Indian Journal of Health and Wellbeing

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Role of Social Cognition and its Socio-Behavioral Correlates in the Onset, Severity and Recurrence of Symptoms Among Schizophrenics


Affiliations
1 Department of SoS Psychology, Pt.RavishankarShukla University, Raipur,Chhatisgarh, India
2 Mission Arogya Health and Information Technology Research Foundation, Kolkata, India
3 Fielding School of Public Health, University of California, Los Angeles, United States
     

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Improvement of the quality of life among schizophrenia patients is an important public health requirement in the developing world and India is no exception. To support this cause the need for the detailed understanding of the role of social cognition in disease onset, severity and recurrences had long been emphasized. Dearth of relevant information in Indian context, called for a cross-sectional study to determine the role of social cognition and its socio-behavioral correlates in the onset, severity and recurrence of symptoms among schizophrenics. One hundred consenting adult schizophrenics were recruited from two psychiatric hospitals in the Chhattisgarh district, interviewed with Attribution Style Questionnaire, Facial Expression and Picture Arrangement tests for evaluating the social cognitive performance along with the Scales for Assessing Positive and Negative Symptoms. Socio-demographic and clinical information (onset and recurrence) were also collected. Descriptive and regression analyses using SAS-9.3.2 revealed statistically significant association between living in nuclear families and having less severe negative and positive symptoms. Patients with insidious onset were likely to have more severe negative symptoms. Higher age was associated with insidious onset and recurrences. Higher age of onset and college level education on the other hand were positively correlated with the chances of recurrences. Better picture adjustment and wrong identification of the facial expression for sadness were negatively associated with higher severity of positive symptoms. Higher mean score for the global attribution of negative events, internal, stable, global and composite attribution of positive events were all found to be associated with higher odds of having recurrences. Family level intervention aiming at cognitive restructuring and education of social context interpretation are probably required for better schizophrenia management in Indian context.

Keywords

Schizophrenia, Social Cognition.
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  • Role of Social Cognition and its Socio-Behavioral Correlates in the Onset, Severity and Recurrence of Symptoms Among Schizophrenics

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Authors

Roshan Lal Dewangan
Department of SoS Psychology, Pt.RavishankarShukla University, Raipur,Chhatisgarh, India
Promila Singh
Department of SoS Psychology, Pt.RavishankarShukla University, Raipur,Chhatisgarh, India
Tanmay Mahapatra
Mission Arogya Health and Information Technology Research Foundation, Kolkata, India
Sanchita Mahapatra
Fielding School of Public Health, University of California, Los Angeles, United States

Abstract


Improvement of the quality of life among schizophrenia patients is an important public health requirement in the developing world and India is no exception. To support this cause the need for the detailed understanding of the role of social cognition in disease onset, severity and recurrences had long been emphasized. Dearth of relevant information in Indian context, called for a cross-sectional study to determine the role of social cognition and its socio-behavioral correlates in the onset, severity and recurrence of symptoms among schizophrenics. One hundred consenting adult schizophrenics were recruited from two psychiatric hospitals in the Chhattisgarh district, interviewed with Attribution Style Questionnaire, Facial Expression and Picture Arrangement tests for evaluating the social cognitive performance along with the Scales for Assessing Positive and Negative Symptoms. Socio-demographic and clinical information (onset and recurrence) were also collected. Descriptive and regression analyses using SAS-9.3.2 revealed statistically significant association between living in nuclear families and having less severe negative and positive symptoms. Patients with insidious onset were likely to have more severe negative symptoms. Higher age was associated with insidious onset and recurrences. Higher age of onset and college level education on the other hand were positively correlated with the chances of recurrences. Better picture adjustment and wrong identification of the facial expression for sadness were negatively associated with higher severity of positive symptoms. Higher mean score for the global attribution of negative events, internal, stable, global and composite attribution of positive events were all found to be associated with higher odds of having recurrences. Family level intervention aiming at cognitive restructuring and education of social context interpretation are probably required for better schizophrenia management in Indian context.

Keywords


Schizophrenia, Social Cognition.