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'Modelling social exclusion in a diagnostically-mixed sample of people with severe mental illness'.

Mezey, G; White, S; Harrison, I; Bousfield, J; Killaspy, H; Lloyd-Evans, B; Payne, S (2022) 'Modelling social exclusion in a diagnostically-mixed sample of people with severe mental illness'. Int J Soc Psychiatry, 68 (2). pp. 420-428. ISSN 1741-2854 https://doi.org/10.1177/00207640211001893
SGUL Authors: White, Sarah Jane

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Abstract

BACKGROUND: Social inclusion is an important indicator of recovery in individuals with severe mental illness. The Social Inclusion Questionnaire User Experience (SInQUE) is a new measure of social inclusion for mental health service users which assesses five domains (consumption, production, access to services, social integration and civil engagement). It has good psychometric properties and is acceptable to service users and mental health professionals. It is not clear whether individuals with different diagnostic conditions experience a similar reduction in social inclusion. AIMS: (1) Investigate whether current social inclusion differs between diagnostic groups (people with schizophrenia/other psychotic disorders, common mental disorder or personality disorder); (2) Identify factors associated with lower social inclusion; (3) Examine associations between social inclusion and stigma, quality of life and loneliness. METHOD: Mental health service users with psychotic disorder, personality disorder or common mental disorder, living in the community, completed the SInQUE, alongside other validated outcome measures. Multiple regression investigated associations. RESULTS: About 192 service users (55% with psychotic disorder; 26% with common mental disorder; 19% with personality disorder). Current social inclusion did not vary according to diagnosis, except for the sub-domain of productivity, where individuals with personality disorder were more socially included than the other two groups. Lower social inclusion was associated with older age (p = .008), lack of higher education (p < .001), more previous admissions (p = .005), severity of current symptoms and greater experienced stigma (p = .006) and anticipated stigma (p = .035). Greater social inclusion was associated with better quality of life (p < .001) and less loneliness (p < .001). CONCLUSIONS: Barriers to social inclusion in individuals with severe mental health problems include factors related to the illness, such as symptom severity and external factors, such as stigma and discrimination. Social inclusion is a recovery goal and should be routinely assessed. Increasing people's social inclusion benefits service users in terms of improved mental health, better quality of life and reduced loneliness.

Item Type: Article
Additional Information: © The Author(s) 2021 http://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Keywords: Social inclusion, common mental disorder, mental illness, personality disorder, psychosis, Psychiatry, 1103 Clinical Sciences, 1701 Psychology
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: Int J Soc Psychiatry
ISSN: 1741-2854
Language: eng
Dates:
DateEvent
1 March 2022Published
17 March 2021Published Online
12 February 2021Accepted
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 33730906
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/113082
Publisher's version: https://doi.org/10.1177/00207640211001893

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