Sources of social support and clinical and functional evolution of people with schizophrenia

Int J Soc Psychiatry. 2023 Sep;69(6):1377-1387. doi: 10.1177/00207640231164284. Epub 2023 Apr 20.

Abstract

Purpose: The impact of social support on comprehensive measures of results (clinical and functional) of the course of schizophrenia was studied, understood and evaluated as a multidimensional construct differentiating sources of support (family vs. nonfamily).

Methods: One hundred fifty-two patients diagnosed with schizophrenia were assessed with the Mannheim Interview on Social Support (MISS) and the Social Functioning Scale (SFS). The hypotheses were explored in a prospective longitudinal design, using a causal correlational analysis for their evaluation by applying structural equation models.

Results: The only explanatory factor of social functioning was Nonfamily social support, while the only explanatory factor of clinical result measurements was Family social support, observing a clearly differentiated impact of the different sources of support on the schizophrenia result measurements. It was also found that while Family social support explained 6.8% of the variance in the clinical result measurements, Nonfamily social support explained 13.7% of the variance in social functioning.

Conclusion: The results confirmed the differential importance of social support variables (family vs. nonfamily) in the clinical and functional result measurements of people with schizophrenia.

Keywords: Schizophrenia; clinical evolution; family social support; functional evolution; nonfamily social support.

MeSH terms

  • Humans
  • Prospective Studies
  • Schizophrenia*
  • Social Support