Associations Between Psychosocial Influence, Positive Thinking, and Vaccine Attitudes in Patients with Schizophrenia During the COVID-19 Pandemic
Dian-Jeng Li,1,2,* Wen-Chun Wang,3,* Frank Huang-Chih Chou,4 Su-Ting Hsu,5 Kuan-Ying Hsieh,6,7 Guei-Ging Lin,8 Pei-Jhen Wu,8 Chin-Lien Liu,8 Hui-Ching Wu,9 Joh-Jong Huang10,11 1Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Tai...
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Dove Medical Press
2025-06-01
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| author | Li DJ Wang WC Chou FHC Hsu ST Hsieh KY Lin GG Wu PJ Liu CL Wu HC Huang JJ |
| author_facet | Li DJ Wang WC Chou FHC Hsu ST Hsieh KY Lin GG Wu PJ Liu CL Wu HC Huang JJ |
| author_sort | Li DJ |
| collection | DOAJ |
| description | Dian-Jeng Li,1,2,* Wen-Chun Wang,3,* Frank Huang-Chih Chou,4 Su-Ting Hsu,5 Kuan-Ying Hsieh,6,7 Guei-Ging Lin,8 Pei-Jhen Wu,8 Chin-Lien Liu,8 Hui-Ching Wu,9 Joh-Jong Huang10,11 1Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 2Department of Nursing, Meiho University, Pingtung, Taiwan; 3Department of Forensic Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 4Superintendent Office, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 5Department of Community Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 6Department of Child and Adolescent Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 7Department of Physical Therapy, I-Shou University, Kaohsiung, Taiwan; 8Department of Nurse, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 9Department of Social Work, National Taiwan University, Taipei, Taiwan; 10Department of Gerontological and Long-Term Care Business, Fooyin University, Kaohsiung, Taiwan; 11Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan*These authors contributed equally to this workCorrespondence: Joh-Jong Huang, Department of Gerontological and Long-Term Care Business, Fooyin University, 151 Jinxue Road, Daliao District, Kaohsiung City, 83102, Taiwan, Tel +886 7243327, Fax +886 7152300, Email jjhua@seed.net.twBackground: The rate of vaccination is lower in patients with schizophrenia than in the general population, and therefore, further investigation into the psychosocial impact of COVID-19 on these patients and their vaccine attitudes is warranted. In this study, we investigated factors influencing vaccine attitudes in patients with schizophrenia and explored the interactions among these factors.Methods: Cross-sectional, self-report surveys were conducted among Taiwanese patients with schizophrenia to collect data on vaccine attitudes and associated variables. Our sample was drawn from the largest psychiatric specialty hospital in Taiwan. As of December 1, 2022, 88% of the Taiwanese population had received at least two doses of the COVID-19 vaccine. Factors influencing vaccine attitudes and potential moderators were investigated through correlation analyses, hierarchical regression, and Hayes’ Process Macro.Results: This study included 457 patients. Our results revealed that social anxiety and social desirability were respectively positively and negatively correlated with vaccine attitudes. Positive thinking moderated the overall effect of social influence on vaccine attitudes. Low levels of positive thinking intensified the effect of social influence on vaccine hesitancy.Conclusion: This study clarified the association of social influence with vaccine attitudes and the moderating effect of positive thinking on this association. Reputable medical centers can enhance patients’ confidence in vaccination policies and foster positive thinking to increase vaccine acceptance among patients with schizophrenia.Keywords: schizophrenia, COVID-19, Societal Influences Survey Questionnaire, vaccine attitudes, positive thinking, psychosocial impact |
| format | Article |
| id | doaj-art-62f3bb21493946c69e36d84824ea645f |
| institution | Kabale University |
| issn | 1179-1578 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Psychology Research and Behavior Management |
| spelling | doaj-art-62f3bb21493946c69e36d84824ea645f2025-08-20T03:32:35ZengDove Medical PressPsychology Research and Behavior Management1179-15782025-06-01Volume 18Issue 113071318103753Associations Between Psychosocial Influence, Positive Thinking, and Vaccine Attitudes in Patients with Schizophrenia During the COVID-19 PandemicLi DJ0Wang WC1Chou FHC2Hsu STHsieh KYLin GGWu PJ3Liu CLWu HC4Huang JJ5Department of addiction scienceDepartment of Forensic PsychiatryDepartment of Community PsychiatryDepartment of NurseDepartment of Social WorkDepartment of Gerontological and Long-Term Care BusinessDian-Jeng Li,1,2,* Wen-Chun Wang,3,* Frank Huang-Chih Chou,4 Su-Ting Hsu,5 Kuan-Ying Hsieh,6,7 Guei-Ging Lin,8 Pei-Jhen Wu,8 Chin-Lien Liu,8 Hui-Ching Wu,9 Joh-Jong Huang10,11 1Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 2Department of Nursing, Meiho University, Pingtung, Taiwan; 3Department of Forensic Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 4Superintendent Office, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 5Department of Community Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 6Department of Child and Adolescent Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 7Department of Physical Therapy, I-Shou University, Kaohsiung, Taiwan; 8Department of Nurse, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; 9Department of Social Work, National Taiwan University, Taipei, Taiwan; 10Department of Gerontological and Long-Term Care Business, Fooyin University, Kaohsiung, Taiwan; 11Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan*These authors contributed equally to this workCorrespondence: Joh-Jong Huang, Department of Gerontological and Long-Term Care Business, Fooyin University, 151 Jinxue Road, Daliao District, Kaohsiung City, 83102, Taiwan, Tel +886 7243327, Fax +886 7152300, Email jjhua@seed.net.twBackground: The rate of vaccination is lower in patients with schizophrenia than in the general population, and therefore, further investigation into the psychosocial impact of COVID-19 on these patients and their vaccine attitudes is warranted. In this study, we investigated factors influencing vaccine attitudes in patients with schizophrenia and explored the interactions among these factors.Methods: Cross-sectional, self-report surveys were conducted among Taiwanese patients with schizophrenia to collect data on vaccine attitudes and associated variables. Our sample was drawn from the largest psychiatric specialty hospital in Taiwan. As of December 1, 2022, 88% of the Taiwanese population had received at least two doses of the COVID-19 vaccine. Factors influencing vaccine attitudes and potential moderators were investigated through correlation analyses, hierarchical regression, and Hayes’ Process Macro.Results: This study included 457 patients. Our results revealed that social anxiety and social desirability were respectively positively and negatively correlated with vaccine attitudes. Positive thinking moderated the overall effect of social influence on vaccine attitudes. Low levels of positive thinking intensified the effect of social influence on vaccine hesitancy.Conclusion: This study clarified the association of social influence with vaccine attitudes and the moderating effect of positive thinking on this association. Reputable medical centers can enhance patients’ confidence in vaccination policies and foster positive thinking to increase vaccine acceptance among patients with schizophrenia.Keywords: schizophrenia, COVID-19, Societal Influences Survey Questionnaire, vaccine attitudes, positive thinking, psychosocial impacthttps://www.dovepress.com/associations-between-psychosocial-influence-positive-thinking-and-vacc-peer-reviewed-fulltext-article-PRBMschizophreniaCOVID-19vaccine attitudesSISQpositive thinkingpsychosocial impact |
| spellingShingle | Li DJ Wang WC Chou FHC Hsu ST Hsieh KY Lin GG Wu PJ Liu CL Wu HC Huang JJ Associations Between Psychosocial Influence, Positive Thinking, and Vaccine Attitudes in Patients with Schizophrenia During the COVID-19 Pandemic Psychology Research and Behavior Management schizophrenia COVID-19 vaccine attitudes SISQ positive thinking psychosocial impact |
| title | Associations Between Psychosocial Influence, Positive Thinking, and Vaccine Attitudes in Patients with Schizophrenia During the COVID-19 Pandemic |
| title_full | Associations Between Psychosocial Influence, Positive Thinking, and Vaccine Attitudes in Patients with Schizophrenia During the COVID-19 Pandemic |
| title_fullStr | Associations Between Psychosocial Influence, Positive Thinking, and Vaccine Attitudes in Patients with Schizophrenia During the COVID-19 Pandemic |
| title_full_unstemmed | Associations Between Psychosocial Influence, Positive Thinking, and Vaccine Attitudes in Patients with Schizophrenia During the COVID-19 Pandemic |
| title_short | Associations Between Psychosocial Influence, Positive Thinking, and Vaccine Attitudes in Patients with Schizophrenia During the COVID-19 Pandemic |
| title_sort | associations between psychosocial influence positive thinking and vaccine attitudes in patients with schizophrenia during the covid 19 pandemic |
| topic | schizophrenia COVID-19 vaccine attitudes SISQ positive thinking psychosocial impact |
| url | https://www.dovepress.com/associations-between-psychosocial-influence-positive-thinking-and-vacc-peer-reviewed-fulltext-article-PRBM |
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