Having versus not having social interactions in patients diagnosed with depression or social phobia and controls

PLoS One. 2021 Apr 14;16(4):e0249765. doi: 10.1371/journal.pone.0249765. eCollection 2021.

Abstract

Humans need meaningful social interactions, but little is known about the consequences of not having them. We examined meaningful social interactions and the lack thereof in patients diagnosed with major depressive disorder (MDD) or social phobia (SP) and compared them to a control group (CG). Using event-sampling methodology, we sampled participants' everyday social behavior 6 times per day for 1 week in participants' natural environment. We investigated the quality and the proportion of meaningful social interactions (when they had meaningful social interactions) and degree of wishing for and avoidance of meaningful social interactions (when they did not have meaningful social interactions). Groups differed on the quality and avoidance of meaningful social interactions: Participants with MDD and SP reported perceiving their meaningful social interactions as lower quality (in terms of subjective meaningfulness) than the CG, with SP patients reporting even lower quality than the MDD patients. Further, both MDD and SP patients reported avoiding meaningful social interactions significantly more often than the CG. Although the proportion of meaningful social interactions was similar in all groups, the subjective quality of meaningful social interactions was perceived to be lower in MDD and SP patients. Future research might further identify what variables influenced the reinforcement of the MDD and SP patients so that they engaged in the same number of meaningful social interactions even though the quality of their meaningful social interactions was lower. Increasing awareness of what happens when patients do or do not have meaningful social interactions will help elucidate a potentially exacerbating or maintaining factor of the disorders.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Case-Control Studies
  • Depression / diagnosis
  • Depression / epidemiology
  • Depression / psychology*
  • Female
  • Humans
  • Male
  • Phobia, Social / diagnosis
  • Phobia, Social / epidemiology
  • Phobia, Social / psychology*
  • Psychological Distance
  • Social Interaction*
  • Social Skills
  • Switzerland / epidemiology

Grants and funding

This research was supported by the Swiss National Science Foundation (http://www.snf.ch/), the SNF Grant nos. are 100014_149524/1 and PP00P1_163716/1. Both grants were received by author AG. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.