The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors?
Web of Science
AuthorGonzalez-Blanch, C; Medrano, LA; Bendall, S; D'Alfonso, S; Cagliarini, D; McEnery, C; O'Sullivan, S; Valentine, L; Gleeson, JF; Alvarez-Jimenez, M
Source TitleEuropean Psychiatry
PublisherCAMBRIDGE UNIV PRESS
University of Melbourne Author/sBendall, Catherine; D'Alfonso, Simon; Alvarez, Mario; Gleeson, John
AffiliationCentre for Youth Mental Health
Computing and Information Systems
Document TypeJournal Article
CitationsGonzalez-Blanch, C., Medrano, L. A., Bendall, S., D'Alfonso, S., Cagliarini, D., McEnery, C., O'Sullivan, S., Valentine, L., Gleeson, J. F. & Alvarez-Jimenez, M. (2020). 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, 63 (1), https://doi.org/10.1192/j.eurpsy.2020.90.
Access StatusAccess this item via the Open Access location
Open Access URLhttp://doi.org/10.1192/j.eurpsy.2020.90
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 (χ2 = 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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