KU Leuven, Department of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, Leuven, Belgium.
KU Leuven, Department of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, Leuven, Belgium.
J Affect Disord. 2022 Jul 15;309:428-436. doi: 10.1016/j.jad.2022.04.147. Epub 2022 Apr 29.
Adolescence is a period of both great social change, and of vulnerability to psychiatric distress. However, little is known about the associations between early psychopathology and social interactions at the fundamental level of daily life. To better understand the social correlates of subclinical psychopathology in adolescence, we assessed associations between general psychopathology and the quantity and quality of daily-life social interactions.
During a six-day experience sampling period, adolescent and young adult participants in Study 1 (n = 663) and Study 2 (n = 1027) reported the quantity and quality of their everyday social interactions. General psychopathology was assessed using the Symptom Checklist-90 and Brief Symptom Inventory-53. The relationship between psychopathology and each outcome variable was tested in separate multilevel linear and logistic regression models.
General psychopathology was associated with social interaction quality. Associations between psychopathology and the number of social interactions were less apparent: In Study 1, participants with more psychopathology were not more alone, whereas Study 2 participants with higher levels of psychopathology were alone more.
Limitations include no separate investigation of distinct types of psychopathology, and relatively low compliance to the experience sampling in Study 2.
Consistent associations between subclinical psychopathology and the quality of social interactions support the fundamentally social nature of early psychopathology. Moreover, negative experiences of social interactions may be more valuable markers of early psychopathology than a reduced quantity of social behaviors. Conceptualizations of daily-life social functioning, and prevention/intervention efforts would benefit from a greater consideration of the quality of everyday social experiences.
青春期是社会变革的重要时期，也是精神疾病困扰的高发期。然而，人们对早期精神病理学与日常生活中基本社交互动之间的关系知之甚少。为了更好地理解青少年亚临床精神病理学的社会相关性，我们评估了一般精神病理学与日常生活中社交互动的数量和质量之间的关系。
在为期六天的体验抽样期间，研究 1（n=663）和研究 2（n=1027）的青少年和年轻成年参与者报告了他们日常社交互动的数量和质量。使用症状清单-90 和简要症状清单-53 评估一般精神病理学。使用单独的多层次线性和逻辑回归模型测试精神病理学与每个结果变量之间的关系。
一般精神病理学与社交互动质量有关。精神病理学与社交互动数量之间的关联不太明显：在研究 1 中，精神病理学程度较高的参与者并不孤单，而研究 2 中精神病理学水平较高的参与者则更孤独。
研究的局限性包括没有单独研究不同类型的精神病理学，以及研究 2 中体验抽样的相对较低的依从性。
亚临床精神病理学与社交互动质量之间的一致关联支持早期精神病理学的根本社会性。此外，与社交行为数量减少相比，社交互动的负面体验可能是早期精神病理学更有价值的标志物。日常生活中社交功能的概念化，以及预防/干预措施将受益于更多地考虑日常社交体验的质量。
