The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors?
Abstract Objective Numerous research studies have demonstrated an association between higher symptom severity and cognitive impairment with poorer social functioning in first-episode psychosis (FEP). By contrast, the influence of subjective experiences, such as social relatedness and self-beliefs,...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2020-01-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933820000905/type/journal_article |
| _version_ | 1811156288405504000 |
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| author | César González-Blanch Leonardo A. Medrano Sarah Bendall Simon D’Alfonso Daniela Cagliarini Carla McEnery Shaunagh O’Sullivan Lee Valentine John F. Gleeson Mario Alvarez-Jimenez |
| author_facet | César González-Blanch Leonardo A. Medrano Sarah Bendall Simon D’Alfonso Daniela Cagliarini Carla McEnery Shaunagh O’Sullivan Lee Valentine John F. Gleeson Mario Alvarez-Jimenez |
| author_sort | César González-Blanch |
| collection | DOAJ |
| description |
Abstract
Objective
Numerous research studies have demonstrated an association between higher symptom severity and cognitive impairment with poorer social functioning in first-episode psychosis (FEP). By contrast, the influence of subjective experiences, such as social relatedness and self-beliefs, has received less attention. Consequently, a cohesive understanding of how these variables interact to influence social functioning is lacking.
Method
We used structural equation modeling to examine the direct and indirect relationships among neurocognition (processing speed) and social cognition, symptoms, and social relatedness (perceived social support and loneliness) and self-beliefs (self-efficacy and self-esteem) in 170 individuals with FEP.
Results
The final model yielded an acceptable model fit (χ
2 = 45.48, comparative fit index = 0.96; goodness of fit index = 0.94; Tucker–Lewis index = 0.94; root mean square error of approximation = 0.06) and explained 45% of social functioning. Negative symptoms, social relatedness, and self-beliefs exerted a direct effect on social functioning. Social relatedness partially mediated the impact of social cognition and negative symptoms on social functioning. Self-beliefs also mediated the relationship between social relatedness and social functioning.
Conclusions
The observed associations highlight the potential value of targeting social relatedness and self-beliefs to improve functional outcomes in FEP. Explanatory models of social functioning in FEP not accounting for social relatedness and self-beliefs might be overestimating the effect of the illness-related factors.
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| first_indexed | 2024-04-10T04:49:05Z |
| format | Article |
| id | doaj.art-27cfbf20093d414fa86a593f0a8dced3 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-04-10T04:49:05Z |
| publishDate | 2020-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-27cfbf20093d414fa86a593f0a8dced32023-03-09T12:33:57ZengCambridge University PressEuropean Psychiatry0924-93381778-35852020-01-016310.1192/j.eurpsy.2020.90The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors?César González-Blanch0https://orcid.org/0000-0002-3181-4731Leonardo A. Medrano1https://orcid.org/0000-0002-3371-5040Sarah Bendall2Simon D’Alfonso3https://orcid.org/0000-0001-7407-8730Daniela Cagliarini4Carla McEnery5Shaunagh O’Sullivan6https://orcid.org/0000-0002-5234-5727Lee Valentine7https://orcid.org/0000-0001-7481-6537John F. Gleeson8Mario Alvarez-Jimenez9Mental Health Centre, University Hospital Marqués de Valdecilla – IDIVAL, Santander, SpainFaculty of Psychology, Pontificia Universidad Católica Madre y Maestra, Santiago de los Caballeros, Dominican RepublicOrygen, Melbourne, Victoria, Australia Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, AustraliaOrygen, Melbourne, Victoria, Australia School of Computing and Information Systems, University of Melbourne, Parkville, Victoria, AustraliaOrygen, Melbourne, Victoria, Australia Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, AustraliaOrygen, Melbourne, Victoria, Australia Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, AustraliaOrygen, Melbourne, Victoria, Australia Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, AustraliaOrygen, Melbourne, Victoria, Australia Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, AustraliaHealthy Brain and Mind Research Centre and School of Behavioural and Health Sciences, Australian Catholic University, Melbourne, Victoria, AustraliaOrygen, Melbourne, Victoria, Australia Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia Abstract Objective Numerous research studies have demonstrated an association between higher symptom severity and cognitive impairment with poorer social functioning in first-episode psychosis (FEP). By contrast, the influence of subjective experiences, such as social relatedness and self-beliefs, has received less attention. Consequently, a cohesive understanding of how these variables interact to influence social functioning is lacking. Method We used structural equation modeling to examine the direct and indirect relationships among neurocognition (processing speed) and social cognition, symptoms, and social relatedness (perceived social support and loneliness) and self-beliefs (self-efficacy and self-esteem) in 170 individuals with FEP. Results The final model yielded an acceptable model fit (χ 2 = 45.48, comparative fit index = 0.96; goodness of fit index = 0.94; Tucker–Lewis index = 0.94; root mean square error of approximation = 0.06) and explained 45% of social functioning. Negative symptoms, social relatedness, and self-beliefs exerted a direct effect on social functioning. Social relatedness partially mediated the impact of social cognition and negative symptoms on social functioning. Self-beliefs also mediated the relationship between social relatedness and social functioning. Conclusions The observed associations highlight the potential value of targeting social relatedness and self-beliefs to improve functional outcomes in FEP. Explanatory models of social functioning in FEP not accounting for social relatedness and self-beliefs might be overestimating the effect of the illness-related factors. https://www.cambridge.org/core/product/identifier/S0924933820000905/type/journal_articleCognitionnegative symptomsself-efficacysocial supportstructural equation modeling |
| spellingShingle | César González-Blanch Leonardo A. Medrano Sarah Bendall Simon D’Alfonso Daniela Cagliarini Carla McEnery Shaunagh O’Sullivan Lee Valentine John F. Gleeson Mario Alvarez-Jimenez The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors? European Psychiatry Cognition negative symptoms self-efficacy social support structural equation modeling |
| title | The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors? |
| title_full | The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors? |
| title_fullStr | The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors? |
| title_full_unstemmed | The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors? |
| title_short | The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors? |
| title_sort | role of social relatedness and self beliefs in social functioning in first episode psychosis are we overestimating the contribution of illness related factors |
| topic | Cognition negative symptoms self-efficacy social support structural equation modeling |
| url | https://www.cambridge.org/core/product/identifier/S0924933820000905/type/journal_article |
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