Abstract
Purpose
To investigate social support and network features in people with first-episode psychosis, and to examine anxiety as a possible mediator between loneliness and a rating of paranoia.
Method
Thirty-eight people with first-episode psychosis were recruited for a cross-sectional study. Self-report questionnaires and structured interviews assessed symptoms, functioning, and qualitative social network and support features. A mood-induction task involved watching anxiety-inducing pictures on a computer screen. Visual analogue scales assessed changes in paranoia, anxiety and loneliness and a mediation analysis was conducted.
Results
One-third of the sample (34%) had no confidant [95% CI (18.4, 50.0%)]. The average number of weekly contacts was 3.9, with 2.6 lonely days. Poor perceived social support, loneliness and the absence of a confidant were strongly associated with psychosis and depressive symptoms (0.35 < rs < 0.60). The association between loneliness and paranoia was mediated through anxiety ( ab = 0.43, z = 3.5; p < 0.001).
Conclusions
Even at first episode, a large proportion of people with psychosis have poor perceived support, no confidant and report several lonely days a week. Patients without a confidant appear to be more susceptible to feeling lonely and anxious. Anxiety may be one pathway through which loneliness affects psychosis. Interventions which focus on this are indicated.
| Original language | English |
|---|---|
| Pages (from-to) | 359-366 |
| Number of pages | 8 |
| Journal | Social Psychiatry and Psychiatric Epidemiology |
| Volume | 49 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Mar 2014 |
Keywords
- Social networks
- Loneliness
- Anxiety
- Confidant
- First-episode psychosis
- 1ST EPISODE PSYCHOSIS
- SCHIZOPHRENIA-PATIENTS
- PSYCHIATRIC-PATIENTS
- MENTAL-HEALTH
- LIFE
- DEPRESSION
- QUALITY
- YOUNG
- VALIDATION
- DELUSIONS
