Identifying social participation subgroups of individuals with severe mental illnesses

A latent class analysis

S. A. Sanches, W. E. Swildens, J. T. van Busschbach , J. van Weeghel

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Abstract

Purpose
To investigate factors that influence participation in and needs for work and other daytime activities among individuals with severe mental illnesses (SMI).

Methods
A latent class analysis using routine outcome monitoring data from 1069 patients was conducted to investigate whether subgroups of individuals with SMI can be distinguished based on participation in work or other daytime activities, needs for care in these areas, and the differences between these subgroups.

Results
Four subgroups could be distinguished: (1) an inactive group without daytime activities or paid employment and many needs for care in these areas; (2) a moderately active group with some daytime activities, no paid employment, and few needs for care; (3) an active group with more daytime activities, no paid employment, and mainly met needs for care; and (4) a group engaged in paid employment without needs for care in this area. Groups differed significantly from each other in age, duration in MHC, living situation, educational level, having a life partner or not, needs for care regarding social contacts, quality of life, psychosocial functioning, and psychiatric symptoms. Differences were not found for clinical diagnosis or gender.

Conclusions
Among individuals with SMI, different subgroups can be distinguished based on employment situation, daytime activities, and needs for care in these areas. Subgroups differ from each other on patient characteristics and each subgroup poses specific challenges, underlining the need for tailored rehabilitation interventions. Special attention is needed for individuals who are involuntarily inactive, with severe psychiatric symptoms and problems in psychosocial functioning.
Original languageEnglish
Pages (from-to)1067-1077
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume54
Issue number9
DOIs
Publication statusPublished - 2019

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need for care
social participation
mental illness
Group
employment situation
social relations
participation
rehabilitation
quality of life
monitoring
gender

Keywords

  • ASSERTIVE COMMUNITY TREATMENT
  • CAMBERWELL ASSESSMENT
  • EMPLOYMENT
  • HEALTH
  • Latent class analysis
  • MANCHESTER SHORT ASSESSMENT
  • PEOPLE
  • Paid employment and daytime activities
  • QUALITY-OF-LIFE
  • RANDOMIZED CONTROLLED-TRIAL
  • Routine outcome monitoring
  • Severe mental illnesses
  • Social participation
  • TIME USE
  • WORK

Cite this

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title = "Identifying social participation subgroups of individuals with severe mental illnesses: A latent class analysis",
abstract = "PurposeTo investigate factors that influence participation in and needs for work and other daytime activities among individuals with severe mental illnesses (SMI).MethodsA latent class analysis using routine outcome monitoring data from 1069 patients was conducted to investigate whether subgroups of individuals with SMI can be distinguished based on participation in work or other daytime activities, needs for care in these areas, and the differences between these subgroups.ResultsFour subgroups could be distinguished: (1) an inactive group without daytime activities or paid employment and many needs for care in these areas; (2) a moderately active group with some daytime activities, no paid employment, and few needs for care; (3) an active group with more daytime activities, no paid employment, and mainly met needs for care; and (4) a group engaged in paid employment without needs for care in this area. Groups differed significantly from each other in age, duration in MHC, living situation, educational level, having a life partner or not, needs for care regarding social contacts, quality of life, psychosocial functioning, and psychiatric symptoms. Differences were not found for clinical diagnosis or gender.ConclusionsAmong individuals with SMI, different subgroups can be distinguished based on employment situation, daytime activities, and needs for care in these areas. Subgroups differ from each other on patient characteristics and each subgroup poses specific challenges, underlining the need for tailored rehabilitation interventions. Special attention is needed for individuals who are involuntarily inactive, with severe psychiatric symptoms and problems in psychosocial functioning.",
keywords = "ASSERTIVE COMMUNITY TREATMENT, CAMBERWELL ASSESSMENT, EMPLOYMENT, HEALTH, Latent class analysis, MANCHESTER SHORT ASSESSMENT, PEOPLE, Paid employment and daytime activities, QUALITY-OF-LIFE, RANDOMIZED CONTROLLED-TRIAL, Routine outcome monitoring, Severe mental illnesses, Social participation, TIME USE, WORK",
author = "Sanches, {S. A.} and Swildens, {W. E.} and {van Busschbach}, {J. T.} and {van Weeghel}, J.",
year = "2019",
doi = "10.1007/s00127-019-01704-y",
language = "English",
volume = "54",
pages = "1067--1077",
journal = "Social Psychiatry and Psychiatric Epidemiology",
issn = "0933-7954",
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}

Identifying social participation subgroups of individuals with severe mental illnesses : A latent class analysis. / Sanches, S. A.; Swildens, W. E.; van Busschbach , J. T.; van Weeghel, J.

In: Social Psychiatry and Psychiatric Epidemiology, Vol. 54, No. 9, 2019, p. 1067-1077.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Identifying social participation subgroups of individuals with severe mental illnesses

T2 - A latent class analysis

AU - Sanches, S. A.

AU - Swildens, W. E.

AU - van Busschbach , J. T.

AU - van Weeghel, J.

PY - 2019

Y1 - 2019

N2 - PurposeTo investigate factors that influence participation in and needs for work and other daytime activities among individuals with severe mental illnesses (SMI).MethodsA latent class analysis using routine outcome monitoring data from 1069 patients was conducted to investigate whether subgroups of individuals with SMI can be distinguished based on participation in work or other daytime activities, needs for care in these areas, and the differences between these subgroups.ResultsFour subgroups could be distinguished: (1) an inactive group without daytime activities or paid employment and many needs for care in these areas; (2) a moderately active group with some daytime activities, no paid employment, and few needs for care; (3) an active group with more daytime activities, no paid employment, and mainly met needs for care; and (4) a group engaged in paid employment without needs for care in this area. Groups differed significantly from each other in age, duration in MHC, living situation, educational level, having a life partner or not, needs for care regarding social contacts, quality of life, psychosocial functioning, and psychiatric symptoms. Differences were not found for clinical diagnosis or gender.ConclusionsAmong individuals with SMI, different subgroups can be distinguished based on employment situation, daytime activities, and needs for care in these areas. Subgroups differ from each other on patient characteristics and each subgroup poses specific challenges, underlining the need for tailored rehabilitation interventions. Special attention is needed for individuals who are involuntarily inactive, with severe psychiatric symptoms and problems in psychosocial functioning.

AB - PurposeTo investigate factors that influence participation in and needs for work and other daytime activities among individuals with severe mental illnesses (SMI).MethodsA latent class analysis using routine outcome monitoring data from 1069 patients was conducted to investigate whether subgroups of individuals with SMI can be distinguished based on participation in work or other daytime activities, needs for care in these areas, and the differences between these subgroups.ResultsFour subgroups could be distinguished: (1) an inactive group without daytime activities or paid employment and many needs for care in these areas; (2) a moderately active group with some daytime activities, no paid employment, and few needs for care; (3) an active group with more daytime activities, no paid employment, and mainly met needs for care; and (4) a group engaged in paid employment without needs for care in this area. Groups differed significantly from each other in age, duration in MHC, living situation, educational level, having a life partner or not, needs for care regarding social contacts, quality of life, psychosocial functioning, and psychiatric symptoms. Differences were not found for clinical diagnosis or gender.ConclusionsAmong individuals with SMI, different subgroups can be distinguished based on employment situation, daytime activities, and needs for care in these areas. Subgroups differ from each other on patient characteristics and each subgroup poses specific challenges, underlining the need for tailored rehabilitation interventions. Special attention is needed for individuals who are involuntarily inactive, with severe psychiatric symptoms and problems in psychosocial functioning.

KW - ASSERTIVE COMMUNITY TREATMENT

KW - CAMBERWELL ASSESSMENT

KW - EMPLOYMENT

KW - HEALTH

KW - Latent class analysis

KW - MANCHESTER SHORT ASSESSMENT

KW - PEOPLE

KW - Paid employment and daytime activities

KW - QUALITY-OF-LIFE

KW - RANDOMIZED CONTROLLED-TRIAL

KW - Routine outcome monitoring

KW - Severe mental illnesses

KW - Social participation

KW - TIME USE

KW - WORK

U2 - 10.1007/s00127-019-01704-y

DO - 10.1007/s00127-019-01704-y

M3 - Article

VL - 54

SP - 1067

EP - 1077

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

SN - 0933-7954

IS - 9

ER -