The effectiveness of interventions for reducing subjective and objective social isolation among people with mental health problems: a systematic review

Purpose Subjective and objective social isolation are important factors contributing to both physical and mental health problems, including premature mortality and depression. This systematic review evaluated the current evidence for the effectiveness of interventions to improve subjective and/or ob...

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Vydáno v:Social Psychiatry and Psychiatric Epidemiology Ročník 55; číslo 7; s. 839 - 876
Hlavní autoři: Ma, Ruimin, Mann, Farhana, Wang, Jingyi, Lloyd-Evans, Brynmor, Terhune, James, Al-Shihabi, Ahmed, Johnson, Sonia
Médium: Journal Article
Jazyk:angličtina
Vydáno: Berlin/Heidelberg Springer Berlin Heidelberg 01.07.2020
Springer
Springer Nature B.V
Témata:
Cognitive Behavioral Therapy - methods
Depression, Mental
Epidemiology
Female
Health aspects
Humans
Loneliness - psychology
Male
Medicine
Medicine & Public Health
Mental Disorders - psychology
Mental Disorders - therapy
Mental health
Mental Health Services
Mentally Ill Persons - psychology
Psychiatry
Randomized Controlled Trials as Topic
Review
Social isolation
Social Isolation - psychology
Social networks
Systematic review
Treatment Outcome
Intervention
Loneliness
Systematic review
Objective social isolation
Perceived social support
Mental health
ISSN:0933-7954, 1433-9285, 1433-9285
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Shrnutí:Purpose Subjective and objective social isolation are important factors contributing to both physical and mental health problems, including premature mortality and depression. This systematic review evaluated the current evidence for the effectiveness of interventions to improve subjective and/or objective social isolation for people with mental health problems. Primary outcomes of interest included loneliness, perceived social support, and objective social isolation. Methods Three databases were searched for relevant randomised controlled trials (RCTs). Studies were included if they evaluated interventions for people with mental health problems and had objective and/or subjective social isolation (including loneliness) as their primary outcome, or as one of a number of outcomes with none identified as primary. Results In total, 30 RCTs met the review’s inclusion criteria: 15 included subjective social isolation as an outcome and 11 included objective social isolation. The remaining four evaluated both outcomes. There was considerable variability between trials in types of intervention and participants’ characteristics. Significant results were reported in a minority of trials, but methodological limitations, such as small sample size, restricted conclusions from many studies. Conclusion The evidence is not yet strong enough to make specific recommendations for practice. Preliminary evidence suggests that promising interventions may include cognitive modification for subjective social isolation, and interventions with mixed strategies and supported socialisation for objective social isolation. We highlight the need for more thorough, theory-driven intervention development and for well-designed and adequately powered RCTs.
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ObjectType-Evidence Based Healthcare-1
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ISSN:0933-7954
1433-9285
1433-9285
DOI:10.1007/s00127-019-01800-z