Housing Model for Persons with Serious Mental Illness Moderates the Relation Between Loneliness and Quality of Life

Weiner, Adi; Roe, David; Mashiach–Eizenberg, Michal; Baloush-Kleinman, Vered; Maoz, Hen; Yanos, Philip T.

doi:10.1007/s10597-009-9279-3

Cited by 34 publications

(43 citation statements)

References 26 publications

(50 reference statements)

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“…In contrast, inconsistent with previous research, we did not find an association between loneliness and cognition, which may be due to the relatively low levels of loneliness within our NC group. Within the schizophrenia group, similar to previous research, loneliness was positively associated with depression [ 25 ], anxiety [ 28 ], and positive symptoms [ 26 , 28 ], and negatively correlated with satisfaction with life [ 16 , 17 ]. We expanded on this research by demonstrating that loneliness was associated with a broader range of clinical and positive psychological characteristics, including age of schizophrenia onset, mental well-being, perceived stress, optimism, resilience, and happiness.…”

Section: Discussionsupporting

confidence: 85%

“…Recent surveys indicate that self-reported annual rates of loneliness among individuals with schizophrenia and other psychotic disorders (76 to 80%) are approximately 2.3 times higher than those in the general population (35%) [ 14 , 15 ]. Highlighting its clinical importance, loneliness has been reported as a significant contributor to worse quality of life in schizophrenia [ 16 , 17 ] and individuals with psychotic disorders cite loneliness as one of the most important challenges in their life, second only to financial concerns [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Loneliness in schizophrenia: Construct clarification, measurement, and clinical relevance

et al. 2018

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Loneliness is a highly prevalent experience in schizophrenia. Theoretical models developed in the general population propose that loneliness is tantamount to a feeling of being unsafe, is accompanied by enhanced environmental threat perception, and leads to poor physical, emotional, and cognitive functioning. Previous research has reported that loneliness is associated with poorer physical and emotional health in schizophrenia; however, few studies have directly compared loneliness and its correlates in persons with schizophrenia and non-psychiatric comparison subjects. The purpose of the current study was to evaluate similarities and differences in the construct of loneliness, the equivalency of the measurement of this construct, and similarities and differences in the pattern of external correlates of loneliness between schizophrenia and non-psychiatric comparison groups. The third version of the University of California, Los Angeles Loneliness Scale (UCLA-3) was administered to 116 individuals with schizophrenia or schizoaffective disorder and 106 non-psychiatric comparison subjects. Additional clinical and positive psychological measures were collected, as well as demographic characteristics of the two groups. Multiple groups confirmatory factor analysis revealed that the UCLA-3 was best characterized by a bifactor model in which all items loaded on a general loneliness dimension as well as one of two orthogonal method factors reflecting item wording in both groups. Furthermore, the UCLA-3 exhibited invariant measurement of these latent constructs across groups. Mean levels of loneliness were nearly a standard deviation higher in the schizophrenia group. Nonetheless, the overall pattern and strength of correlates were largely similar across groups, with loneliness being positively associated with depression, anxiety, and perceived stress, and negatively correlated with mental well-being, happiness, and resilience. Subtle differences in correlates of age, optimism, and satisfaction with life were found. Overall, loneliness appears to be distinct from other schizophrenia-related deficits and operates similarly across schizophrenia and NC groups, suggesting that theoretical models of loneliness developed in the general population may generalize to schizophrenia.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Loneliness in schizophrenia: Construct clarification, measurement, and clinical relevance

et al. 2018

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“…Loneliness is one of the factors that lead to decreased QOL in people diagnosed with schizophrenia (Weiner et al . , Roe et al . ).…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have shown that members of this group describe problems with loneliness (Weiner et al . , Roe et al . ).…”

Section: Introductionmentioning

confidence: 99%

Loneliness and related factors among people with schizophrenia in Japan: a cross‐sectional study

Shioda

Tadaka

Okochi

2016

Psychiatric Ment Health Nurs

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This is an open access article under the terms of the Creative CommonsAttribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. Accessible summaryWhat is known about the subject?• Loneliness among people diagnosed with schizophrenia is a serious problem.Recent studies have focused on the loneliness; however, no study has examined the relationships between loneliness and both individual and environmental factors comprehensively.What this paper adds to existing knowledge?• The main results indicated that the community-dwelling people diagnosed with schizophrenia in Japan as well as in other countries experienced higher levels of loneliness. Both individual and environmental factors were related to loneliness. Increasing the self-efficacy for community life and self-esteem of individual factors, and not being socially isolated and increasing community integration of environmental factors would improve their loneliness.What are the implications for practice?• Health practitioners, in particular, public health nurses in mental health care, should work to develop a partnership with people diagnosed with schizophrenia, their family members, friends and other community-dwelling people in order to decrease and prevent loneliness. For individuals diagnosed with schizophrenia, interventions by cooperating with community resources and using the technique of nurses to assist them with continuous community activity could be useful. For environmental interventions, population approach such as developing daily programmes which family members can participate in, and cooperating with educational institutions and community events could have a positive effects. AbstractIntroduction: Loneliness among people diagnosed with schizophrenia living in communities can decrease quality of life and may contribute to suicide. Aim: The aim of this study was to examine the levels of loneliness among Japanese people diagnosed with schizophrenia and to identify individual and environmental factors related to their loneliness. Method: A cross-sectional survey was conducted with 264 people diagnosed with schizophrenia who use local activity support centres in urban areas. The self-administered questionnaires included questions on loneliness, demographic characteristics, individual factors including self-efficacy for community life and self-esteem, and environmental factors including social isolation, community integration and service use. Results: The study results indicated that people diagnosed with schizophrenia in Japan experience higher levels of loneliness, corroborating results from other countries. Multiple regression analysis showed that a lower level of self-efficacy for community life, self-esteem, community integration and social isolation predicted a higher level of loneliness, accounting for 55.3% of

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“…Weiner et al. () found similar degrees of loneliness among group home and supported housing residents, whereas Dorvil, Morin, Beaulieu, and Robert () identified an increased risk for loneliness in scattered‐site housing, as opposed to “dedicated” or congregate models where more opportunities for social interaction were available. Another study involving former psychiatric nursing home residents living in communities found that the loneliest participants were those who had remained in institutions (Borge, Martinsen, Ruud, Watne, & Friis, ).…”

Section: Introductionmentioning

confidence: 99%

Supported housing for adults with psychiatric disabilities: How tenants confront the problem of loneliness

Piat

Sabetti

Padgett

2017

Health Soc Care Community

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The objective of this study was to examine the experience of loneliness among people with psychiatric disabilities after moving from custodial housing, including group homes, boarding homes, and family-type residences to independent, supported apartments in the community. Qualitative research methods guided by a naturalistic/constructivist framework were used. Data collection occurred between May 2014 and July 2015 and consisted of individual semi-structured interviews with 24 tenants residing in five supported housing sites across three Canadian provinces; interviews were also conducted with a designated family member for each tenant and with their service providers. Group interviews were conducted with housing workers in the five housing sites. The interviews were transcribed verbatim, codes generated and a thematic analysis undertaken using a constructivist approach. Results showed that for most tenants living in independent apartments with support loneliness was not a serious problem or was an issue that could be overcome. Most study participants viewed supported housing as preferable to custodial housing and as a normalising experience that facilitated community integration. While housing conditions, particularly those associated with congregate housing, sometimes helped attenuate loneliness among tenants, managing loneliness was primarily contingent on the ability of individuals to develop and maintain social connections, as well as on family involvement.

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Housing Model for Persons with Serious Mental Illness Moderates the Relation Between Loneliness and Quality of Life

Cited by 34 publications

References 26 publications

Loneliness in schizophrenia: Construct clarification, measurement, and clinical relevance

Loneliness in schizophrenia: Construct clarification, measurement, and clinical relevance

Loneliness and related factors among people with schizophrenia in Japan: a cross‐sectional study

Supported housing for adults with psychiatric disabilities: How tenants confront the problem of loneliness

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