ArticleSchizophrenia research2025
Perceived burdensomeness and thwarted belongingness prospectively influence real-world social support-seeking behavior among emerging adults with first-episode psychosis.
Article in Schizophrenia research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- The role of perceived burdensomeness and thwarted belongingness in suicide disclosure likelihood: a social network perspective.Frontiers in psychiatry · 2026Article
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4 authors.
Funding
Abstract
introductionSocial dysfunction is a core feature of first-episode psychosis (FEP) that broadly impacts effective interpersonal interaction. FEP often begins during emerging adulthood, which is a critical period for developing and maintaining social relationships. Social support positively influences the early course of FEP, yet little is known about factors that influence social support-seeking behavior. Individuals with psychosis have elevated levels of negative interpersonal beliefs related to feeling like a burden to others (i.e., perceived burdensomeness; PB) and disconnection from others (i.e., thwarted belongingness; TB). However, how these beliefs impact perceptions of social support or support-seeking behavior is unknown.
methods42 FEP participants completed laboratory-based assessments of social relationships and negative interpersonal beliefs, followed by 4 weeks of ecological momentary assessment (EMA) to assess real-world social support-seeking behavior. Correlational analyses and generalized linear mixed-effect models examined the contribution of PB and TB to both laboratory-based and real-world social perception and behavior.
resultsPerceived burdensomeness (PB) and thwarted belongingness (TB) were negatively correlated with perceived social support. EMA revealed a within-person effect whereby individuals were most likely to seek social support when experiencing more negative affect than was typical of them. Higher levels of baseline PB and TB were predictive of less social support-seeking behavior in everyday life.
conclusionNegative interpersonal beliefs are related to both perceptions of social support and real-world social support-seeking behavior in FEP. Beliefs about burdening others and individual-level variation in negative affect may be particularly impactful on social behavior. Collectively, interpersonal beliefs influence real-world social behavior in FEP.
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Registered trials
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