Links between social networks and quality of life: An epidemiologically representative study of psychotic patients in South London

Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London, UK.
Social Psychiatry and Psychiatric Epidemiology (Impact Factor: 2.54). 08/1998; 33(7):229-304. DOI: 10.1007/s001270050058
Source: PubMed


Quality of life has been found to be associated with social networks in patients with psychiatric disorders. We aimed to determine whether quality of life was related to social network size in group of severely mentally ill subjects living in the community. In a population-based, prospective controlled study of two sector mental health teams in South London, a random sample of representative 1-year prevalent cases of non-organic psychosis was identified. Patients were interviewed at baseline, and associations between quality of life and social network size were analyzed cross-sectionally. For average quality of life there was increase up to a certain level of social network size (about 20 social contacts). For the quality of life subscore on social relations there appeared to be an optimal middle level of network size (10-12), with lower subscores for smaller and larger networks. Multivariate analysis confirmed the associations between quality of life and social network size. In analyses of network subgroups the importance of confiding contacts was underlined.

8 Reads
  • Source
    • " both the quantity and quality of social support after the analysed conferences had increased . Although our study lacks causal relationships , on the bases of evidence from other studies , it is plausible that an increase in social support after the conferences positively affected resilience of clients and improved their quality of life ( e . g . Becker et al . , 1998 ; Lim et al . , 2014 ; Panayiotou & Karekla , 2013 ; Strine , Chapman , Baluz , & Mokdad , 2008 ; Sündermann , Onwumere , Kane , Morgan , & Kuipers , 2014 ) as well as in neighbourhoods that formerly were characterised by a lack of social contact and residential instability ( e . g . Drukker & Van Os , 2003 ) ."
    European Journal of Social Work 09/2015; DOI:10.1080/13691457.2015.1081585 · 0.58 Impact Factor
    • "(see among others Becker et al. 1998, Strine et al. 2008, Panayiotou & Karekla 2013, S€ undermann et al. 2013), it is plausible that FGC has potency to create conditions for the social embedding of clients with severe mental health problems . In this article we describe a case on the struggles of residents of a local neighbourhood living together with an ACT-client with schizophrenia. "
    [Show abstract] [Hide abstract]
    ABSTRACT: To understand whether and how Family Group Conferencing might contribute to the social embedding of clients with mental illness. Ensuring the social integration of psychiatric clients is a key aspect of community mental health nursing. Family Group Conferencing has potency to create conditions for clients' social embedding and subsequently can prevent coercive measures. A naturalistic qualitative case study on the process of one conference that was part of 41 conferences that had been organized and studied from January 2011-September 2013 in a public mental health care setting in the north of the Netherlands. Semi-structured interviews (N = 20) were conducted with four stakeholder groups (N = 13) involved in a conference on liveability problems in a local neighbourhood wherein a man with schizophrenia resides. To prevent an involuntary admission to a psychiatric ward of a man with schizophrenia, neighbourhood residents requested a family group conference between themselves, the sister of the man and the mental health organization. As a possible conference aggravated psychotic problems, it was decided to organize it without the client. Nine months after the conference, liveability problems in the neighbourhood had been reduced and coercive measures adverted. The conference strengthened the community and resulted in a plan countering liveability problems. The case indicates that social embedding of clients with severe psychiatric problems can be strengthened by Family Group Conferencing and that hence coercive measures can be prevented. A shift is required from working with the individual client to a community driven approach.
    Journal of Advanced Nursing 05/2014; 70(11). DOI:10.1111/jan.12445 · 1.74 Impact Factor
  • Source
    • "Ro¨ssler, & Hell, 2004; Schulze & Angermeyer, 2003), the effects of social isolation range from a higher number of psychiatric readmissions (Chinman, Weingarten, Stayner , & Davidson, 2001) to poorer general functioning (Erickson, Beiser, Iacono, Fleming, & Lin, 1989). On the other hand, well-integrated people with mental illness exhibit better outcomes regarding psychopathology and quality of life (Becker et al., 1998; Moïler et al., 1988). The importance of social integration is emphasized even more when considering the subjective availability of support: Perceived social support predicts outcome in terms of recovery from acute episodes of mental illness (George, Blazer, Hughes, & Fowler, 1989), community integration (Brent-Hall & Nelson, 1996), and quality of life (Ro¨ssler, Salize, Cucchiaro, Reinhard, & Kernig, 1999; Ruësch et al., 2004; Yanos, et al., 2001). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Perceived stigmatization of mentally ill people impairs their social relations and well-being. While perceived stigmatization theoretically and empirically has been accounted for as an independent and unalterable factor, this longitudinal study focuses on reciprocal effects between stigmatization and social ties. The duration of mental illness is included as a grouping variable to extend the longitudinal perspective. A sample of severely mentally ill persons (n=165) in two psychiatric hospitals in Zurich took part in a structured interview during their admission and 1 year later. Cross-lagged path models were designed to test the interrelations of (1) perceived stigmatization, (2) a defensive stigma coping orientation, (3) concrete stigmatizing experiences, and either (4) social network, or (5) perceived social support as dependent variables. Contrary to previous findings, neither of the three components of stigmatization tested has any influence on social network or support. Social support, though, strongly predicts perceived stigmatization 1 year later, but only in the group with a more recent onset of illness. This finding suggests that the perception of stigma is subject to modification in the course of new life circumstances and underlines the importance of activating social resources in the first years of mental illness. Duration of illness should be included as a central variable in future research, as it influences the nature of the relation between stigmatization and social ties.
    Social Science & Medicine 02/2006; 62(1):39-49. DOI:10.1016/j.socscimed.2005.05.014 · 2.89 Impact Factor
Show more