ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Schizophrenia
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1574414
This article is part of the Research TopicRedefining Acute Psychiatric Care: Strategies for Improved Inpatient ExperiencesView all 7 articles
THE EFFECT OF CHRONOTYPE ON SOCIAL FUNCTIONING IN SCHIZOPHRENIC PATIENTS: EXAMINING THE CHAIN-MEDIATING ROLE OF SLEEP QUALITY AND ANXIETY
Provisionally accepted
- 1Chengdu Medical College, Chengdu, China
- 2Nursing, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
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This study examines the relationship between chronotype and social functioning in individuals with schizophrenia, specifically assessing the mediating roles of sleep quality and anxiety symptoms. Previous research suggests a link between chronotype and social functioning, but the mechanisms behind this association remain unclear.Here, 785 Chinese patients with schizophrenia, aged 18-60, completed assessments to measure chronotype, sleep quality, anxiety, and social functioning using the Morningness-Eveningness Questionnaire, General Anxiety Disorder-7, Pittsburgh Sleep Quality Index, and Personal Social Performance Scale, respectively. Using Hayes' SPSS process macros, significant associations were found between chronotype, sleep quality, anxiety symptoms, and social functioning, with results showing that chronotype directly impacts social functioning. Indirect mediation effects were identified through two distinct pathways: one where anxiety mediated the relationship and another involving both sleep quality and anxiety. These findings contribute to understanding how chronotype may influence social functioning in schizophrenia, offering new insights for supporting recovery.
Keywords: Schizophrenia, Chronotype, sleep quality, Anxiety, social functioning, chain mediation
Received: 10 Feb 2025; Accepted: 29 May 2025.
Copyright: © 2025 Luo, Zhang, Guo and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Dongmei Wu, Nursing, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
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