Depression Mediates the Relationships between Hallucinations, Delusions, and Social Isolation in First-Episode Psychosis
Bibliographic Data
| ID | 12790041 |
|---|---|
| Authors | Lindsay A Bornheimer (0000-0002-4684-5696, School of Social Work, University of Michigan PhD, is an assistant professor, , 1080 S. University Avenue, Ann Arbor, MI 48109-1106, USA, corresponding author), Juliann Li Verdugo (0000-0002-2225-9481, School of Social Work, University of Michigan MSW, is a project coordinator, is a research assistant, , Ann Arbor, MI, USA), Sara Thompson (School of Social Work, University of Michigan MSW, is a research assistant, , Ann Arbor, MI, USA) |
| Year | 2022 |
| Volume | 46 |
| Issue | 4 |
| Pages | 332-341 |
| Publication date | 2022-10-20 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Work Research (JOURNAL) |
| Journal identifiers | ISSN: 1545-6838 • E-ISSN: 1070-5309 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1093/swr/svac025 |
| PMID | 36420428 |
| OpenAlex | W4306896992 |
| Language | EN |
| References cited | 70 |
Social isolation is common among individuals with schizophrenia spectrum and other psychotic disorders. Research indicates that social isolation relates to poorer mental health outcomes, depression, and negative symptoms, with less known about its relationship with positive symptoms. This study examined depression as a mediator in the relationships between positive symptoms (i.e., hallucinations and delusions) and social isolation among an early treatment phase sample in the United States. Data were obtained from the Recovery After an Initial Schizophrenia Episode project of the National Institute of Mental Health's Early Treatment Program. Participants ( N = 404) included adults between ages 15 and 40 in a first episode of psychosis. Data were analyzed using structural equation modeling in Mplus (Version 8). The study showed that delusions ( b = .095, SE = 0.04, p b = .076, SE = 0.03, p b = .129, SE = 0.06, p b = .254, SE = 0.09, p < .05) were directly related to social isolation. Findings of this study determined that depression functioned as a mediator in the relationships between positive symptoms and social isolation. Targeting psychosis symptomatology and depression in treatment, improving social skills and social support networks, and considering the role of stigma in social isolation are of great importance in the prevention of poorer mental health outcomes
Delusion · Depression (economics · Psychiatry · Psychosis · Psychotherapist · Psychotic depression · Social isolation · Mental Health and Psychiatry · Psychology · Psychosomatic Disorders and Their Treatments · Schizophrenia research and treatment · Clinical Psychology
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A Primer on Maximum Likelihood Algorithms Available for Use With Missing Data
The Positive and Negative Syndrome Scale (PANSS) for Schizophrenia
A comparison of methods to test mediation and other intervening variable effects.
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Stigma and discrimination towards people with schizophrenia and their family members
Social support network, mental health and quality of life
| Highly cited | No |
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