The relationship between social networks and occupational and self-care functioning in people with psychosis

Evert, Helen; Harvey, Carol; Trauer, Tom; Herrman, Helen

doi:10.1007/s00127-003-0617-4

Cited by 71 publications

(13 citation statements)

References 32 publications

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“…Friends may also help them to preserve self-identity and their sense of worth in challenging circumstances [ 1 ]. Patients with psychosis with friends-dominated or friends-inclusive social networks were found to have less difficulties in self-care than those with family-dominated networks [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Social networks play an important role in patients with psychosis as they can mobilise resources, provide information, and help patients manage their illness [ 4 ]. The characteristics of patients’ networks influence their well-being, social functioning and use of mental health services [ 4 – 6 ]. Individuals with psychosis frequently experience difficulties in developing and maintaining social relationships [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Social networks of patients with psychosis: a systematic review

et al. 2015

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BackgroundSocial networks are important for mental health outcomes as they can mobilise resources and help individuals to cope with social stressors. Individuals with psychosis may have specific difficulties in establishing and maintaining social relationships which impacts on their well-being and quality of life. There has been a growing interest in developing social network interventions for patients with psychotic disorders. A systematic literature review was conducted to investigate the size of social networks of patients with psychotic disorders, as well as their friendship networks.MethodsA systematic electronic search was carried out in MEDLINE, EMBASE and PsychINFO databases using a combination of search terms relating to ‘social network’, ‘friendship’ and ‘psychotic disorder’.ResultsThe search identified 23 relevant papers. Out of them, 20 reported patient social network size. Four papers reported the mean number of friends in addition to whole network size, while three further papers focused exclusively on the number of friends. Findings varied substantially across the studies, with a weighted mean size of 11.7 individuals for whole social networks and 3.4 individuals for friendship networks. On average, 43.1 % of the whole social network was composed of family members, while friends accounted for 26.5 %.ConclusionsStudies assessing whole social network size and friendship networks of people with psychosis are difficult to compare as different concepts and methods of assessment were applied. The extent of the overlap between different social roles assessed in the networks was not always clear. Greater conceptual and methodological clarity is needed in order to help the development of effective strategies to increase social resources of patients with psychosis.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-015-1528-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Social networks of patients with psychosis: a systematic review

et al. 2015

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“…In light of high prevalence of unemployment, previous studies have aimed at investigating factors that predict poor vocational status in this group of patients. Inconsistent results indicate that such demographic variables as gender ( Beiser et al, 1994 ; Harrison, Croudace, Mason, Glazebrook, & Medley, 1996 ; McCreadie, 1982 ; Ran et al, 2011 ; Ucok et al, 2012 ), educational attainment ( Cougnard, Goumilloux, Monello, & Verdoux, 2009 ), previous work history ( Mueser, Salyers, & Mueser, 2001 ; Schennach-Wolff, Musil, Moller, & Riedel, 2012 ), marital status ( Evert, Harvey, Trauer, & Herrman, 2003 ; Loganathan & Murthy, 2011 ; Midin et al, 2011 ; Srinivasan & Thara, 1997 ) and rural or urban environment ( Munk-Jorgensen & Mortensen, 1992 ; Yang et al, 2013 ) are associated with vocational outcome. In turn, the following clinical factors have been found to increase unemployment rates: severity of negative symptoms ( Erickson, Jaafari, & Lysaker, 2011 ; Marwaha et al, 2009 ; Schennach-Wolff et al, 2009 ), impaired insight ( Erickson et al, 2011 ), cognitive dysfunction ( Tsang, Leung, Chung, Bell, & Cheung, 2010 ), duration of untreated psychosis ( Chang et al, 2012 ) and older age of schizophrenia onset ( Ran et al, 2011 ), comorbid metabolic syndrome ( Medeiros-Ferreira, Obiols, Navarro-Pastor, & Zuniga-Lagares, 2013 ) and the number ( Lay, Blanz, Hartmann, & Schmidt, 2000 ) and duration ( Nordt, Muller, Rossler, & Lauber, 2007 ) of hospitalizations.…”

Section: Introductionmentioning

confidence: 99%

Predictors of vocational status in schizophrenia patients – Results from the Polish nationwide survey

Kiejna

Piotrowski

Misiak

et al. 2015

Int J Soc Psychiatry

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Background:Steady employment constitutes one of most important aspects of functional recovery in schizophrenia. Therefore, there is a need for understanding clinical and demographic factors predicting vocational status in schizophrenia.Methods:Clinical and demographic data of 1,010 schizophrenia patients were gathered from public outpatient clinics. We compared patients who maintained employment between the diagnosis time point and the day of assessment, with the patients who were employed in the diagnosis time point but were unemployed on the day of assessment with respect to clinical and demographic variables.Results:Lower educational attainment, lower-income region of residence, medical comorbidities (obesity, diabetes and hypertension), first hospitalization at inpatient unit in comparison with the day hospital, higher total number of hospitalizations and the number of inpatient hospitalizations were found to serve as predictors of unemployment throughout the course of schizophrenia. After application of Bonferroni correction and logistic binary regression analysis, lower educational attainment, higher number of inpatient hospitalizations and obesity predicted unemployment.Conclusion:Education, obesity and the number of inpatient hospitalizations seem to predict vocational outcome in schizophrenia. This study warrants further investigation of medical comorbidities in schizophrenia in terms of social consequences in order to indicate the direction of this relationship.

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“…However, the first therapeutical contact after onset was not earlier or later than in other cases and also their living situation did not differ from the total group of evaluated patients [ 19 ]. Comparing the situation of employment [ 20 ] and primary income, however, the differences were significant and they imply that the group of LSH-patients were living under worse conditions than other patients even at the time of the first contact.…”

Section: Discussionmentioning

confidence: 99%

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Bartusch

Elgeti

Bastiaan

et al. 2006

Clin Pract Epidemiol Ment Health

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BackgroundThe problem of long-stay hospitalization is still a pressing issue. In this study we examined the possibility of detecting and characterising the group at risk of long-stay hospitalization in advance.MethodsThis study examines the data of patients in the urban catchment area of the Medical University of Hannover, capital of Lower Saxony, Germany, during a period of 10 years.Results and conclusionThe introduced "psychosocial risk-score", calculated at the first institutional contact, was able to predict the risk of long-term hospitalization. Characteristics of social disintegration, especially with regard to employment status, are of particular importance.

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The relationship between social networks and occupational and self-care functioning in people with psychosis

Cited by 71 publications

References 32 publications

Social networks of patients with psychosis: a systematic review

Social networks of patients with psychosis: a systematic review

Predictors of vocational status in schizophrenia patients – Results from the Polish nationwide survey

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