Social motivation and behavior in first-episode psychosis: Unique contributions to social quality of life and social functioning
Open accessAbstract
Social functioning is diminished among people early in the course of psychotic illnesses, and is likely influenced by the negative symptoms that accompany these disorders, including changes in motivation and experience of pleasure. Though social impairments have a deleterious impact on functioning, socialization is a multifaceted behavior and little is known about how the various aspects may influence social functioning and social quality of life among people with first-episode psychosis. In the present study, we investigated the associations of specific aspects of social motivation and behavior with social functioning and social quality of life in a group of 54 young people (aged 15 to 35) with first-episode psychosis. Though different aspects of social motivation and behavior correlated positively with one another, social motivation for peer interactions was uniquely associated with social functioning and social quality of life - including when a broad measure of negative symptoms was considered within the same model. When these same associations were examined longitudinally, social motivation for peer interactions again emerged as a unique predictor of change in social functioning over 6 months. Our results suggest that the unique contribution of aspects of social motivation has implications for treatment, including the importance of developmentally-informed interventions to improve peer socialization in youth and young adults with psychosis.
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Behavioural factors such as poor motivation, social relatedness and avoidance of goal-directed activity are associated with poor social functioning in psychosis.
“Behavioural factors included poor motivation (Chang et al. 2017; Moe et al. 2021), social relatedness (González‐Blanch et al. 2020) and avoidance of goal‐directed activity (Schlosser et al. 2015).”
From Social Functioning Interventions in Psychosis: A Systematic Review. (2025) · cites this paper as Moe et al. 2021
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- Authors
- Moe, A. M., Weiss, D. M., Pine, J. G., Wastler, H. M., & Breitborde, N. J. K.
- Affiliations
- The Ohio State University (US)
- Corresponding author
- Moe, Aubrey M.
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2021-12
- Volume
- 144
- Pages
- 441-447
- ISSN
- 0022-3956 (ISSN-L)
- PMC
- PMC8667854
- OpenAlex
- W3208041074
- Cited by
- 14
- References
- 73
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 7 · 2023: 1
- FWCI
- 1.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Journal of Psychiatric Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Center for Advancing Translational Sciences (KL2TR002734)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- first-episode psychosis, social motivation, social functioning, social quality of life, peer socialization, negative symptoms, young people with psychosis
- MeSH terms
- Social Interaction, Adolescent, Adult, Humans, Motivation, Psychotic Disorders, Quality of Life, Social Behavior, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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