. The results suggest that theory of mind may be, for specific domains of social functioning in this sub-population, a more important predictor than cognitive functioning variables; though studies with larger samples are needed to support these results.