The role of social isolation and social cognition in thought disorder

de Sousa, Paulo and Sellwood, William and Eldridge, Alaw and Bentall, R.P. (2018) The role of social isolation and social cognition in thought disorder. Psychiatry Research, 269. pp. 56-63. ISSN 0165-1781

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A better understanding of how social factors relate to the psychological processes in thought disorder (TD) is necessary for the development of effective psychological interventions. Sixty-eight participants diagnosed with psychosis (18–65; 47.1% female) were recruited and evaluated on social cognition (Hinting Task, HT; and reading the mind in the eyes test, RMET), social isolation (size of social network, frequency and quality of contact), psychotic symptoms (Positive and Negative Syndrome Scale, PANSS) and TD (Thought, Language and Communication Disorders Scale, TLC). A mediation model was tested with isolation as the predictor, TD as the outcome, and performance on HT and RMET as the mediators. The final model, with adjustment for comorbid symptoms (i.e. delusions, suspiciousness, hallucinations, and negative symptoms), supported full mediation and explained a significant amount of the observed variance (60%). Performance on the HT was a significant mediator of the relationship between social isolation and TD. From the covariates, delusions contributed independently and significantly to TD. The implications of the findings for psychological practice, and TD-specific interventions, are discussed as well as the limitations of the study. Further avenues for symptom-specific research are discussed, in particular with reference to more complex psychosocial models. © 2018

Item Type:
Journal Article
Journal or Publication Title:
Psychiatry Research
Additional Information:
This is the author’s version of a work that was accepted for publication in Psychiatry Research. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Psychiatry Research, 269, 2018 DOI: 10.1016/j.psychres.2018.08.048
Uncontrolled Keywords:
?? emotion recognitionschizophreniasocial cognitionsocial isolationtheory-of-mindthought disorderchlorpromazineneuroleptic agentadultagedarticlecomorbiditydelusionfemalehallucinationhinting taskhumanmajor clinical studymalemental testnegative syndromepositiv ??
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20 Aug 2018 10:08
Last Modified:
28 Nov 2023 11:28