Does personality moderate the association between social involvement and personal recovery in psychosis?

Social factors are central in personal recovery (PR) and treatment of psychosis. However, weak associations between social involvement and PR were found. We aimed to replicate this weak association, and test whether it was explained by a moderating effect of neuroticism and extraversion.

This cross-sectional study included 284 psychotic disorder patients. PR was assessed using the Recovery Quality of Life (ReQoL) questionnaire. Social involvement with a formative measure of the frequency of social interaction, and neuroticism and extraversion with the NEO Five Factor Inventory (NEO-FFI).

A small direct effect of social involvement on PR (β=-0.24, p < 0.001) was found, explaining 6% of the variance in PR. The addition of neuroticism (β=-0.60, p < 0.001) predicted 41% of variance in PR; extraversion (β = 0.34, p < 0.001) predicted 16%. We did not observe a moderating effect of neither neuroticism (β=-0.06, p = 0.232), nor extraversion (β = 0.01, p = 0.956).

The weak association between social involvement and PR could not be explained by the moderating effect of neuroticism or extraversion. The increase in explained variance in PR implies that neuroticism is associated with PR in a direct and clinically relevant way. This emphasizes the importance of attending to negative emotions and underlying stressors in treatment of psychosis.