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‘Modelling social exclusion in a diagnostically-mixed sample of people with severe mental illness’

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Listed:
  • Gillian Mezey
  • Sarah White
  • Isobel Harrison
  • Jennifer Bousfield
  • Helen Killaspy
  • Brynmor Lloyd-Evans
  • Sarah Payne

Abstract

Background: Social inclusion is an important indicator of recovery in individuals with severe mental illness. The Social Inclusion Questionnaire User Experience (SInQUE) is a new measure of social inclusion for mental health service users which assesses five domains (consumption, production, access to services, social integration and civil engagement). It has good psychometric properties and is acceptable to service users and mental health professionals. It is not clear whether individuals with different diagnostic conditions experience a similar reduction in social inclusion. Aims: (1) Investigate whether current social inclusion differs between diagnostic groups (people with schizophrenia/other psychotic disorders, common mental disorder or personality disorder); (2) Identify factors associated with lower social inclusion; (3) Examine associations between social inclusion and stigma, quality of life and loneliness. Method: Mental health service users with psychotic disorder, personality disorder or common mental disorder, living in the community, completed the SInQUE, alongside other validated outcome measures. Multiple regression investigated associations. Results: About 192 service users (55% with psychotic disorder; 26% with common mental disorder; 19% with personality disorder). Current social inclusion did not vary according to diagnosis, except for the sub-domain of productivity, where individuals with personality disorder were more socially included than the other two groups. Lower social inclusion was associated with older age ( p  = .008), lack of higher education ( p  

Suggested Citation

  • Gillian Mezey & Sarah White & Isobel Harrison & Jennifer Bousfield & Helen Killaspy & Brynmor Lloyd-Evans & Sarah Payne, 2022. "‘Modelling social exclusion in a diagnostically-mixed sample of people with severe mental illness’," International Journal of Social Psychiatry, , vol. 68(2), pages 420-428, March.
  • Handle: RePEc:sae:socpsy:v:68:y:2022:i:2:p:420-428
    DOI: 10.1177/00207640211001893
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    References listed on IDEAS

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    1. S. Priebe & P. Huxley & S. Knight & S. Evans, 1999. "Application and Results of the Manchester Short Assessment of Quality of Life (Mansa)," International Journal of Social Psychiatry, , vol. 45(1), pages 7-12, March.
    2. Anita Bengtsson-Tops & Lars Hansson, 2001. "Quantitative and Qualitative Aspects of the Social Network in Schizophrenic Patients Living in the Community. Relationship To Sociodemographic Characteristics and Clinical Factors and Subjective Quali," International Journal of Social Psychiatry, , vol. 47(3), pages 67-77, September.
    3. Gillian Mezey & Sarah White & Ajoy Thachil & Rachel Berg & Sen Kallumparam & Omar Nasiruddin & Christine Wright & Helen Killaspy, 2013. "Development and preliminary validation of a measure of social inclusion for use in people with mental health problems: The SInQUE," International Journal of Social Psychiatry, , vol. 59(5), pages 501-507, August.
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