Community participation is important to the well-being of people with serious mental illnesses. While theories suggest that depressive symptoms can negatively impact community participation, evidence from previous studies was inconclusive. This study analyzed the relationship between severity of depressive symptoms and various participation constructs including number of days of participation in various community activities, breadth of interests in participating in community activities, and satisfaction with the amount to which one participates. A national sample of individuals with serious mental illnesses (n = 296) was employed. Overall, those who were severely depressed had fewer total days of participation, reported fewer participation areas as important, were less likely to participate in those areas that were important to them, and were less likely to participate as much as they wanted to in areas that were important to them. This relationship generally remained even after controlling for demographics. Overall, the findings from this study suggest that greater attention should be paid to the relationship between depressive symptoms and community participation in this population, including explorations that examine how the promotion of participation may have an impact on depressive symptoms.
Public Policy Relevance StatementThe results from this study suggest that more depressive symptoms are associated with less community participation. While most attention is likely paid to directly targeting the reduction of depressive symptoms through treatment, which could result in increased participation, it is also plausible that interventions aimed at promoting participation could also reduce depressive symptoms. One implication of this study is that more clinical, rehabilitation, and research attention should be paid to this relationship, including more steps directly aimed at promoting participation that may offer an additional pathway to addressing depression in this population. aaa P articipation in the community has gained increasing attention as a predictor of well-being (Burns-Lynch et al., 2016;Ding et al., 2015;Huebner et al., 2003). Community participation refers to the extent to which people live, work, learn, and fully engage in their communities, which involves meaningful social roles in employment, education, as well as personally meaningful activities in other social and civic life, such as recreation and leisure, religious and spirituality, and political participation (World Health Organization, 2001). Theorists have argued that well-being can be achieved through engagement in such personally meaningful activities (