Skip to main content
Top
Published in: The Journal of Behavioral Health Services & Research 1/2020

01-01-2020 | Schizophrenia

Assessing Social Connectedness Among Persons with Schizophrenia: Psychometric Evaluation of the Perceived Social Connectedness Scale

Authors: Scott E. Wilks, PhD, Mary E. Heintz, MSW, CSW, Catherine M. Lemieux, PhD, Xi Du, MA

Published in: The Journal of Behavioral Health Services & Research | Issue 1/2020

Login to get access

Abstract

The purpose of this study was a psychometric evaluation of the 4-item perceived social connectedness (PSC) scale. The study analyzed secondary data from a project that assessed physical, behavioral, and social health characteristics of adults with serious mental illness receiving integrated services at community mental health centers (CMHs). The current sample comprised those diagnosed with schizophrenia attending these CMHs (N = 146). Most participants were African-American males who receive disability benefits with Medicaid as health insurance. The sample self-reported low-to-moderate levels of social connectedness, daily functioning, and symptom severity. Factor analysis of the PSC scale revealed one dimension, accounting for 66% of total variance, with strong item loadings. Reliability coefficients indicated sufficient scale internal consistency. Construct validity was suggested via the PSC scale’s directional, significant convergence with daily functioning and symptom severity. Implications include the application of the PSC scale for this socioeconomically disadvantaged population that customarily lacks meaningful social networks.
Literature
1.
2.
go back to reference Wilkinson R, Marmot M. Social Determinants of Health: The Solid Facts, Second Edition. Copenhagen, Denmark: WHO Regional Office for Europe, 2003. Wilkinson R, Marmot M. Social Determinants of Health: The Solid Facts, Second Edition. Copenhagen, Denmark: WHO Regional Office for Europe, 2003.
3.
go back to reference Wills TA. Social support and interpersonal relationships. In: MS Clark (Ed). Psychosocial Behavior. Newbury Park, CA: Sage, 1991, pp. 265–289. Wills TA. Social support and interpersonal relationships. In: MS Clark (Ed). Psychosocial Behavior. Newbury Park, CA: Sage, 1991, pp. 265–289.
4.
go back to reference Berkman LF, Syme SL. Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda County residents. American Journal of Epidemiology. 1979;102(2):186–204.CrossRef Berkman LF, Syme SL. Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda County residents. American Journal of Epidemiology. 1979;102(2):186–204.CrossRef
5.
go back to reference Brown JL, Sheffield D, Leary MR, et al. Social support and experimental pain. Psychosomatic Medicine. 2003;65(2):276–283.CrossRefPubMed Brown JL, Sheffield D, Leary MR, et al. Social support and experimental pain. Psychosomatic Medicine. 2003;65(2):276–283.CrossRefPubMed
6.
go back to reference Kulik JA, Mahler HIM. Emotional support as a moderator of adjustment and compliance after coronary artery bypass surgery: A longitudinal study. Journal of Behavioral Medicine. 1993;16(1):45–64.CrossRefPubMed Kulik JA, Mahler HIM. Emotional support as a moderator of adjustment and compliance after coronary artery bypass surgery: A longitudinal study. Journal of Behavioral Medicine. 1993;16(1):45–64.CrossRefPubMed
7.
go back to reference Marteau TM, Bloch S, Baum JD. Family life and diabetic control. Journal of Child Psychology & Psychiatry & Allied Disciplines. 1987;28(6):823–833.CrossRef Marteau TM, Bloch S, Baum JD. Family life and diabetic control. Journal of Child Psychology & Psychiatry & Allied Disciplines. 1987;28(6):823–833.CrossRef
8.
go back to reference Clara IP, Cox BJ, Enns MW, et al. Confirmatory factor analysis of the multidimensional scale of perceived social support in clinically distressed and student samples. Journal of Personality Assessment. 2003;81(3):265–270.CrossRefPubMed Clara IP, Cox BJ, Enns MW, et al. Confirmatory factor analysis of the multidimensional scale of perceived social support in clinically distressed and student samples. Journal of Personality Assessment. 2003;81(3):265–270.CrossRefPubMed
9.
go back to reference George LK, Blazer DG, Hughes DC, et al. Social support and the outcome of major depression. British Journal of Psychiatry. 1989:154(4):478–485.CrossRef George LK, Blazer DG, Hughes DC, et al. Social support and the outcome of major depression. British Journal of Psychiatry. 1989:154(4):478–485.CrossRef
10.
go back to reference Keitner GI, Ryan CE, Miller IW, et al. Role of the family in recovery and major depression. American Journal of Psychiatry. 1995;152(7):1002–1008.CrossRef Keitner GI, Ryan CE, Miller IW, et al. Role of the family in recovery and major depression. American Journal of Psychiatry. 1995;152(7):1002–1008.CrossRef
11.
go back to reference Koelmel E, Hughes AJ, Alschuler KN, et al. Resilience mediates the longitudinal relationships between social support and mental health outcomes in multiple sclerosis. Archives of Physical Medicine and Rehabilitation. 2017;98:1139–1148.CrossRefPubMed Koelmel E, Hughes AJ, Alschuler KN, et al. Resilience mediates the longitudinal relationships between social support and mental health outcomes in multiple sclerosis. Archives of Physical Medicine and Rehabilitation. 2017;98:1139–1148.CrossRefPubMed
12.
go back to reference Hammer M. Social supports, social networks, and schizophrenia. Schizophrenia Bulletin. 1981;7(1):45–57.CrossRefPubMed Hammer M. Social supports, social networks, and schizophrenia. Schizophrenia Bulletin. 1981;7(1):45–57.CrossRefPubMed
13.
go back to reference Cresswell C, Kuipers L, Power M. Social networks and support in long-term psychiatric patients. Psychological Medicine. 1992;22(4):1019–1026.CrossRefPubMed Cresswell C, Kuipers L, Power M. Social networks and support in long-term psychiatric patients. Psychological Medicine. 1992;22(4):1019–1026.CrossRefPubMed
14.
go back to reference Crits-Cristoph K. Dimensions of Social Support, Stress and Symptomology Among Chronic Schizophrenics: An Examination of the Buffering Hypothesis [doctoral dissertation]. New York, NY: Fordham University, 1985. Crits-Cristoph K. Dimensions of Social Support, Stress and Symptomology Among Chronic Schizophrenics: An Examination of the Buffering Hypothesis [doctoral dissertation]. New York, NY: Fordham University, 1985.
15.
go back to reference American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Washington, DC: Author, 2013.CrossRef American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Washington, DC: Author, 2013.CrossRef
16.
go back to reference Wasylenki D, James S, Clark C, et al. Clinical issues in social network therapy for clients with schizophrenia. Community Mental Health Journal. 1992;28(5):427–440.CrossRefPubMed Wasylenki D, James S, Clark C, et al. Clinical issues in social network therapy for clients with schizophrenia. Community Mental Health Journal. 1992;28(5):427–440.CrossRefPubMed
18.
go back to reference O’Connor F. A vulnerability-stress framework for evaluating clinical interventions in schizophrenia. Journal of Nursing Scholarship. 1994;26(3):231–237.CrossRef O’Connor F. A vulnerability-stress framework for evaluating clinical interventions in schizophrenia. Journal of Nursing Scholarship. 1994;26(3):231–237.CrossRef
19.
go back to reference Faccincani C, Mignolli G, Platt S. Service utilization, social support and psychiatric status in a cohort of patients with schizophrenic psychoses: A 7-year follow-up study. Schizophrenia Research. 1990;3(2):139–146.CrossRefPubMed Faccincani C, Mignolli G, Platt S. Service utilization, social support and psychiatric status in a cohort of patients with schizophrenic psychoses: A 7-year follow-up study. Schizophrenia Research. 1990;3(2):139–146.CrossRefPubMed
20.
go back to reference Rosenick SG, Rosenheck RA. Integrating peer-provided services: A quasi-experimental study of recovery orientation, confidence and empowerment. Psychiatric Services. 2008;59: 1307–1314.CrossRef Rosenick SG, Rosenheck RA. Integrating peer-provided services: A quasi-experimental study of recovery orientation, confidence and empowerment. Psychiatric Services. 2008;59: 1307–1314.CrossRef
21.
go back to reference Roessler W. Social support modifies perceived stigmatization in the first years of mental illness: A longitudinal approach. Social Science Medicine. 2006;62:39–49.CrossRefPubMed Roessler W. Social support modifies perceived stigmatization in the first years of mental illness: A longitudinal approach. Social Science Medicine. 2006;62:39–49.CrossRefPubMed
22.
go back to reference Lemieux CM, Richards KN, Hunter DR, et al. Interrelationships among physical health, health-related, and psychosocial characteristics of persons receiving integrated care in community mental health settings. Journal of Social Service Research. 2015;41(5):561–583.CrossRef Lemieux CM, Richards KN, Hunter DR, et al. Interrelationships among physical health, health-related, and psychosocial characteristics of persons receiving integrated care in community mental health settings. Journal of Social Service Research. 2015;41(5):561–583.CrossRef
23.
go back to reference Parks J, Radke AQ, Mazade NA. Measurement of Health Status for People with Serious Mental Illness. Alexandria, VA: National Association of State Mental Health Program Directors, Medical Directors Council, 2008. Parks J, Radke AQ, Mazade NA. Measurement of Health Status for People with Serious Mental Illness. Alexandria, VA: National Association of State Mental Health Program Directors, Medical Directors Council, 2008.
24.
go back to reference Nover CH. Mental health in primary care: Perceptions of augmented care for individuals with serious mental illness. Social Work in Health Care. 2013;52:656–668.CrossRefPubMed Nover CH. Mental health in primary care: Perceptions of augmented care for individuals with serious mental illness. Social Work in Health Care. 2013;52:656–668.CrossRefPubMed
25.
go back to reference Kobau R, Zack MM. Attitudes toward mental illness in adults by mental illness-related factors and chronic disease status: 2007 and 2009 Behavioral Risk Factor Surveillance System. American Journal of Public Health. 2013;103:2078–2089.CrossRefPubMedPubMedCentral Kobau R, Zack MM. Attitudes toward mental illness in adults by mental illness-related factors and chronic disease status: 2007 and 2009 Behavioral Risk Factor Surveillance System. American Journal of Public Health. 2013;103:2078–2089.CrossRefPubMedPubMedCentral
26.
go back to reference Taylor SE. Social support: A review. In: HS Friedman (Ed). Oxford Handbook of Health Psychology. New York, NY: Oxford University Press, 2011, pp. 192–217. Taylor SE. Social support: A review. In: HS Friedman (Ed). Oxford Handbook of Health Psychology. New York, NY: Oxford University Press, 2011, pp. 192–217.
27.
go back to reference Ashida S, Heaney CA. Differential associations of social support and social connectedness with structural features of social networks and the health status of older adults. Journal of Aging and Health. 2008;20(7):872–893.CrossRefPubMed Ashida S, Heaney CA. Differential associations of social support and social connectedness with structural features of social networks and the health status of older adults. Journal of Aging and Health. 2008;20(7):872–893.CrossRefPubMed
28.
go back to reference Cornwell EY, Waite LJ. Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior. 2009;50(1):31–48.CrossRefPubMedPubMedCentral Cornwell EY, Waite LJ. Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior. 2009;50(1):31–48.CrossRefPubMedPubMedCentral
29.
go back to reference Uchino BN. Understanding the links between social support and physical health: A life-span perspective with emphasis on the separability of perceived and received support. Perspectives on Psychological Science. 2009;4(3):236–255.CrossRefPubMed Uchino BN. Understanding the links between social support and physical health: A life-span perspective with emphasis on the separability of perceived and received support. Perspectives on Psychological Science. 2009;4(3):236–255.CrossRefPubMed
30.
go back to reference Utz RL, Swenson KL, Caserta M, et al. Feeling lonely versus being alone: Loneliness and social support among recently bereaved persons. The Journals of Gerontology: Series B. 2014;69(1):85–94.CrossRef Utz RL, Swenson KL, Caserta M, et al. Feeling lonely versus being alone: Loneliness and social support among recently bereaved persons. The Journals of Gerontology: Series B. 2014;69(1):85–94.CrossRef
32.
go back to reference Jerrell JM. Psychometrics of the MHSIP adult consumer survey. Journal of Behavioral Health Services & Research. 2006;33(4):483–488.CrossRef Jerrell JM. Psychometrics of the MHSIP adult consumer survey. Journal of Behavioral Health Services & Research. 2006;33(4):483–488.CrossRef
33.
go back to reference Schacht LM. NRI/MHSIP Inpatient Consumer Survey: Results of Pilot Implementation. Alexandria, VA: National Association of State Mental Health Program Directors, 2001. Schacht LM. NRI/MHSIP Inpatient Consumer Survey: Results of Pilot Implementation. Alexandria, VA: National Association of State Mental Health Program Directors, 2001.
34.
go back to reference Carpiano R. Toward a neighbourhood resource-based theory of social capital for health: Can Bourdieu and sociology help? Social Science & Medicine. 2006;62(1):165–175.CrossRef Carpiano R. Toward a neighbourhood resource-based theory of social capital for health: Can Bourdieu and sociology help? Social Science & Medicine. 2006;62(1):165–175.CrossRef
35.
go back to reference Carpiano R. Neighbourhood social capital and adult health: An empirical test of a Bourdieu-based model. Health & Place. 2007;13(3):639–655.CrossRef Carpiano R. Neighbourhood social capital and adult health: An empirical test of a Bourdieu-based model. Health & Place. 2007;13(3):639–655.CrossRef
36.
go back to reference Substance Abuse and Mental Health Services Administration [SAMHSA]. NOMs Client-Level Measures for Discretionary Programs Providing Direct Services: Services Tool for Adult Programs. OMB No. 0930–0285, Rockville, MD: Center for Behavioral Health Services, 2011. Substance Abuse and Mental Health Services Administration [SAMHSA]. NOMs Client-Level Measures for Discretionary Programs Providing Direct Services: Services Tool for Adult Programs. OMB No. 0930–0285, Rockville, MD: Center for Behavioral Health Services, 2011.
37.
go back to reference Heintz ME. Characteristics Associated with Improvements in Health Among Community Mental Health Clients with Thought Disorders Receiving Co-Located Primary Care Services [master’s thesis]. Baton Rouge, LA: Louisiana State University, 2018. Heintz ME. Characteristics Associated with Improvements in Health Among Community Mental Health Clients with Thought Disorders Receiving Co-Located Primary Care Services [master’s thesis]. Baton Rouge, LA: Louisiana State University, 2018.
38.
go back to reference Hatcher L. A Step-by-Step Approach to Using the SAS System for Factor Analysis and Structural Equation Modeling. Cary, NC: SAS Institute, 1994. Hatcher L. A Step-by-Step Approach to Using the SAS System for Factor Analysis and Structural Equation Modeling. Cary, NC: SAS Institute, 1994.
39.
go back to reference Nunnally JC. Psychometric Theory, Second Edition. New York: McGraw Hill, 1978. Nunnally JC. Psychometric Theory, Second Edition. New York: McGraw Hill, 1978.
40.
go back to reference Shafer A, Ang R. The Mental Health Statistics Improvement Program (MHSIP) Adult Consumer Satisfaction Survey factor structure and relation to external criteria. Journal of Behavioral Health Services and Research. 2018;19:1–14. Shafer A, Ang R. The Mental Health Statistics Improvement Program (MHSIP) Adult Consumer Satisfaction Survey factor structure and relation to external criteria. Journal of Behavioral Health Services and Research. 2018;19:1–14.
41.
go back to reference Kessler RC, Green JG, Gruber MJ, et al. Screening for serious mental illness in the general population with the K6 screening scale: Results from the WHO world mental health survey initiative. International Journal of Methods in Psychiatric Research. 2010;19:4–22.CrossRefPubMedPubMedCentral Kessler RC, Green JG, Gruber MJ, et al. Screening for serious mental illness in the general population with the K6 screening scale: Results from the WHO world mental health survey initiative. International Journal of Methods in Psychiatric Research. 2010;19:4–22.CrossRefPubMedPubMedCentral
42.
go back to reference Gitlin LN, Winter L, Dennis MP, et al. Assessing perceived change in the well-being of family caregivers: Psychometric properties of the perceived change index and response patterns. American Journal of Alzheimer’s Disease and Other Dementias. 2007;21:304–311.CrossRef Gitlin LN, Winter L, Dennis MP, et al. Assessing perceived change in the well-being of family caregivers: Psychometric properties of the perceived change index and response patterns. American Journal of Alzheimer’s Disease and Other Dementias. 2007;21:304–311.CrossRef
43.
go back to reference Wilks SE. Support for Alzheimer’s caregivers: Psychometric evaluation of familial and friend support measures. Research on Social Work Practice. 2009;19:722–729.CrossRef Wilks SE. Support for Alzheimer’s caregivers: Psychometric evaluation of familial and friend support measures. Research on Social Work Practice. 2009;19:722–729.CrossRef
44.
go back to reference Kaiser H. An index of factorial simplicity. Psychometrika. 1974;39:31–36.CrossRef Kaiser H. An index of factorial simplicity. Psychometrika. 1974;39:31–36.CrossRef
45.
go back to reference Tabachnick BG, Fidell LS. Using Multivariate Statistics, Fifth Edition. New York: Pearson Education, 2007. Tabachnick BG, Fidell LS. Using Multivariate Statistics, Fifth Edition. New York: Pearson Education, 2007.
46.
go back to reference Stevens JP. Applied Multivariate Statistics for the Social Sciences, Second Edition. Hillsdale, NJ: Lawrence Erlbaum, 1992. Stevens JP. Applied Multivariate Statistics for the Social Sciences, Second Edition. Hillsdale, NJ: Lawrence Erlbaum, 1992.
47.
go back to reference Pagano RR. Understanding Statistics in the Behavioral Sciences, Ninth Edition. Belmont, CA: Wadsworth Publishing, 2009. Pagano RR. Understanding Statistics in the Behavioral Sciences, Ninth Edition. Belmont, CA: Wadsworth Publishing, 2009.
48.
go back to reference Benton T. An empirical assessment of Guttman’s Lambda 4 reliability coefficient. In: R Millsap, D Bolt, L van der Ark, et al. (Eds). Quantitative Psychology Research: The 78th Annual Meeting of the Psychometric Society. New York: Springer, 2015, pp. 301–310.CrossRef Benton T. An empirical assessment of Guttman’s Lambda 4 reliability coefficient. In: R Millsap, D Bolt, L van der Ark, et al. (Eds). Quantitative Psychology Research: The 78th Annual Meeting of the Psychometric Society. New York: Springer, 2015, pp. 301–310.CrossRef
51.
go back to reference Shin P, Alvarez C, Sharac J, et al. A Profile of Community Health Center Patients: Implications for Policy. Washington, DC: Kaiser Family Foundation, 2013. Shin P, Alvarez C, Sharac J, et al. A Profile of Community Health Center Patients: Implications for Policy. Washington, DC: Kaiser Family Foundation, 2013.
52.
go back to reference Mlinaca ME, Feng MC. Assessment of activities of daily living, self-care, and independence. Archives of Clinical Neuropsychology. 2016;31:506–516.CrossRef Mlinaca ME, Feng MC. Assessment of activities of daily living, self-care, and independence. Archives of Clinical Neuropsychology. 2016;31:506–516.CrossRef
53.
go back to reference Haro JM, Novick D, Suarez D, et al. Remission and relapse in the outpatient care of schizophrenia: Three-year results from the Schizophrenia Outpatient Health Outcomes Study. Journal of Clinical Psychopharmacology. 2006;26(6):571–578.CrossRefPubMed Haro JM, Novick D, Suarez D, et al. Remission and relapse in the outpatient care of schizophrenia: Three-year results from the Schizophrenia Outpatient Health Outcomes Study. Journal of Clinical Psychopharmacology. 2006;26(6):571–578.CrossRefPubMed
54.
55.
go back to reference Ellis JL. A standard for test reliability in group research. Behavior Research Methods. 2013;45(1):16–24.CrossRefPubMed Ellis JL. A standard for test reliability in group research. Behavior Research Methods. 2013;45(1):16–24.CrossRefPubMed
56.
go back to reference Carlson KD, Herdman AO. Understanding the impact of convergent validity on research results. Organizational Research Methods. 2012;15(1):17–32.CrossRef Carlson KD, Herdman AO. Understanding the impact of convergent validity on research results. Organizational Research Methods. 2012;15(1):17–32.CrossRef
57.
go back to reference Niemi RG, Carmines EG, McIver JP. The impact of scale length on reliability and validity. Quality and Quantity. 1986;20:371–376.CrossRef Niemi RG, Carmines EG, McIver JP. The impact of scale length on reliability and validity. Quality and Quantity. 1986;20:371–376.CrossRef
58.
go back to reference Glidewell L, Thomas R, MacLennan G, et al. Do incentives, reminders or reduced burden improve healthcare professional response rates in postal questionnaires? Two randomised controlled trials. BMC Health Services Research. 2012;12(1):250–258.CrossRefPubMedPubMedCentral Glidewell L, Thomas R, MacLennan G, et al. Do incentives, reminders or reduced burden improve healthcare professional response rates in postal questionnaires? Two randomised controlled trials. BMC Health Services Research. 2012;12(1):250–258.CrossRefPubMedPubMedCentral
59.
go back to reference Sahlqvist S, Yena S, Bull F, et al. Effect of questionnaire length, personalisation and reminder type on response rate to a complex postal survey: Randomised controlled trial. BMC Medical Research Methodology. 2011;11(1):62–69.CrossRefPubMedPubMedCentral Sahlqvist S, Yena S, Bull F, et al. Effect of questionnaire length, personalisation and reminder type on response rate to a complex postal survey: Randomised controlled trial. BMC Medical Research Methodology. 2011;11(1):62–69.CrossRefPubMedPubMedCentral
60.
61.
go back to reference Molinari V, Merritt S, Mills W, et al. Serious mental illness in Florida nursing homes: Need for training. Gerontology & Geriatrics Education. 2008;29(1):66–83.CrossRef Molinari V, Merritt S, Mills W, et al. Serious mental illness in Florida nursing homes: Need for training. Gerontology & Geriatrics Education. 2008;29(1):66–83.CrossRef
62.
go back to reference Stanghellini G, Ballerini M. Values in persons with schizophrenia. Schizophrenia Bulletin. 2007;33:131–141.CrossRefPubMed Stanghellini G, Ballerini M. Values in persons with schizophrenia. Schizophrenia Bulletin. 2007;33:131–141.CrossRefPubMed
Metadata
Title
Assessing Social Connectedness Among Persons with Schizophrenia: Psychometric Evaluation of the Perceived Social Connectedness Scale
Authors
Scott E. Wilks, PhD
Mary E. Heintz, MSW, CSW
Catherine M. Lemieux, PhD
Xi Du, MA
Publication date
01-01-2020
Publisher
Springer US
Keyword
Schizophrenia
Published in
The Journal of Behavioral Health Services & Research / Issue 1/2020
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-019-09656-6

Other articles of this Issue 1/2020

The Journal of Behavioral Health Services & Research 1/2020 Go to the issue