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Neighbourhood characteristics and social isolation of people with psychosis : a multi-site cross-sectional study
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Giacco, Domenico, Kirkbride, James B., Ermakova, Anna O., Webber, Martin, Xanthopoulou, Penny and Priebe, Stefan (2022) Neighbourhood characteristics and social isolation of people with psychosis : a multi-site cross-sectional study. Social Psychiatry and Psychiatric Epidemiology, 57 . pp. 1907-1915. doi:10.1007/s00127-021-02190-x ISSN 0933-7954.
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Official URL: http://dx.doi.org/10.1007/s00127-021-02190-x
Abstract
Purpose:
People with psychosis are vulnerable to social isolation, which is associated with worse clinical outcomes. In general populations, people living in areas with higher population density have more social contacts, while those living in more socially deprived and fragmented areas are less satisfied with their relationships. We assessed whether and how neighbourhood factors are associated with social contacts and satisfaction with friendships for people with psychosis.
Methods:
We carried out a cross-sectional study including people with psychosis aged 18–65 years in urban and rural sites in England. Population density and social deprivation and fragmentation indexes were described within Lower Level Super Output Areas (LSOA). Their associations with participants’ social contacts and satisfaction with friendships were tested with negative binomial and ordinal regression models, respectively.
Results:
We surveyed 511 participants with psychotic disorders. They had a median of two social contacts in the previous week (interquartile range [IQR] = 1–4), and rated satisfaction with friendships as 5 out of 7 (Manchester Short Assessment of Quality of Life; IQR = 4–6). Higher population density was associated with fewer social contacts (Z-standardised relative risk [RR] = 0.88; 95% CI = 0.79–0.99, p = 0.03), but not with satisfaction with friendships (RR = 1.08; 95% CI = 0.93–1.26, p = 0.31). No associations were found for social contacts or satisfaction with friendships with social deprivation or fragmentation indexes.
Conclusions:
Clinicians in urban areas should be aware that their patients with psychosis are more socially isolated when more people live around them, and this could impact their clinical outcomes. These findings may inform housing programmes.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RC Internal medicine | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Psychoses -- Social aspects, Schizophrenia, Social isolation, Mental illness -- Social aspects, Marginality, Social, Social networks -- Psychological aspects, Neighborhoods -- Social aspects | ||||||||
Journal or Publication Title: | Social Psychiatry and Psychiatric Epidemiology | ||||||||
Publisher: | Springer | ||||||||
ISSN: | 0933-7954 | ||||||||
Official Date: | September 2022 | ||||||||
Dates: |
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Volume: | 57 | ||||||||
Page Range: | pp. 1907-1915 | ||||||||
DOI: | 10.1007/s00127-021-02190-x | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 31 January 2022 | ||||||||
Date of first compliant Open Access: | 1 February 2022 | ||||||||
RIOXX Funder/Project Grant: |
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