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Satisfaction with social connectedness as a predictor for positive and negative symptoms of psychosis: A PHAMOUS study

Published online by Cambridge University Press:  01 September 2022

J.S. Vogel ,
J. Bruins ,
S. De Jong ,
R. Knegtering ,
A.A. Bartels-Velthuis ,
M. Van Der Gaag  and
S. Castelein
J.S. Vogel
Affiliation:
University of Groningen, Clinical Psychology, Groningen, Netherlands Lentis Psychiatric Institute, Lentis Research, Groningen, Netherlands
J. Bruins
Affiliation:
Lentis Psychiatric Institute, Lentis Research, Groningen, Netherlands
S. De Jong
Affiliation:
Lentis Psychiatric Institute, Lentis Research, Groningen, Netherlands
R. Knegtering
Affiliation:
Lentis Psychiatric Institute, Lentis Research, Groningen, Netherlands University of Groningen, University Medical Center Groningen, University Center For Psychiatry, Rob Giel Research Center, Groningen, Netherlands
A.A. Bartels-Velthuis
Affiliation:
University of Groningen, University Medical Center Groningen, University Center For Psychiatry, Rob Giel Research Center, Groningen, Netherlands
M. Van Der Gaag
Affiliation:
VU University Amsterdam, Department Of Clinical Psychology, Amsterdam, Netherlands
S. Castelein*
Affiliation:
University of Groningen, Clinical Psychology, Groningen, Netherlands Lentis Psychiatric Institute, Lentis Research, Groningen, Netherlands
*
*Corresponding author.

Abstract

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Introduction

Social connectedness might positively influence the course of clinical symptoms in people with psychotic disorders.

Objectives

This study examines satisfaction with social connectedness (SSC) as predictor of positive and negative symptoms in people with a psychotic disorder.

Methods

Data from the Pharmacotherapy Monitoring and Outcome Survey (PHAMOUS, 2014-2019) was used from patients diagnosed with a psychotic disorder (N=2109). Items about social connectedness of the Manchester short assessment of Quality of Life (ManSA) were used to measure SSC. Linear mixed models were used to estimate the association of SSC with the Positive and Negative Syndrome Scale (PANSS) after one and two years against α=0.01. Analyses were adjusted for symptoms, time since onset, gender and age. Additionally, fluctuation of positive and negative symptom scores over time was estimated.

Results

Mean duration of illness of the sample was 18.8 years (SD 10.7) with >65% showing only small variation in positive and negative symptoms over a two to five-year time period. After adjustment for covariates, SSC showed to be negatively associated with positive symptoms after one year (β=-0.47, p<0.001, 95% CI=-0.70,-0.25) and two years (β =-0.59, p<0.001, 95% CI = -0.88,-0.30), and for negative symptoms after one year (β=-0.52, p<0.001, 95% CI = -0.77,-0.27). The prediction of negative symptoms was not significant at two years.

Conclusions

This research indicates that interventions on SSC might positively impact mental health for people with psychosis. SSC is a small and robust predictor of future levels of positive symptoms. Negative symptoms could be predicted by SSC at one year.

Disclosure

No significant relationships.

Keywords

social connectednessPSYCHOTIC DISORDERSpositive symptomsnegative symptoms
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S118 - S119
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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