Evolution of social networks in early psychosis

ABSTRACT

Individuals diagnosed with schizophrenia are consistently found to have smaller social networks, as well as deficits in metacognition; the results for those with comorbid substance misuse are contradictory. The role of metacognition in the development of social relationships in individuals with early psychosis and comorbid substance misuse is poorly understood and few studies have investigated its impact longitudinally.

Method: A mixed method approach was used to analyze data from 10 verbatims from semi-structured, retrospective longitudinal interviews, and metacognition ratings.

Results: Distinct profiles were identified and appeared stable over time in their reactions to life transition. Profile 1 presented with overall better metacognitive abilities, and varied on the onset, conclusion and diversity of relationships. Profile 2 showed poorer abilities, and completely changed social networks at transitions. The presence of mutually supportive relationships and of personal interest contributing to friendship formation differentiated profiles.

Conclusion: Two profiles emerged: distinct in their stability and quality of friendships, as well as in their metacognitive abilities and substance use friendships. Interests, and intensity of the interpersonal connection also distinguished both profiles.

KEYWORDS:

• Social network
• first episode psychosis
• metacognition
• substance abuse

Acknowledgments

We would like to thank the participants who took part in this study, as well as the clinicians who helped with the recruitment from the Institut Universitaire en Santé Mentale de Montréal.

Disclosure statement

No potential conflict of interest was reported by the authors.