Social contacts, friends and satisfaction with friendships in patients with psychotic, mood and neurotic disorders 1 year after hospitalisation: data from five European countries.
Europe
Friends
Quality of life
Social contacts
Social relationships
Journal
Social psychiatry and psychiatric epidemiology
ISSN: 1433-9285
Titre abrégé: Soc Psychiatry Psychiatr Epidemiol
Pays: Germany
ID NLM: 8804358
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
09
10
2019
accepted:
30
06
2020
pubmed:
7
7
2020
medline:
27
2
2021
entrez:
7
7
2020
Statut:
ppublish
Résumé
People with severe mental illness often struggle with social relationships, but differences among diagnostic groups are unclear. We assessed and compared objective and subjective social relationship indicators among patients with psychotic, mood and neurotic disorders one year after hospitalisation in five European countries (Belgium, Germany, Italy, Poland and United Kingdom). The number of social contacts, including family members and friends during the previous week (Social Network Schedule), and satisfaction with the number and quality of friendships (Manchester Short Assessment of Quality of Life Quality) were assessed by face-to-face interview. Linear regression models were used to analyse associations with diagnostic groups. Participants (n = 2155) reported on average 2.79 ± 2.37 social contacts overall in the previous week, among whom, a mean of 1.65 ± 1.83 (59.2 ± 38.7%) were friends. Satisfaction with friendships was moderate (mean 4.62, SD 1.77). In the univariable model, patients with psychotic disorders reported having less social contact with friends than those with either mood (p < 0.05) or neurotic disorders (p < 0.001), but this difference disappeared when adjusting for socioeconomic and clinical variables (β = - 0.106, 95% CI - 0.273 to 0.061, p = 0.215). Satisfaction with friendships was similar across diagnostic groups in both univariable (β = - 0.066, 95% CI - 0.222 to 0.090, p = 0.408) and multivariable models (β = 0.067, 95% CI - 0.096 to 0.229, p = 0.421). The two indicators showed a weak correlation in the total sample (total social contacts, r While objective and subjective social relationship indicators appear to be weakly correlated concepts, there is no variation in either indicator across diagnostic groups when confounders are taken into account among patients with severe mental illness. Interventions specifically targeting social relationships are needed, but they do not necessitate diagnosis-specific adaptations.
Sections du résumé
BACKGROUND
BACKGROUND
People with severe mental illness often struggle with social relationships, but differences among diagnostic groups are unclear. We assessed and compared objective and subjective social relationship indicators among patients with psychotic, mood and neurotic disorders one year after hospitalisation in five European countries (Belgium, Germany, Italy, Poland and United Kingdom).
METHODS
METHODS
The number of social contacts, including family members and friends during the previous week (Social Network Schedule), and satisfaction with the number and quality of friendships (Manchester Short Assessment of Quality of Life Quality) were assessed by face-to-face interview. Linear regression models were used to analyse associations with diagnostic groups.
RESULTS
RESULTS
Participants (n = 2155) reported on average 2.79 ± 2.37 social contacts overall in the previous week, among whom, a mean of 1.65 ± 1.83 (59.2 ± 38.7%) were friends. Satisfaction with friendships was moderate (mean 4.62, SD 1.77). In the univariable model, patients with psychotic disorders reported having less social contact with friends than those with either mood (p < 0.05) or neurotic disorders (p < 0.001), but this difference disappeared when adjusting for socioeconomic and clinical variables (β = - 0.106, 95% CI - 0.273 to 0.061, p = 0.215). Satisfaction with friendships was similar across diagnostic groups in both univariable (β = - 0.066, 95% CI - 0.222 to 0.090, p = 0.408) and multivariable models (β = 0.067, 95% CI - 0.096 to 0.229, p = 0.421). The two indicators showed a weak correlation in the total sample (total social contacts, r
CONCLUSION
CONCLUSIONS
While objective and subjective social relationship indicators appear to be weakly correlated concepts, there is no variation in either indicator across diagnostic groups when confounders are taken into account among patients with severe mental illness. Interventions specifically targeting social relationships are needed, but they do not necessitate diagnosis-specific adaptations.
Identifiants
pubmed: 32627062
doi: 10.1007/s00127-020-01915-8
pii: 10.1007/s00127-020-01915-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
363-373Subventions
Organisme : FP7 Ideas: European Research Council
ID : 602645
Références
Umberson D, Montez JK (2010) Social relationships and health: a flashpoint for health policy. J Health Soc Behav 51:S54–S66
doi: 10.1177/0022146510383501
Pantell M, Rehkopf D, Jutte D, Syme SL, Balmes J, Adler N (2013) Social isolation: a predictor of mortality comparable to traditional clinical risk factors. Am J Pub Health 103:2056–2062
doi: 10.2105/AJPH.2013.301261
Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D (2015) Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspect Psychol Sci 10:227–237
doi: 10.1177/1745691614568352
Valtorta NK, Kanaan M, Gilbody S, Ronzi S, Hanratty B (2016) Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart 102:1009–1016
doi: 10.1136/heartjnl-2015-308790
Jaremka LM, Andridge RR, Fagundes CP, Alfano CM, Povoski SP, Lipari AM, Kiecolt-Glaser JK (2014) Pain, depression, and fatigue: loneliness as a longitudinal risk factor. Health Psychol 33:948–957
doi: 10.1037/a0034012
Brugha T, Jenkins R, Bebbington P, Meltzer H, Lewis G, Farell M (2004) Risk factors and the prevalence of neurosis and psychosis in ethnic groups in Great Britain. Soc Psychiatry Psychiatr Epidemiol 39:939–946
doi: 10.1007/s00127-004-0830-9
Borge L, Martinsen EW, Ruud R, Watne Ø, Friis S (1999) Quality of life, loneliness, and social contact among long-term psychiatric patients. Psychiatr Serv 50:81–84
doi: 10.1176/ps.50.1.81
Bengtsson-Tops A, Hansson L (2001) Quantitative and qualitative aspects of the social network in schizophrenic patients living in the community. Relationship to sociodemographic characteristics and clinical factors and subjective quality of life. Int J Soc Psychiatry 47:67–77
doi: 10.1177/002076400104700307
Shiovitz-Ezra S, Ayalon L (2010) Situational versus chronic loneliness as risk factors for all-cause mortality. Int Psychogeriatr 22:455–462
doi: 10.1017/S1041610209991426
Rico-Uribe LA, Caballero FF, Martín-María N, Cabello M, Ayuso-Mateos JL, Miret M (2018) Association of loneliness with all-cause mortality: a meta-analysis. PLoS ONE 13(1):e0190033
doi: 10.1371/journal.pone.0190033
Meltzer H, Bebbington P, Dennis MS, Jenkins R, McManus S, Brugha TS (2013) Feelings of loneliness among adults with mental disorder. Soc Psychiatry Psychiatr Epidemiol 48:5–13
doi: 10.1007/s00127-012-0515-8
Palumbo C, Volpe U, Matanov A, Priebe S, Giacco D (2015) Social networks of patients with psychosis: a systematic review. BMC Res Notes 8:560
doi: 10.1186/s13104-015-1528-7
Holwerda T, Beekman A, Deeg D, Stek M, Van Tilburg T, Visser P, Schoevers R (2012) Increased risk of mortality associated with social isolation in older men: only when feeling lonely? Results from the Amsterdam Study of the Elderly (AMSTEL). Psychol Med 42:843–853
doi: 10.1017/S0033291711001772
Wang J, Lloyd-Evans B, Giacco D, Forsyth R, Nebo C, Mann F, Johnson S (2017) Social isolation in mental health: a conceptual and methodological review. Soc Psychiatry Psychiatr Epidemiol 52:1451–1461
doi: 10.1007/s00127-017-1446-1
Anderson-Gayer XC, Morgan C (2013) Social networks, support and early psychosis: a systematic review. Epidemiol Psychiatr Sci 22:131–146
doi: 10.1017/S2045796012000406
Cannon M, Jones P, Gilvarry C, Rifkin L, McKenzie K, Foerster A, Murray R (1997) Premorbid social functioning in schizophrenia and bipolar disorder: similarities and differences. Am J Psychiatry 154:1544–1550
pubmed: 9356562
Visentini C, Cassidy M, Bird VJ, Priebe S (2018) Social networks of patients with chronic depression: a systematic review. J Affect Disord 241:571–578
doi: 10.1016/j.jad.2018.08.022
Giacco D, Palumbo C, Strappelli N, Catapano F, Priebe S (2016) Social contacts and loneliness in people with psychotic and mood disorders. Compr Psychiatry 66:59–66
doi: 10.1016/j.comppsych.2015.12.008
Terzian E, Tognoni G, Bracco R, De Ruggieri E, Ficociello RA, Mezzina R, Pillo G (2013) Social network intervention in patients with schizophrenia and marked social withdrawal: a randomized controlled study. Can J Psychiatry 58:622–631
doi: 10.1177/070674371305801108
Anderson K, Laxhman N, Priebe S (2015) Can mental health interventions change social networks? A systematic review. BMC Psychiatry 15:297
doi: 10.1186/s12888-015-0684-6
Giacco D, Bird VJ, Ahmad T, Bauer M, Lasalvia A, Lorant V, Miglietta E, Moskalewicz J, Nicaise P, Pfenning A, Welbel M, Priebe S (2018) The same or different psychiatrists for in- and out-patient treatment? A multi-country natural experiment. Epidemiol Psychiatr Sci 18:1–9
World Health Organization (1992) The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. WHO, Geneva
Dunn M, O'Driscoll C, Dayson D, Wills W, Leff J (1990) The TAPS Project. 4: an observational study of the social life of long-stay patients. Br J Psychiatry 157:842–848
doi: 10.1192/bjp.157.6.842
Priebe S, Huxley P, Knight S, Evans S (1999) Application and results of the Manchester Short Assessment of Quality of Life (MANSA). Int J Soc Psychiatry 45:7–12
doi: 10.1177/002076409904500102
Guy W (2000) Clinical global impressions (CGI) scale. Psychiatric measures. APA, Washington DC
Ormel J, Jeronimus BF, Kotov R, Riese H, Bos EH, Hankin B, Rosmalen JGM, Oldehinkel AJ (2013) Neuroticism and common mental disorders: meaning and utility of a complex relationship. Clin Psychol Rev 33:686–697
doi: 10.1016/j.cpr.2013.04.003
Li X, Wong W, Lamoureux EL, Wong TY (2012) Are linear regression techniques appropriate for analysis when the dependent (outcome) variable is not normally distributed? Investig Ophthalmol Vis Sci 53:3082–3083
doi: 10.1167/iovs.12-9967
Gariepy G, Honkaniemi H, Quesnel-Vallee A (2016) Social support and protection from depression: systematic review of current findings in Western countries. Br J Psychiatry 209:284–293
doi: 10.1192/bjp.bp.115.169094
Wyngaerden F, Nicaise P, Dubois V, Lorant V (2019) Social support network and continuity of care: an ego-network study of psychiatric services. Soc Psychiatry Psychiatr Epidemiol 54:725–735
doi: 10.1007/s00127-019-01660-7
Dozier M, Harris M, Bergman H (1987) Social network density and rehospitalization among young adult patients. Hosp Community Psychiatry 38:61–65
pubmed: 3804240
Sörgaard K, Hansson L, Heikkilä J, Vinding HR, Bjarnason O, Bengtsson-Tops A, Merinder L, Nilsson LL, Sandlund M, Middlenoe T (2001) Predictors of social relations in persons with schizophrenia living in the community: a Nordic multicentre study. Soc Psychiatry Psychiatr Epidemiol 36:13–19
doi: 10.1007/s001270050285
Putnam R (1995) Bowling alone: America’s declining social capital. J Democr 6:64–78
doi: 10.1353/jod.1995.0002
Ehsan AM, de Silva MJ (2015) Social capital and common mental disorder: a systematic review. J Epidemiol Comm Health 69:1021–1028
doi: 10.1136/jech-2015-205868
Rüesch P, Graf J, Meyer PC, Rössler W, Hell D (2004) Occupation, social support and quality of life in persons with schizophrenic or affective disorders. Soc Psychiatry Psychiatr Epidemiol 39:686–694
doi: 10.1007/s00127-004-0812-y
Nagy E, Moore S (2017) Social interventions: an effective approach to reduce adult depression? J Aff Dis 218:131–152
doi: 10.1016/j.jad.2017.04.043
Giacco D, McCabe R, Kallert T, Hansson L, Fiorillo A, Priebe S (2012) Friends and symptom dimensions in patients with psychosis: a pooled analysis. PLoS ONE 7(11):e50119
doi: 10.1371/journal.pone.0050119
Nasser EH, Overholser JV (2005) Recovery from major depression: the role of support from family, friends, and spiritual beliefs. Acta Psychiatr Scand 111:125–132
doi: 10.1111/j.1600-0447.2004.00423.x