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Social networks and support in first-episode psychosis: exploring the role of loneliness and anxiety.
- Source :
- Social Psychiatry & Psychiatric Epidemiology; Mar2014, Vol. 49 Issue 3, p359-366, 8p
- Publication Year :
- 2014
-
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. [ABSTRACT FROM AUTHOR]
- Subjects :
- PSYCHOSES
SOCIAL networks
SOCIAL support
LONELINESS
ANXIETY
PARANOIA
Subjects
Details
- Language :
- English
- ISSN :
- 09337954
- Volume :
- 49
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Social Psychiatry & Psychiatric Epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 94694622
- Full Text :
- https://doi.org/10.1007/s00127-013-0754-3