Alemu Wondale Getinet, Mwanri Lillian, Due Clemence, Azale Telake, Ziersch Anna
Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, Australia.
Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Psychiatry. 2025 Apr 28;25(1):429. doi: 10.1186/s12888-025-06889-y.
Evidence demonstrates a correlation between high social support and better health outcomes. However, people with mental illness are less likely to receive adequate social support to overcome mental health challenges when compared with the general population. The main objective of this study is to determine the prevalence and associated factors of low perceived social support from family, friends and significant others among people with mental illness attending a psychiatry outpatient clinic in Gondar, Ethiopia.
Data were collected from 636 participants attending a psychiatry outpatient clinic at the University of Gondar Comprehensive Specialized Hospital. Two individuals consented but did not complete the questionnaires from October 2022 to March 2023. A systematic random sampling technique was used to recruit participants. Perceived social support was measured with the Multidimensional Perceived Social Support scale (MPSS-12). Other questions assessed self-esteem, drug adherence, substance use and severity of illness, alongside sociodemographic factors. Variables were coded and entered into SPSS-28 software for further analysis. Bivariate and multivariate logistic regression analysis was conducted. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p-value less than 0.05 were considered significant.
Prevalence of low perceived social support was 12.1% (N = 77). In the final regression analysis, several factors were associated with a greater likelihood of overall low perceived social support. These include living alone (OR = 2.40, CI = 1.24,4.63), having a relapse (OR = 2.13; CI = 1.13,4.02), family not participating in patient care (OR = 4.67; CI = 2.49,8.76), having moderate and severe objective severity (OR = 2.51; CI = 1.41,4.45), having low self-esteem (OR = 2.36; CI = 1.34,4.15) and having poor drug adherence (OR = 1.99; CI = 1.02,3.89).
Over 10% of people with a mental illness attending the outpatient psychiatry clinic reported low perceived social support. The study indicates that efforts to address low social support should focus specifically on patients, including those: living alone, having relapses, having families that do not participate in patient care, having moderate and severe objective severity of illness, having low self-esteem, and having poor drug adherence.
Not applicable.
有证据表明，高社会支持与更好的健康结果之间存在关联。然而，与普通人群相比，患有精神疾病的人获得足够社会支持以应对心理健康挑战的可能性较小。本研究的主要目的是确定在埃塞俄比亚贡德尔一家精神病门诊就诊的精神疾病患者中，来自家人、朋友和重要他人的低感知社会支持的患病率及相关因素。
数据收集自贡德尔大学综合专科医院精神病门诊的636名参与者。2022年10月至2023年3月期间，有两人同意但未完成问卷。采用系统随机抽样技术招募参与者。使用多维感知社会支持量表（MPSS - 12）测量感知社会支持。其他问题评估了自尊、药物依从性、物质使用和疾病严重程度，以及社会人口学因素。对变量进行编码并输入SPSS - 28软件进行进一步分析。进行了双变量和多变量逻辑回归分析。调整后的优势比（AOR）及95%置信区间（CI）和p值小于0.05被认为具有统计学意义。
低感知社会支持的患病率为12.1%（N = 77）。在最终回归分析中，几个因素与总体低感知社会支持的可能性增加有关。这些因素包括独居（OR = 2.40，CI = 1.24，4.63）、复发（OR = 2.13；CI = 1.13，4.02）、家人未参与患者护理（OR = 4.67；CI = 2.49，8.76）、具有中度和重度客观严重程度（OR = 2.51；CI = 1.41，4.45）、自尊水平低（OR = 2.36；CI = 1.34，4.15）和药物依从性差（OR = 1.99；CI = 1.02，3.89）。
在精神病门诊就诊的精神疾病患者中，超过10%的人报告感知社会支持较低。该研究表明，解决低社会支持问题的努力应特别关注患者，包括那些：独居、复发、家人未参与患者护理、疾病具有中度和重度客观严重程度、自尊水平低以及药物依从性差的患者。
不适用。
