Institute of Mental Health, University of Nottingham, Nottingham, UK.
Department of Psychiatry, Federal University of Sao Paulo (UNIFESP), Sao Paulo, Brazil.
J Ment Health. 2021 Jun;30(3):333-340. doi: 10.1080/09638237.2021.1875409. Epub 2021 Feb 1.
Social connectedness interventions may improve the clinical outcomes and personal recovery of adults with mental disorders but many interventions lack a clear theory-base and show limited effectiveness.
To evaluate the validity of a newly developed conceptual framework (the CIVIC framework: Closeness, Identity, Valued relationships, Involvement and Cared for and accepted) to function as the theory-base for novel social connectedness-based mental health interventions.
Semi-structured interviews with adults with diagnostically heterogeneous mental disorders (n = 13) and mental health professionals (n = 9). Participants reported their social connectedness experiences, their views on the CIVIC framework and potential targets for new interventions. Sequential inductive and deductive thematic analyses were used. Data quality was assessed through respondent validation.
Both inductive and deductive analyses provided validation of the CIVIC framework. Additional themes of Stigma and Connectedness beyond social relationships were identified in the inductive analysis. Candidate interventions to target each CIVIC domain were identified.
The CIVIC framework demonstrates ecological validity and can therefore serve as the theory-base for the development of novel social connectedness-based interventions. This study indicates that interventions would be most effective when they incorporate evidence-based approaches which target each of the categories described by the CIVIC framework.
社会联系干预措施可能会改善患有精神障碍的成年人的临床结果和个人康复情况，但许多干预措施缺乏明确的理论基础，效果有限。
评估新开发的概念框架（CIVIC 框架：亲密关系、身份认同、有价值的关系、参与度和被关心及被接受）作为新型基于社会联系的心理健康干预措施的理论基础的有效性。
对患有诊断异质性精神障碍的成年人（n=13）和心理健康专业人员（n=9）进行半结构式访谈。参与者报告了他们的社会联系经历、对 CIVIC 框架的看法以及新干预措施的潜在目标。采用顺序归纳和演绎主题分析。通过受访者验证评估数据质量。
归纳和演绎分析均验证了 CIVIC 框架的有效性。在归纳分析中还确定了与社会关系之外的耻辱感和联系的其他主题。确定了针对每个 CIVIC 领域的候选干预措施。
CIVIC 框架具有生态有效性，因此可以作为开发新型基于社会联系的干预措施的理论基础。本研究表明，当干预措施结合针对 CIVIC 框架中描述的每个类别都有循证方法时，干预措施将最有效。
