scholarly journals The relationship between social and environmental factors and symptom severity in the seriously mentally ill population

2020 ◽  
pp. 002076402097325
Author(s):  
Tara Von Mach ◽  
Katrina Rodriguez ◽  
Ramin Mojtabai ◽  
Stanislav Spivak ◽  
William W Eaton ◽  
...  

Background: The goal of this article is to investigate the relationship of psychiatric symptom severity with internalised stigma, neighbourhood environment, and social support among individuals with serious mental illness. Method: Using a longitudinal study design we examined the relationship between psychiatric symptom severity with internalised stigma, neighbourhood environment, and social support among 271 adults with serious mental illness recruited from new admissions to two urban mental health clinics. Results: After controlling for demographics increased stigma levels predicted greater symptom severity, as measured by the Positive and Negative Syndrome Scale (PANSS) Positive, Negative, and General Psychopathology scales over a 4-year period ( p < .05). In adjusted models, individuals who reported living in more disadvantaged neighbourhoods also reported higher PANSS Negative and General scores over time ( p < .05). Social support from friends and relatives was not significantly related to PANSS Positive, Negative, or General Psychopathology scores among individuals with serious mental illness. Conclusions: Individuals with serious mental illness who experience internalised stigma and neighbourhood disadvantage experience greater symptom severity over time. Targeting stigma and housing during treatment could potentially impact symptom severity in this population.

2016 ◽  
Vol 39 (4) ◽  
pp. 352-360 ◽  
Author(s):  
Elizabeth C. Thomas ◽  
Anjana Muralidharan ◽  
Deborah Medoff ◽  
Amy L. Drapalski

2020 ◽  
Vol 74 (8) ◽  
pp. 545-557
Author(s):  
Elisabeth Pearse ◽  
Sandra Bucci ◽  
Jessica Raphael ◽  
Katherine Berry

Author(s):  
Bryan P. McCormick ◽  
Eugene Brusilovskiy ◽  
Gretchen Snethen ◽  
Louis Klein ◽  
Greg Townley ◽  
...  

2019 ◽  
Vol 194 ◽  
pp. 128-135 ◽  
Author(s):  
Patrick J. Hammett ◽  
Harry A. Lando ◽  
Brent C. Taylor ◽  
Rachel Widome ◽  
Darin J. Erickson ◽  
...  

2015 ◽  
Vol 60 (3) ◽  
pp. 232-245 ◽  
Author(s):  
Julie Chronister ◽  
Chih-Chin Chou ◽  
Kwong-Liem Karl Kwan ◽  
Melissa Lawton ◽  
Kurt Silver

2017 ◽  
Vol 63 (5) ◽  
pp. 448-458 ◽  
Author(s):  
Bernadette AM Cullen ◽  
Ramin Mojtabai ◽  
Elahe Bordbar ◽  
Anita Everett ◽  
Katie L Nugent ◽  
...  

Background: Social network size and strength is an important determinant of overall health. Aims: This study describes the extent and strength of the social network among a sample of individuals with serious mental illness (SMI) and explores the relationship between an individual’s social network and their experience of internal stigma and recovery attitudes. Methods: Over a 2-year period, consecutive new patients with SMI attending two community mental health clinics were recruited and interviewed using a comprehensive battery of assessments including assessment of internalized stigma, recovery attitudes and symptom severity. Results: Among the 271 patients interviewed, social network size was small across all diagnostic categories. In adjusted results, the number of friends and support from relatives and friends was significantly related to the personal confidence and hope recovery attitude ( p < .05). The number of relatives and friends and support from relatives was significantly related to internalized stigma ( p < .05). Frequency of contact with relatives or friends was not related to either recovery factors or internalized stigma. Conclusion: There is a significant positive relationship between the size and perceived strength of an individual’s social network and internalized stigma and some recovery attitudes. Clinical programs that address any of these factors could potentially improve outcomes for this population.


2017 ◽  
Vol 97 (2) ◽  
pp. 202-223 ◽  
Author(s):  
Jason Matejkowski

Inmates with serious mental illness (SMI) or antisocial personality disorder (APD) average higher rates of disciplinary infractions than inmates without these conditions. This study builds upon these lines of research by examining the relationships among SMI and various types of prison misconduct, and whether these relationships are moderated by the presence of APD. SMI was observed significantly related to annual rates of both violent and serious nonviolent misconduct. APD moderated the relationship between SMI and serious nonviolent charges but not the relationship between SMI and violent charges. Implications for inmate management and classification practices aimed at ameliorating misconduct are discussed.


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