Abstract:
BACKGROUND:Loneliness is common in people with psychotic disorders and associated with reduced health and well-being. The relationship between loneliness in psychosis and health service use is unclear. This study examined whether loneliness predicts increased health care utilization in this population, independently of sociodemographics, health and functioning. METHODS:We used cross-sectional data from the Second Australian National Survey of Psychosis. Loneliness was assessed using a single-item question, rated on a 4-point scale (not lonely; lonely occasionally; some friends but lonely for company; socially isolated and lonely). Health service use (past 12-months) was measured by the number of general practitioner (GP), emergency department (ED) and outpatient visits, inpatient admissions, and home visits by mental health professionals. Frequent hospital users comprised those in the top 15% of users of at least two services. RESULTS:Negative binomial regression analysis showed that loneliness was associated with an increased number of GP visits, ED visits and inpatient admissions, only. Socially isolated and lonely survey participants were more than twice as likely (OR = 2.6) of being 'frequent users' compared to non-lonely responders. Following stringent adjustment for covariates, loneliness remained significantly associated with being a 'frequent user' and showed a non-significant trend to an increased number of GP visits and inpatient admissions. CONCLUSIONS:Loneliness is a complex social and personal problem for people with psychosis, related to greater use of some health services. Better strategies for identifying and responding to loneliness in this population have the potential to increase well-being and contain health service utilization costs.
journal_name
Schizophr Resjournal_title
Schizophrenia researchauthors
Badcock JC,Di Prinzio P,Waterreus A,Neil AL,Morgan VAdoi
10.1016/j.schres.2020.05.059subject
Has Abstractpub_date
2020-09-01 00:00:00pages
105-111eissn
0920-9964issn
1573-2509pii
S0920-9964(20)30339-Xjournal_volume
223pub_type
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journal_title:Schizophrenia research
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journal_title:Schizophrenia research
pub_type: 杂志文章,多中心研究
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journal_title:Schizophrenia research
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journal_title:Schizophrenia research
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journal_title:Schizophrenia research
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2003.08.007
更新日期:2004-04-01 00:00:00
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pub_type: 杂志文章
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2013.07.052
更新日期:2013-12-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章,评审
doi:10.1016/j.schres.2010.11.005
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pub_type: 杂志文章
doi:10.1016/s0920-9964(99)00150-4
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journal_title:Schizophrenia research
pub_type: 杂志文章,评审
doi:10.1016/j.schres.2004.07.005
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pub_type: 临床试验,杂志文章,多中心研究
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
doi:10.1016/j.schres.2011.12.007
更新日期:2012-03-01 00:00:00
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更新日期:1996-10-18 00:00:00
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pub_type: 杂志文章
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更新日期:1999-05-25 00:00:00
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pub_type: 杂志文章
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更新日期:1993-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00