The effect of chronotype on social functioning in schizophrenic patients: examining the chain-mediating role of sleep quality and anxiety

IntroductionThis study examines the relationship between chronotype and social functioning in individuals with schizophrenia, specifically assessing the mediating roles of sleep quality and anxiety symptoms.Methods785 Chinese patients with schizophrenia (aged 18-60) completed assessments using the M...

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Main Authors: Zheng Luo, Jing Zhang, Maoting Guo, Dongmei Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1574414/full
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author Zheng Luo
Jing Zhang
Maoting Guo
Dongmei Wu
author_facet Zheng Luo
Jing Zhang
Maoting Guo
Dongmei Wu
author_sort Zheng Luo
collection DOAJ
description IntroductionThis study examines the relationship between chronotype and social functioning in individuals with schizophrenia, specifically assessing the mediating roles of sleep quality and anxiety symptoms.Methods785 Chinese patients with schizophrenia (aged 18-60) completed assessments using the Morningness–Eveningness Questionnaire (chronotype), Pittsburgh Sleep Quality Index (sleep quality), General Anxiety Disorder-7 (anxiety), and Personal Social Performance Scale (social functioning). Hayes’ SPSS process macros were used for analysis.ResultsSignificant associations were found, with chronotype directly impacting social functioning. Indirect mediation effects occurred through two pathways: anxiety alone, and a chain involving sleep quality and anxiety.DiscussionThese findings contribute to understanding how chronotype influences social functioning in schizophrenia, offering insights for recovery support.
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spelling doaj-art-b8115fc70ec24467a5fe0488b674eb3d2025-08-20T03:32:15ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-06-011610.3389/fpsyt.2025.15744141574414The effect of chronotype on social functioning in schizophrenic patients: examining the chain-mediating role of sleep quality and anxietyZheng Luo0Jing Zhang1Maoting Guo2Dongmei Wu3School of Nursing, Chengdu Medical College, Chengdu, Sichuan, ChinaSchool of Nursing, Chengdu Medical College, Chengdu, Sichuan, ChinaSchool of Nursing, Chengdu Medical College, Chengdu, Sichuan, ChinaDepartment of Nursing, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaIntroductionThis study examines the relationship between chronotype and social functioning in individuals with schizophrenia, specifically assessing the mediating roles of sleep quality and anxiety symptoms.Methods785 Chinese patients with schizophrenia (aged 18-60) completed assessments using the Morningness–Eveningness Questionnaire (chronotype), Pittsburgh Sleep Quality Index (sleep quality), General Anxiety Disorder-7 (anxiety), and Personal Social Performance Scale (social functioning). Hayes’ SPSS process macros were used for analysis.ResultsSignificant associations were found, with chronotype directly impacting social functioning. Indirect mediation effects occurred through two pathways: anxiety alone, and a chain involving sleep quality and anxiety.DiscussionThese findings contribute to understanding how chronotype influences social functioning in schizophrenia, offering insights for recovery support.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1574414/fullschizophreniachronotypesleep qualityanxietysocial functioningchain mediation
spellingShingle Zheng Luo
Jing Zhang
Maoting Guo
Dongmei Wu
The effect of chronotype on social functioning in schizophrenic patients: examining the chain-mediating role of sleep quality and anxiety
Frontiers in Psychiatry
schizophrenia
chronotype
sleep quality
anxiety
social functioning
chain mediation
title The effect of chronotype on social functioning in schizophrenic patients: examining the chain-mediating role of sleep quality and anxiety
title_full The effect of chronotype on social functioning in schizophrenic patients: examining the chain-mediating role of sleep quality and anxiety
title_fullStr The effect of chronotype on social functioning in schizophrenic patients: examining the chain-mediating role of sleep quality and anxiety
title_full_unstemmed The effect of chronotype on social functioning in schizophrenic patients: examining the chain-mediating role of sleep quality and anxiety
title_short The effect of chronotype on social functioning in schizophrenic patients: examining the chain-mediating role of sleep quality and anxiety
title_sort effect of chronotype on social functioning in schizophrenic patients examining the chain mediating role of sleep quality and anxiety
topic schizophrenia
chronotype
sleep quality
anxiety
social functioning
chain mediation
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1574414/full
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