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Social inclusion and relationship satisfaction of patients with a severe mental illness

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  • Jitske F Koenders
  • Liselotte D de Mooij
  • Jack M Dekker
  • Martijn Kikkert

Abstract

Background: Research suggests that patients with a severe mental illness (SMI) are among the most social excluded in society. However, comparisons of social network composition and relationship satisfaction between SMI patients and a control group are rare. Aims: Our aim was to compare differences in size, satisfaction and composition of the social network between patients with SMI and a control group. Potential sociodemographic and clinical risk factors in relation to social network size in SMI patients were explored. Methods: The sample consisted of a control group ( N  = 949) and SMI patients ( N  = 211) who were under treatment in Dutch mental health care institutions. In these groups, network size, relationship satisfaction, sociodemographic and clinical (patients only) characteristics were assessed. Results: Social network size was 2.5 times lower in SMI patients, which was also reflected in a lower relationship satisfaction. The composition of the social network of SMI patients differs from that of controls: patients’ network seems to consist of a smaller part of friends. Different risk factors were associated with the impoverishment of the social network of family, friends and acquaintances of patients with SMI. Conclusion: SMI patients have very small networks compared to controls. This may be a problem, given the ongoing emphasis on outpatient treatment of SMI patients and self-dependence. This outcome advocates for more attention to social isolation of SMI patients and involvement of family in the treatment and aftercare of SMI patients.

Suggested Citation

  • Jitske F Koenders & Liselotte D de Mooij & Jack M Dekker & Martijn Kikkert, 2017. "Social inclusion and relationship satisfaction of patients with a severe mental illness," International Journal of Social Psychiatry, , vol. 63(8), pages 773-781, December.
    • Handle: RePEc:sae:socpsy:v:63:y:2017:i:8:p:773-781
    DOI: 10.1177/0020764017737572
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