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Social support and clinical and functional outcome in people with schizophrenia

Author

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  • Antonio J Vázquez Morejón
  • Jose Mª León Rubio
  • Raquel Vázquez-Morejón

Abstract

Purpose: The impact of Social Support (SS) on the clinical and functional evolution of patients diagnosed with schizophrenia was studied from a multidimensional concept of SS in the framework of the vulnerability-stress model. Methods: In total, 152 patients diagnosed with schizophrenia according to the International Classification of Diseases, Tenth Edition (ICD-10) treated in a Community Mental Health Unit were assessed using the Mannheim Interview on Social Support (MISS) and the Brief Psychiatric Rating Scale (BPRS). Then they were followed up for 3 years with a final assessment for the period using the Social Functioning Scale. The impact of SS was explored in clinical and functional measurements with a multiple regression analysis in a 3-year longitudinal prospective design. Results: The quality of Global Social Support (GSS) and satisfaction with GSS appeared to be protective factors from frequency and duration of hospital admissions, with explanatory intensity varying from 9% in survival time to relapse to 13% in number of relapses. Concerning functional measurements, GSS quantity, quality and satisfaction showed an explanatory power for several different dimensions of social functioning, varying from 12% in isolation to 20% in communication. Conclusion: The results confirm SS as a protective factor in the evolution of schizophrenia patients and enable the SS variables with the most explanatory power in their clinical and functional evolution to be identified.

Suggested Citation

  • Antonio J Vázquez Morejón & Jose Mª León Rubio & Raquel Vázquez-Morejón, 2018. "Social support and clinical and functional outcome in people with schizophrenia," International Journal of Social Psychiatry, , vol. 64(5), pages 488-496, August.
    • Handle: RePEc:sae:socpsy:v:64:y:2018:i:5:p:488-496
    DOI: 10.1177/0020764018778868
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    References listed on IDEAS

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    1. Mueller, Brigitte & Nordt, Carlos & Lauber, Christoph & Rueesch, Peter & Meyer, Peter C. & Roessler, Wulf, 2006. "Social support modifies perceived stigmatization in the first years of mental illness: A longitudinal approach," Social Science & Medicine, Elsevier, vol. 62(1), pages 39-49, January.
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