Social Networks and Social Interaction among People with Psychiatric Disabilities-Comparison of Users of Day Centres and Clubhouses

Hultqvist, Jenny; Markström, Urban; Tjörnstrand, Carina; Eklund, Mona

doi:10.5539/gjhs.v9n6p107

Cited by 7 publications

(14 citation statements)

References 54 publications

(77 reference statements)

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“…To conclude, the result indicates that attending clubhouse programmes is beneficial for QOL in the long term. The present study's result, together with the results from previous studies in the larger project, suggests that clubhouses appear to be advantageous in terms of factors of importance for mental health recovery .…”

Section: Discussionsupporting

confidence: 75%

“…Findings so far indicate that clubhouses appear beneficial when compared to DC services regarding for example the ability to influence decisions regarding the programme and choice among occupations (25). Moreover, the clubhouse members more often had a close friend and larger social networks when compared to DC attendees (25), which have been found to be important for QOL (21). Previous research has also shown that satisfaction with community psychosocial services and satisfaction with daily occupations are positively associated with QOL (4,21,22).…”

Section: Previous Research On Qolmentioning

confidence: 95%

“…This study is part of a larger project comparing DCs and clubhouses . Findings so far indicate that clubhouses appear beneficial when compared to DC services regarding for example the ability to influence decisions regarding the programme and choice among occupations . Moreover, the clubhouse members more often had a close friend and larger social networks when compared to DC attendees , which have been found to be important for QOL .…”

Section: Introductionmentioning

confidence: 96%

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Quality of life among people with psychiatric disabilities attending community‐based day centres or Clubhouses

Hultqvist

Markström

Tjörnstrand

et al. 2018

Scandinavian Caring Sciences

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Section: Discussionsupporting

confidence: 75%

Section: Previous Research On Qolmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 96%

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Quality of life among people with psychiatric disabilities attending community‐based day centres or Clubhouses

Hultqvist

Markström

Tjörnstrand

et al. 2018

Scandinavian Caring Sciences

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“…Community-based clubs (CC) are day care services ( 40 ), which have been formed based on the concept of the Clubhouse Model of psychosocial rehabilitation ( 41 ). Their main purpose is to help mentally ill people, usually living in social isolation, find their way to the community.…”

Section: Introductionmentioning

confidence: 99%

Community-Based Psychosocial Treatment Has an Impact on Social Processing and Functional Outcome in Schizophrenia

et al. 2018

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Schizophrenic patients have serious impairments in social cognition, which often persists after significant reduction in clinical symptoms. Community-based psychosocial treatments aim to recover social functioning for mentally ill individuals. Our aim was to examine prospective changes in social cognition and functional outcomes in two groups of schizophrenic patients involved in two forms of community-based psychosocial treatments namely case management (CM) and community-based club (CC) compared to a matched, treatment as usual (TAU) group of patients. We hypothesized that CC and CM groups would exhibit better functional and social cognitive outcomes after a 6-month long psychosocial treatment period. Seventy-five patients participated either in CC, CM or TAU. Both CC and CM took part in community-based psychosocial treatment programs including trainings, such as communication and assertiveness trainings. In addition, CC provided group therapeutic treatments and a continuously available day care where patients had the possibility to participate in various social interactions. All participants were in remission, and on maintenance antipsychotic treatment. Participants were assessed on all study variables at two time points: baseline and after 6 months with a battery of questionnaires that examined affective face perception, affective prosody perception, pragmatic language comprehension and ToM. Our results showed that functional outcomes improved significantly in the CC as well as in the CM groups, in contrast to the TAU group. While analyzing summary scores of social cognition, it was found that only the CC group increased its performance in social cognition. In addition, a significant between-group difference in social cognitive function was found after 6 months between the three groups, with the CC group performing best. When investigating associations between changes in social cognition and changes in functional outcomes during a 6-month long treatment period, we found significant correlations between the two variables both in the CC and in the CM groups. Based on our results, we suggest that a rich interpersonal network and social support have highly beneficial effects on social cognition and we would like to emphasize the necessity of offering community-based psychosocial treatments beside antipsychotic medications as early as possible as a crucial part of the complex therapy of schizophrenia.

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“…Having a friend is related to one’s social network [55] and to social support, which have been suggested as important factors to focus on in interventions for mental health service users [30, 56], as well as recovery-oriented mental health care [57]. In addition to the occupational balance leisure domain, having a close friend was also found to be correlated with QOL at BEL end and with general occupational balance at the six-month follow-up.…”

Section: Discussionmentioning

confidence: 99%

Predictors of clinically important improvements in occupational and quality of life outcomes among mental health service users after completion and follow-up of a lifestyle intervention: multiple regression modelling based on longitudinal data

et al. 2019

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BackgroundBalancing Everyday Life (BEL) is a new activity-based lifestyle intervention for mental health service users. An earlier study found BEL to be effective in increasing occupational engagement, occupational balance, activity level, and quality of life scores when compared with a care-as-usual group. However, it is unclear whether care context and socio-demographic, clinical and self-related factors at baseline also influence the results. Thus, the aim of the current study was to explore whether such factors could predict clinically important improvements in occupational and quality of life aspects.MethodsParticipants were interviewed and filled out self-report questionnaires before starting the 16-week intervention (n = 133), upon completion (n = 100), and 6 months following (n = 89). Bi-variate and multi-variate statistical analyses were performed.ResultsSeveral baseline factors were associated with clinically important improvements, but few predictors were found in the multivariate analyses. Having children was found to be a predictor of improvement in occupational engagement at BEL completion, but reduced the chance of belonging to the group with clinically important improvement in activity level at follow-up. Regarding occupational balance, having a close friend predicted belonging to the group with clinically important improvement in the leisure domain. At BEL completion, other predictors for improvements were female gender for the self-care domain, and self-esteem for the home chores domain. At follow-up, psychosocial functioning and lower education level predicted general balance. None of the factors explored in this study were found to be predictors for improvements in quality of life.ConclusionsFew of the studied care context, socio-demographic, clinical and self-related factors were found to predict clinically important improvements in occupational engagement, activity level, occupational balance, or QOL. This study, together with previous studies showing positive results, suggests that BEL can be an appropriate intervention in both community and clinical settings, and can support improvement in occupational aspects and QOL for participants with diverse socio-demographic, clinical, and self-related characteristics.Trial registrationThis study is part of a larger research project that is registered at ClinicalTrials.gov. Reg. No. NCT02619318.

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Social Networks and Social Interaction among People with Psychiatric Disabilities-Comparison of Users of Day Centres and Clubhouses

Cited by 7 publications

References 54 publications

Quality of life among people with psychiatric disabilities attending community‐based day centres or Clubhouses

Quality of life among people with psychiatric disabilities attending community‐based day centres or Clubhouses

Community-Based Psychosocial Treatment Has an Impact on Social Processing and Functional Outcome in Schizophrenia

Predictors of clinically important improvements in occupational and quality of life outcomes among mental health service users after completion and follow-up of a lifestyle intervention: multiple regression modelling based on longitudinal data

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