Depression predicts self assessment of social function in both patients with schizophrenia and healthy people

PSYCHIATRY RESEARCH

卷:284

Article

Oliveri, Lisa N.¹  Awerbuch, Adam W.¹  Jarskog, L. Fredrik²  Penn, David L.^3,4  Pinkham, Amy^5,6  Harvey, Philip D.^1,7 

[1] Univ Miami, Miller Sch Med, Dept Psychiat & Behav Sci, 1120 NW 14th St,Suite 1450, Miami, FL 33136 USA

[2] Univ N Carolina, Dept Psychiat, Chapel Hill, NC 27515 USA

[3] Univ N Carolina, Dept Psychol, Chapel Hill, NC 27515 USA

[4] Australian Catholic Univ, Sch Behav & Hlth Sci, Melbourne, Vic, Australia

[5] Univ Texas Dallas, Sch Behav & Brain Sci, Richardson, TX 75083 USA

[6] Univ Texas Southwestern Med Sch, Dept Psychiat, Dallas, TX USA

[7] Miami VA Healthcare Syst, Res Serv, Miami, FL 33125 USA

关键词: Schizophrenia;    Depression;    Self Assessment;    Social Cognition;    Social Functioning;   

DOI  :  10.1016/j.psychres.2019.112681

来源: Elsevier

【 摘 要 】

Background: Impairments in social functioning are central to Schizophrenia (SCZ). Patients with SCZ have challenges in the ability to evaluate their functioning. A correlate of self-assessments in SCZ is depression, wherein negligible depression predicts overestimation. Healthy individuals misestimate their functioning, but mild dysthymia predicts accuracy. We examined depression, gender, and schizophrenia as predictors of self-reported everyday functioning. Methods: 218 people with SCZ and 154 healthy controls self-reported their social functioning. They self-reported their depression with the Beck Depression Inventory (BDI) and their social cognitive ability on the Observable Social Cognition Rating Scale (OSCARS). Results: 64% of subjects were male. Schizophrenia patients reported more depression, poorer social functioning, and worse social cognition. Linear regression analyses revealed significant correlations between self-reported social functioning and BDI scores, which also predicted self-reported social cognition. There was no significant effect of sex on self-reports of social functioning or social cognition. Finally, when BDI and OSCARS were directly compared to diagnosis and sex for prediction of self-reported social functioning, there was no impact of diagnosis or sex. Implications: Self-reported interpersonal functioning is determined by current depression. Both healthy people and people with schizophrenia index their social functioning and their social cognitive by their level of depression.

【 授权许可】

Free