|Title:||The role of perceived social support after psychiatric hospitalisation : post hoc analysis of a randomised controlled trial testing the effectiveness of a transitional intervention|
|Authors :||Hengartner, Michael Pascal|
von Wyl, Agnes
|Published in :||International Journal of Social Psychiatry|
|Publisher / Ed. Institution :||Sage Publications Ltd.|
|License (according to publishing contract) :||Licence according to publishing contract|
|Type of review:||Peer review (Publication)|
|Subject (DDC) :||362: Health and social services |
616.89: Mental disorders, clinical psychology and psychiatry
|Abstract:||Background: The association between social support, readmissions and psychopathology following discharge from psychiatric hospitals is not clear. Aims: To examine the prospective effects of perceived social support on rehospitalisation rates and psychopathology and to focus on the moderators of a transitional intervention. Method: This post hoc analysis of a multisite randomised controlled trial included 151 patients with no more than three hospitalisations within the last 3 years, a Global Assessment of Functioning (GAF) score ≤60 and aged 18–64 years, assessed at two psychiatric hospitals from Zurich, Switzerland, between September 2011 and February 2014. Participants received either a transitional intervention aimed at improving social support during the transition from inpatient to outpatient care provided by a social worker or treatment as usual. Results: Lack of perceived social support at discharge significantly predicted subsequent rehospitalisation rates and increased psychopathological impairment across 12-month follow-up. Significant interaction effects between patient characteristics and the intervention on perceived social support comprised living at parent’s home, having no children and being of younger age. Conclusion: Perceived social support at discharge from inpatient care may reduce rehospitalisation rates and psychopathological impairment in the long term. A transitional intervention aimed at improving social support may negatively impact on the perceived social support in some patient groups.|
|Publication type:||Article in scientific Journal|
|Appears in Collections:||Publikationen Angewandte Psychologie|
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