Kelsey A Ludwig1, Lana N Nye2, Grace L Simmons3, Lars F Jarskog4, Amy E Pinkham5,6, Philip D Harvey7,8, David L Penn9,10. 1. Department of Psychology and Neuroscience, University of North Carolina, 235 E. Cameron Avenue, 258 Davie Hall, Chapel Hill, NC, 27599, USA. Kelsey_Ludwig@med.unc.edu. 2. College of Social Work, The University of Utah, Salt Lake City, UT, USA. 3. Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA. 4. Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC, USA. 5. School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, USA. 6. Department of Psychiatry, University of Texas Southwestern Medical School, Dallas, TX, USA. 7. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. 8. Research Service, Miami VA Healthcare System, Miami, FL, USA. 9. Department of Psychology and Neuroscience, University of North Carolina, 235 E. Cameron Avenue, 258 Davie Hall, Chapel Hill, NC, 27599, USA. 10. School of Psychology, Australian Catholic University, Melbourne, VIC, Australia.
Abstract
INTRODUCTION: Persons diagnosed with schizophrenia spectrum disorders (SSDs) often experience pervasive feelings of loneliness, which are considered a significant barrier to treatment and recovery. AIM: As impaired social cognition may contribute to increased loneliness and less skillful social interactions, this study examines the relationships between loneliness and measures of social cognition and functional outcome from the Social Cognition Psychometric Evaluation (SCOPE) study. METHODS: This study evaluated the relationship between loneliness, social cognitive ability, and social functioning in the context of a large-scale psychometric investigation. We also explored the associations of select demographic characteristics and clinical variables on the endorsement of loneliness in persons diagnosed with a psychotic disorder. RESULTS: Seventy-four stable outpatients with SSDs and 58 healthy controls completed the UCLA Loneliness Scale in addition to the standard SCOPE battery. Our findings support prior research indicating persons diagnosed with a psychotic disorder experience greater levels of loneliness than normative groups. However, the results also indicate that self-reported loneliness is not associated with social cognitive abilities or functional outcome in psychosis. Regression analyses indicate that roughly half the variance in loneliness endorsed by persons with SSDs is accounted for by clinical variables, with loneliness most strongly associated with guilt and self-esteem. CONCLUSION: These findings suggest that treatments aiming to reduce perceived social isolation in psychosis should incorporate techniques to bolster selfesteem, reduce guilt, and improve depressive symptoms.
INTRODUCTION:Persons diagnosed with schizophrenia spectrum disorders (SSDs) often experience pervasive feelings of loneliness, which are considered a significant barrier to treatment and recovery. AIM: As impaired social cognition may contribute to increased loneliness and less skillful social interactions, this study examines the relationships between loneliness and measures of social cognition and functional outcome from the Social Cognition Psychometric Evaluation (SCOPE) study. METHODS: This study evaluated the relationship between loneliness, social cognitive ability, and social functioning in the context of a large-scale psychometric investigation. We also explored the associations of select demographic characteristics and clinical variables on the endorsement of loneliness in persons diagnosed with a psychotic disorder. RESULTS: Seventy-four stable outpatients with SSDs and 58 healthy controls completed the UCLA Loneliness Scale in addition to the standard SCOPE battery. Our findings support prior research indicating persons diagnosed with a psychotic disorder experience greater levels of loneliness than normative groups. However, the results also indicate that self-reported loneliness is not associated with social cognitive abilities or functional outcome in psychosis. Regression analyses indicate that roughly half the variance in loneliness endorsed by persons with SSDs is accounted for by clinical variables, with loneliness most strongly associated with guilt and self-esteem. CONCLUSION: These findings suggest that treatments aiming to reduce perceived social isolation in psychosis should incorporate techniques to bolster selfesteem, reduce guilt, and improve depressive symptoms.
Entities:
Keywords:
Guilt; Loneliness; Psychosis; Schizophrenia; Self-esteem; Social cognition
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