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Use of psychiatric hospitals and social integration of patients with psychiatric disorders: a prospective cohort study in five European countries.

ABSTRACT: PURPOSE:Long lengths of stay (LoS) in psychiatric hospitals or repeated admission may affect the social integration of patients with psychiatric disorders. So far, however, studies have been inconclusive. This study aimed to analyse whether long LoS or repeated admissions in psychiatric wards were associated in different ways with changes in the social integration of patients. METHODS:Within a prospective cohort study, data were collected on 2181 patients with a main ICD-10 diagnosis of psychotic, affective, or anxiety disorder, hospitalised in the UK, Italy, Germany, Poland, and Belgium in 2015. Social integration was measured at baseline and 1 year after admission using the SIX index, which includes four dimensions: employment, housing, family situation, and friendship. Regression models were performed to test the association between LoS, the number of admissions, and the change in social integration over the study period, controlling for patients' characteristics (trial registration ISRCTN40256812). RESULTS:A longer LoS was significantly associated with a decrease in social integration (??=?-?0.23, 95%CI -?0.32 to -?0.14, p?=?0.03), particularly regarding employment (OR?=?2.21, 95%CI 1.18-3.24, p?=?0.02), housing (OR?=?3.45, 95%CI 1.74-5.16, p?

SUBMITTER: Smith P

PROVIDER: S-EPMC7578147 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Use of psychiatric hospitals and social integration of patients with psychiatric disorders: a prospective cohort study in five European countries.

Smith Pierre P Nicaise Pablo P Giacco Domenico D Bird Victoria Jane VJ Bauer Michael M Ruggeri Mirella M Welbel Marta M Pfennig Andrea A Lasalvia Antonio A Moskalewicz Jacek J Priebe Stefan S Lorant Vincent V

Social psychiatry and psychiatric epidemiology 20200514 11

<h4>Purpose</h4>Long lengths of stay (LoS) in psychiatric hospitals or repeated admission may affect the social integration of patients with psychiatric disorders. So far, however, studies have been inconclusive. This study aimed to analyse whether long LoS or repeated admissions in psychiatric wards were associated in different ways with changes in the social integration of patients.<h4>Methods</h4>Within a prospective cohort study, data were collected on 2181 patients with a main ICD-10 diagno ...[more]

PMID: 32409885

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Use of psychiatric hospitals and social integration of patients with psychiatric disorders: a prospective cohort study in five European countries.

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Use of psychiatric hospitals and social integration of patients with psychiatric disorders: a prospective cohort study in five European countries.

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