Social Cognition and Other Determinants of Perceived Social Support in Individuals With Serious Mental Illness.
Journal
The Journal of nervous and mental disease
ISSN: 1539-736X
Titre abrégé: J Nerv Ment Dis
Pays: United States
ID NLM: 0375402
Informations de publication
Date de publication:
01 Nov 2023
01 Nov 2023
Historique:
medline:
30
10
2023
pubmed:
30
8
2023
entrez:
30
8
2023
Statut:
ppublish
Résumé
Social support provides protective effects for those with serious mental illness (SMI), but these effects may be attenuated by factors that hinder positive perceptions of support. Improved understanding of social support and its determinants may hold relevance for clinical interventions and provide avenues to promote recovery and improve functioning. The present study is a cross-sectional, correlational analysis investigating the relationships among social cognition (Mayer-Salovey-Caruso Emotional Intelligence Test-Managing Emotions subscale), social anxiety (Liebowitz Social Anxiety Scale), negative symptoms (Scale for the Assessment of Negative Symptoms), and perceived social support (Interpersonal Support Evaluation List) among individuals with SMI. Data were analyzed for 59 participants from a psychosocial rehabilitation treatment study at a public, urban academic-affiliated medical center in the Midwest. Bivariate Pearson correlations revealed statistically significant associations among perceived social support and social cognition (total perceived social support, p < 0.05; appraisal support, p < 0.01), negative symptoms (appraisal support, p < 0.05), and social anxiety (self-esteem support, p < 0.05). Further, multiple linear regression revealed social cognition remained a significant predictor of perceived social support ( p < 0.05) when controlling for social anxiety and negative symptoms. Overall findings suggest a correlative relationship between social cognition and perceived social support. Conclusions, limitations, and future directions are discussed.
Identifiants
pubmed: 37647619
doi: 10.1097/NMD.0000000000001708
pii: 00005053-202311000-00008
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
848-855Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Références
Aikawa S, Kobayashi H, Nemoto T, Matsuo S, Wada Y, Mamiya N, Yamaguchi T, Katagiri N, Tsujino N, Mizuno M (2018) Social anxiety and risk factors in patients with schizophrenia: Relationship with duration of untreated psychosis. Psychiatry Res . 263:94–100.
Andreasen NC (1989) The Scale for the Assessment of Negative Symptoms (SANS): Conceptual and theoretical foundations. Br J Psychiatry Suppl . 7:49–58.
Aparicio A, Santos JL, Jiménez-López E, Bagney A, Rodríguez-Jiménez R, Sánchez-Morla EM (2017) Emotion processing and psychosocial functioning in euthymic bipolar disorder. Acta Psychiatr Scand . 135:339–350.
Aune T, Juul EML, Beidel DC, Nordahl HM, Dvorak RD (2021) Mitigating adolescent social anxiety symptoms: The effects of social support and social self-efficacy in findings from the young-HUNT 3 study. Eur Child Adolesc Psychiatry . 30:441–449.
Austin SF, Lysaker PH, Jansen JE, Trauelsen AM, Nielsen HGL, Pedersen MB, Haahr UH, Simonsen E (2019) Metacognitive capacity and negative symptoms in first episode psychosis: Evidence of a prospective relationship over a 3-year follow-up. J Exp Psychopathol . 10:2043808718821572.
Barnett MD, Maciel IV, Johnson DM, Ciepluch I (2021) Social anxiety and perceived social support: Gender differences and the mediating role of communication styles. Psychol Rep . 124:70–87.
Brekke J, Kay DD, Lee KS, Green MF (2005) Biosocial pathways to functional outcome in schizophrenia. Schizophr Res . 80(2–3):213–225.
Brookings JB, Bolton B (1988) Confirmatory factor analysis of the Interpersonal Support Evaluation List. Am J Community Psychol . 16:137–147.
Buchanan J (1995) Social support and schizophrenia: A review of the literature. Arch Psychiatr Nurs . 9:68–76.
Chen J, Short M, Kemps E (2020) Interpretation bias in social anxiety: A systematic review and meta-analysis. J Affect Disord . 276:1119–1130.
Cohen J (1988) Statistical power analysis for the behavioral sciences (2nd ed). Hillsdale, NJ: Laurence Erlbaum Associates.
Cohen S, Hoberman HM (1983) Positive events and social supports as buffers of life change stress. J Appl Soc Psychol . 13:99–125.
Cohen S, Wills TA (1985) Stress, social support, and the buffering hypothesis. Psychol Bull . 98:310–357.
Correll CU, Schooler NR (2020) Negative symptoms in schizophrenia: A review and clinical guide for recognition, assessment, and treatment. Neuropsychiatr Dis Treat . 16:519–534.
Dalagdi A, Arvaniti A, Papatriantafyllou J, Xenitidis K, Samakouri M, Livaditis M (2014) Psychosocial support and cognitive deficits in adults with schizophrenia. Int J Soc Psychiatry . 60:417–425.
Davies G, Fowler D, Greenwood K (2017) Metacognition as a mediating variable between neurocognition and functional outcome in first episode psychosis. Schizophr Bull . 43:824–832.
Degnan A, Berry K, Sweet D, Abel K, Crossley N, Edge D (2018) Social networks and symptomatic and functional outcomes in schizophrenia: A systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol . 53:873–888.
Deste G, Vita A, Nibbio G, Penn DL, Pinkham AE, Harvey PD (2020) Autistic symptoms and social cognition predict real-world outcomes in patients with schizophrenia. Front Psych . 11:524.
DeTore NR, Mueser KT, McGurk SR (2018) What does the managing emotions branch of the MSCEIT add to the MATRICS Consensus Cognitive Battery? Schizophr Res . 197:414–420.
Dodell-Feder D, Tully LM, Hooker CI (2015) Social impairment in schizophrenia: New approaches for treating a persistent problem. Curr Opin Psychiatry . 28:236–242.
Eack SM, Greeno CG, Pogue-Geile MF, Newhill CE, Hogarty GE, Keshavan MS (2010) Assessing social-cognitive deficits in schizophrenia with the Mayer-Salovey-Caruso emotional intelligence test. Schizophr Bull . 36:370–380.
Eack SM, Hogarty GE, Greenwald DP, Hogarty SS, Keshavan MS (2007) Cognitive enhancement therapy improves emotional intelligence in early course schizophrenia: Preliminary effects. Schizophr Res . 89(1–3):308–311.
Fabio AD (2015) Beyond fluid intelligence and personality traits in social support: The role of ability based emotional intelligence. Front Psychol . 6:395.
Fabio AD, Kenny ME (2012) Emotional intelligence and perceived social support among Italian high school students. J Career Dev . 39:461–475.
Faith L, Grove A, Jarvis S, Rempfer M (2022) Implementation and preliminary outcomes of cognitive enhancement therapy for serious mental illness in an outpatient mental health program. Behav Cogn Psychother . 50:345–350.
Faith LA, Lecomte T, Corbière M, Francoeur A, Hache-Labelle C, Lysaker PH (2020) Metacognition is uniquely related to concurrent and prospective assessments of negative symptoms independent of verbal memory in serious mental illness. J Nerv Ment Dis . 208:837–842.
Frajo-Apor B, Kemmler G, Pardeller S, Huber M, Macina C, Welte AS, Hoertnagl C, Hofer A (2020) Emotional intelligence in bipolar-I-disorder: A comparison between patients, unaffected siblings, and control subjects. Eur Psychiatry . 63:e69.
Frajo-Apor B, Pardeller S, Kemmler G, Mühlbacher M, Welte AS, Hörtnagl C, Derntl B, Hofer A (2021) The relationship between emotional intelligence and quality of life in schizophrenia and bipolar I disorder. Qual Life Res . 30:2475–2485.
Gariépy G, Honkaniemi H, Quesnel-Vallée A (2016) Social support and protection from depression: Systematic review of current findings in Western countries. Br J Psychiatry . 209:284–293.
Gonzales L, Kanani A, Pereyra A (2023) Policy definitions for “serious mental illness” across 56 United States, districts and territories. Community Ment Health J . 59:595–599.
Green MF (2016) Impact of cognitive and social cognitive impairment on functional outcomes in patients with schizophrenia. J Clin Psychiatry . 77(Suppl 2):8–11.
Green MF, Horan WP, Lee J (2019) Nonsocial and social cognition in schizophrenia: Current evidence and future directions. World Psychiatry . 18:146–161.
Green MF, Olivier B, Crawley JN, Penn DL, Silverstein S (2005) Social cognition in schizophrenia: Recommendations from the measurement and treatment research to improve cognition in schizophrenia new approaches conference. Schizophr Bull . 31:882–887.
Green MF, Penn DL, Bentall R, Carpenter WT, Gaebel W, Gur RC, Kring AM, Park S, Silverstein SM, Heinssen R (2008) Social cognition in schizophrenia: An NIMH workshop on definitions, assessment, and research opportunities. Schizophr Bull . 34:1211–1220.
Hamilton NG, Ponzoha CA, Cutler DL, Weigel RM (1989) Social networks and negative versus positive symptoms of schizophrenia. Schizophr Bull . 15:625–633.
Heimberg RG, Horner KJ, Juster HR, Safren SA, Brown EJ, Schneier FR, Liebowitz MR (1999) Psychometric properties of the Liebowitz Social Anxiety Scale. Psychol Med . 29:199–212.
Hogarty GE, Flesher S, Ulrich R, Carter M, Greenwald D, Pogue-Geile M, Kechavan M, Cooley S, DiBarry AL, Garrett A, Parepally H, Zoretich R (2004) Cognitive enhancement therapy for schizophrenia: Effects of a 2-year randomized trial on cognition and behavior. Arch Gen Psychiatry . 61:866–876.
Janke K, Driessen M, Behnia B, Wingenfeld K, Roepke S (2018) Emotional intelligence in patients with posttraumatic stress disorder, borderline personality disorder and healthy controls. Psychiatry Res . 264:290–296.
Kharawala S, Hastedt C, Podhorna J, Shukla H, Kappelhoff B, Harvey PD (2021) The relationship between cognition and functioning in schizophrenia: A semi-systematic review. Schizophr Res Cogn . 27:100217.
Kiaei YA, Reio TG Jr. (2014) Goal pursuit and eudaimonic well-being among university students: Metacognition as the mediator. Behav Dev Bull . 19:91–104.
Kibru B, Tesfaw G, Demilew D, Salelew E (2020) The prevalence and correlates of social anxiety symptoms among people with schizophrenia in Ethiopia: An institution-based cross-sectional study. Schizophr Res Treat . 2020:3934680.
Kilbourne AM, Horvitz-Lennon M, Post EP, McCarthy JF, Cruz M, Welsh D, Blow FC (2007) Oral health in veterans affairs patients diagnosed with serious mental illness. J Public Health Dent . 67:42–48.
Lei J, Brosnan M, Ashwin C, Russell A (2020) Evaluating the role of autistic traits, social anxiety, and social network changes during transition to first year of university in typically developing students and students on the autism spectrum. J Autism Dev Disord . 50:2832–2851.
Leigh-Hunt N, Bagguley D, Bash K, Turner V, Turnbull S, Valtorta N, Caan W (2017) An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health . 152:157–171.
Letamendi AM, Chavira DA, Stein MB (2009) Issues in the assessment of social phobia: A review. Isr J Psychiatry Relat Sci . 46:13–24.
Liebowitz MR (1987) Social phobia. Mod Probl Pharmacopsychiatry . 22:141–173.
Lysaker PH, Cheli S, Dimaggio G, Buck B, Bonfils KA, Huling K, Wiesepape C, Lysaker JT (2021) Metacognition, social cognition, and mentalizing in psychosis: Are these distinct constructs when it comes to subjective experience or are we just splitting hairs? BMC Psychiatry . 21:329.
Lysaker PH, Chernov N, Moiseeva T, Sozinova M, Dmitryeva N, Alyoshin V, Faith LA, Karpenko O, Kostyuk G (2020) Contrasting metacognitive profiles and their association with negative symptoms in groups with schizophrenia, early psychosis and depression in a Russian sample. Psychiatry Res . 291:113177.
Lysaker PH, Davis LW (2004) Social function in schizophrenia and schizoaffective disorder: Associations with personality, symptoms and neurocognition. Health Qual Life Outcomes . 2:15.
Lysaker PH, Shea AM, Buck KD, Dimaggio G, Nicolò G, Procacci M, Salvatore G, Rand KL (2010) Metacognition as a mediator of the effects of impairments in neurocognition on social function in schizophrenia spectrum disorders. Acta Psychiatr Scand . 122:405–413.
Macdonald EM, Jackson HJ, Hayes RL, Baglioni AJ Jr., Madden C (1998) Social skill as determinant of social networks and perceived social support in schizophrenia. Schizophr Res . 29:275–286.
Massé M, Lecomte T (2015) Metacognitive profiles in individuals with a first episode of psychosis and their relation to social functioning and perceived social support. Schizophr Res . 166(1–3):60–64.
Mayer JD, Salovey P, Caruso DR (2002) Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) . Toronto, Ontario, Canada: Multi-Health Systems, Inc.
Mazeh D, Bodner E, Weizman R, Delayahu Y, Cholostoy A, Martin T, Barak Y (2009) Co-morbid social phobia in schizophrenia. Int J Soc Psychiatry . 55:198–202.
McCorkle BH, Rogers ES, Dunn EC, Lyass A, Wan YM (2008) Increasing social support for individuals with serious mental illness: Evaluating the compeer model of intentional friendship. Community Ment Health J . 44:359–366.
Mike L, Guimond S, Kelly S, Thermenos H, Mesholam-Gately R, Eack S, Keshavan M (2019) Social cognition in early course of schizophrenia: Exploratory factor analysis. Psychiatry Res . 272:737–743.
Mueser KT, Corrigan PW, Hilton DW, Tanzman B, Schaub A, Gingerich S, Essock SM, Tarrier N, Morey B, Vogel-Scibilia S, Herz MI (2002) Illness management and recovery: A review of the research. Psychiatr Serv . 53:1272–1284.
Munikanan T, Midin M, Daud T, Rahim RA, Bakar AKA, Jaafar NRN, Sidi H, Baharuddin N (2017) Association of social support and quality of life among people with schizophrenia receiving community psychiatric service: A cross-sectional study. Compr Psychiatry . 75:94–102.
Palardy V, El-Baalbaki G, Fredette C, Rizkallah E, Guay S (2018) Social support and symptom severity among patients with obsessive-compulsive disorder or panic disorder with agoraphobia: A systematic review. Eur J Psychol . 14:254–286.
Pallanti S, Quercioli L, Hollander E (2004) Social anxiety in outpatients with schizophrenia: A relevant cause of disability. Am J Psychiatry . 161:53–58.
Pelletier-Baldelli A, Holt DJ (2020) Are negative symptoms merely the “real world” consequences of deficits in social cognition? Schizophr Bull . 46:236–241.
Peng MM, Zhang TM, Liu KZ, Gong K, Huang CH, Dai GZ, Hu SH, Lin FR, Chan SKW, Ng S, Ran MS (2019) Perception of social support and psychotic symptoms among persons with schizophrenia: A strategy to lessen caregiver burden. Int J Soc Psychiatry . 65(7–8):548–557.
Pernice FM, Biegel DE, Kim JY, Conrad-Garrisi D (2017) The mediating role of mattering to others in recovery and stigma. Psychiatr Rehabil J . 40:395–404.
Reddy LF, Irwin MR, Breen EC, Reavis EA, Green MF (2019) Social exclusion in schizophrenia: Psychological and cognitive consequences. J Psychiatr Res . 114:120–125.
Rempfer M, Hamera E, Brown C, Bothwell RJ (2006) Learning proficiency on the Wisconsin card sorting test in people with serious mental illness: What are the cognitive characteristics of good learners? Schizophr Res . 87(1–3):316–322.
Rempfer MV, Hamera EK, Brown CE, Cromwell RL (2003) The relations between cognition and the independent living skill of shopping in people with schizophrenia. Psychiatry Res . 117:103–112.
Ribas AC, Lam CS (2010) Social support and quality of life among Latinos with mental illness. J Nerv Ment Dis . 198:137–143.
Roberts DL, Penn DL (2009) Social cognition and interaction training (SCIT) for outpatients with schizophrenia: A preliminary study. Psychiatry Res . 166(2–3):141–147.
Rogers ES, Anthony W, Lyass A (2004) The nature and dimensions of social support among individuals with severe mental illnesses. Community Ment Health J . 40:437–450.
Romm KL, Rossberg JI, Berg AO, Hansen CF, Andreassen OA, Melle I (2011) Assessment of social anxiety in first episode psychosis using the Liebowitz Social Anxiety Scale as a self-report measure. Eur Psychiatry . 26:115–121.
Safren SA, Heimberg RG, Horner KJ, Juster HR, Schneier FR, Liebowitz MR (1999) Factor structure of social fears: The Liebowitz Social Anxiety Scale. J Anxiety Disord . 13:253–270.
Sergi MJ, Rassovsky Y, Widmark C, Reist C, Erhart S, Braff DL, Marder SR, Green MF (2007) Social cognition in schizophrenia: Relationships with neurocognition and negative symptoms. Schizophr Res . 90(1–3):316–324.
Silberstein J, Harvey PD (2019) Cognition, social cognition, and self-assessment in schizophrenia: Prediction of different elements of everyday functional outcomes. CNS Spectr . 24:88–93.
Stilo SA, Murray RM (2019) Non-genetic factors in schizophrenia. Curr Psychiatry Rep . 21:100.
Terry R, Townley G (2019) Exploring the role of social support in promoting community integration: An integrated literature review. Am J Community Psychol . 64(3–4):509–527.
Thoits PA (2011) Mechanisms linking social ties and support to physical and mental health. J Health Soc Behav . 52:145–161.
Uher R, Zwicker A (2017) Etiology in psychiatry: Embracing the reality of poly-gene-environmental causation of mental illness. World Psychiatry . 16:121–129.
Vaskinn A, Horan WP (2020) Social cognition and schizophrenia: Unresolved issues and new challenges in a maturing field of research. Schizophr Bull . 46:464–470.
Wang J, Mann F, Lloyd-Evans B, Ma R, Johnson S (2018) Associations between loneliness and perceived social support and outcomes of mental health problems: A systematic review. BMC Psychiatry . 18:156.
Warren CD, Fowler K, Speed D, Walsh A (2018) The influence of social support on psychological distress in Canadian adults with bipolar disorder. Soc Psychiatry Psychiatr Epidemiol . 53:815–821.
Zhao J, Peng X, Chao X, Xiang Y (2019) Childhood maltreatment influences mental symptoms: The mediating roles of emotional intelligence and social support. Front Psych . 10:415.
Zou DS, Cowan HR, Azis M, Mittal VA (2021) Reciprocal social behavior and related social outcomes in individuals at clinical high risk for psychosis. Psychiatry Res . 306:114224.