Social interaction skills and depressive symptoms in people diagnosed with schizophrenia: The mediating role of auditory hallucinations

Abstract

Past studies have presented evidence that depressive symptoms are affected in different ways by social interaction skills and auditory hallucinatory symptoms in people with schizophrenia. However, few studies have focused on examining the relationship among auditory hallucinatory severity, social interaction skills, and depressive symptoms. This study aimed to explore the mediating effect of auditory hallucinatory severity on social interaction skills and depressive symptoms in people with long‐term schizophrenia. We propose that auditory hallucination severity functions as a mechanism through which impaired social interaction skills increase depressive symptoms. In this study, a convenience sample of 186 people with schizophrenia was obtained from hospital‐based rehabilitation wards. Four instruments were used: A demographic data questionnaire, the Assessment of Communication and Interaction Skills‐Chinese version, the Characteristics of Auditory Hallucinations Questionnaire, and the Beck Depression Inventory II. To investigate the mediating effect of auditory hallucinatory severity after controlling for six covariates, we tested an indirect effect in a simple mediation model using the SPSS macro PROCESS, which is a regression‐based approach. The indirect effect and the results of Sobel’s test were significant (Z = −2.824, P = 0.005), which confirms that auditory hallucination severity mediates social interaction skills and depressive symptoms. This finding suggests that psychiatric nurses must teach people with schizophrenia to use auditory hallucination management strategies to prevent them from becoming immersed in auditory hallucinations and reducing their social interaction with the real world, so that depressive symptoms can be improved.

Voice hearers’s appetite condition: a potential indicator for health care / Condição de apetite de ouvidores de vozes: um potencial indicador para o cuidado em saúde

“…17 A survey published in 2019 that aimed to explore the mediating effect of listening to voices in social interaction skills and depressive symptoms in people with schizophrenia who use the health service, brought in its main results that hearing experiences were positively correlated with depressive symptoms. 18 Hence, since depression interferes with the normal functioning of human beings, causing pain and suffering, and that the change in appetite is one of the main symptoms, one must be aware of this and other manifestations to improve health care. of voice-hearers.…”

Deconstructing emotion regulation in schizophrenia: The nature of abnormalities at the selection and implementation stages.

“…The greater use of interpersonal emotion regulation in SZ is a surprising finding given the prevalence of asociality (i.e., reduced engagement in and desire for social activity) and paranoia/persecutory delusions in SZ (Bobes et al, 2010;Mäkinen et al, 2008). The greater use of interpersonal regulation may reflect attempts to distract from acute stressors (Ponizovsky et al, 2013); however, factors such as social cognition deficits (Mueser et al, 1991), reduced frequency and quality of social interactions, and positive symptoms (e.g., paranoia or auditory hallucinations) may make social interactions difficult (Fett et al, 2012;Wang et al, 2019).…”

Роль Соціального Середовища У Підтримці Або Обмеженні Функціонування Пацієнтів Із Маячними Ідеями Впливу

“…Комплексне дослідження, в якому брали участь 186 пацієнтів із діагнозом шизофренія [29], використовувало 4 інструменти для аналізу навичок соціальної взаємодії: а) анкету демографічних даних; б) аналіз навичок спілкування пацієнтів; в) анкету про аудиторні галюцинації; г) анкету Бека, що виявляє ступінь порушення депресії. Було встановлено негативний зв'язок між аудиторними галюцинаціями, навичками спілкування з одного боку та рівнем депресії з іншого (Z = -2.824, P = 0.005).…”

“…Зменшення тяжкості симптомів є передумовою покращення соціального функціонування, як це було показано у 16 пацієнтів із діагнозом шизофренія, для яких дані отримано за допомогою шкали MERIT (Metacognitive Reflection and Insight Therapy) [16]. Автори іншого дослідження, заснованого на обстеженні 55 пацієнтів, запропонували визначити поведінкові моделі, які допоможуть встановити взаємозв'язки між підшкалами соціальних функцій [29].…”