Associations between loneliness and acute hospitalisation outcomes among patients receiving mental healthcare in South London: a retrospective cohort study
Purpose It is well known that loneliness can worsen physical and mental health outcomes, but there is a dearth of research on the impact of loneliness in populations receiving mental healthcare. This study aimed to investigate cross-sectional correlates of loneliness among such patients and longitud...
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| Veröffentlicht in: | Social Psychiatry and Psychiatric Epidemiology 2022-02, Vol.57 (2), p.397-410 |
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| creator | Parmar, Mayur Ma, Ruimin Attygalle, Sumudu Mueller, Christoph Stubbs, Brendon Stewart, Robert Perera, Gayan |
| description | Purpose
It is well known that loneliness can worsen physical and mental health outcomes, but there is a dearth of research on the impact of loneliness in populations receiving mental healthcare. This study aimed to investigate cross-sectional correlates of loneliness among such patients and longitudinal risk for acute general hospitalisations.
Method
A retrospective observational study was conducted on the data from patients aged 18 + receiving assessment/care at a large mental healthcare provider in South London. Recorded loneliness status was ascertained among active patients on the index date, 30th Jun 2012. Acute general hospitalisation (emergency/elective) outcomes were obtained until 31st Mar 2018. Length of stay was modelled using Poisson regression models and time-to hospitalisation and time-to mortality were modelled using Cox proportional hazards regression models.
Results
The data from 26,745 patients were analysed. The prevalence of patients with recorded loneliness was 16.4% at the index date. In the fully adjusted model, patients with recorded loneliness had higher hazards of emergency (HR 1.15, 95% CI 1.09–1.22) and elective (1.05, 1.01–1.12) hospitalisation than patients who were not recorded as lonely, and a longer duration of both emergency (IRR 1.06, 95% CI 1.05–1.07) and elective (1.02, 1.01–1.03) general hospitalisations. There was no association between loneliness and mortality. Correlates of loneliness included having an eating disorder (OR 1.67, 95% CI 1.29–2.25) and serious mental illnesses (OR 1.44, 1.29–1.62).
Conclusion
Loneliness in patients receiving mental healthcare is associated with higher use of general hospital services. Increased attention to the physical healthcare of this patient group is therefore warranted. |
| doi_str_mv | 10.1007/s00127-021-02079-9 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8784491</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A716432520</galeid><sourcerecordid>A716432520</sourcerecordid><originalsourceid>FETCH-LOGICAL-c541t-9e0a9c76a9fae255f288fdede066064798be07cc7f298afc89fe5a1bf0ad713c3</originalsourceid><addsrcrecordid>eNp9ks1u1DAUhSMEokPhBVggS2zYpPgniW0WSKOKP2kkFsDa8jg3E1eJPdjOoD4LL8ttp7QUIWRFdq6_c5zrnKp6zugZo1S-zpQyLmvKGT5U6lo_qFasEaLWXLUPqxXVuJa6bU6qJzlfUEqFluJxdSKEklJIuqp-rnOOztviY8hkC-UHQCBTDDD5ADkTG3pi3VKAjDHvfbGTz9c0iUtxcQZE5hh2ZI9VCCWTBA78wWNpxnc7kRHsVEZnExAfyBfUjWQTQx_DG2IRLwmdwRV_AOLiGFMhuSz95dPq0WCnDM9u5tPq2_t3X88_1pvPHz6drze1axtWag3Uaic7qwcLvG0HrtTQQw-062jXSK22QKVzcuBa2cEpPUBr2XagtpdMOHFavT367pftDL3Dr052MvvkZ5suTbTe3N8JfjS7eDBKqqbRDA1e3Rik-H2BXMzss4NpsgHikg1vWdsp1UiO6Mu_0Iu4pIDtGd5xTnXXqPaO2tkJjA9DxHPdlalZS9Y1grecInX2DwpHD7N3-AsHj_V7An4UOLzxnGC47ZFRcxUpc4yUwUiZ60gZjaIXf97OreR3hhAQRyDjVthBumvpP7a_ALXv24w</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2622096485</pqid></control><display><type>article</type><title>Associations between loneliness and acute hospitalisation outcomes among patients receiving mental healthcare in South London: a retrospective cohort study</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Parmar, Mayur ; Ma, Ruimin ; Attygalle, Sumudu ; Mueller, Christoph ; Stubbs, Brendon ; Stewart, Robert ; Perera, Gayan</creator><creatorcontrib>Parmar, Mayur ; Ma, Ruimin ; Attygalle, Sumudu ; Mueller, Christoph ; Stubbs, Brendon ; Stewart, Robert ; Perera, Gayan</creatorcontrib><description>Purpose
It is well known that loneliness can worsen physical and mental health outcomes, but there is a dearth of research on the impact of loneliness in populations receiving mental healthcare. This study aimed to investigate cross-sectional correlates of loneliness among such patients and longitudinal risk for acute general hospitalisations.
Method
A retrospective observational study was conducted on the data from patients aged 18 + receiving assessment/care at a large mental healthcare provider in South London. Recorded loneliness status was ascertained among active patients on the index date, 30th Jun 2012. Acute general hospitalisation (emergency/elective) outcomes were obtained until 31st Mar 2018. Length of stay was modelled using Poisson regression models and time-to hospitalisation and time-to mortality were modelled using Cox proportional hazards regression models.
Results
The data from 26,745 patients were analysed. The prevalence of patients with recorded loneliness was 16.4% at the index date. In the fully adjusted model, patients with recorded loneliness had higher hazards of emergency (HR 1.15, 95% CI 1.09–1.22) and elective (1.05, 1.01–1.12) hospitalisation than patients who were not recorded as lonely, and a longer duration of both emergency (IRR 1.06, 95% CI 1.05–1.07) and elective (1.02, 1.01–1.03) general hospitalisations. There was no association between loneliness and mortality. Correlates of loneliness included having an eating disorder (OR 1.67, 95% CI 1.29–2.25) and serious mental illnesses (OR 1.44, 1.29–1.62).
Conclusion
Loneliness in patients receiving mental healthcare is associated with higher use of general hospital services. Increased attention to the physical healthcare of this patient group is therefore warranted.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-021-02079-9</identifier><identifier>PMID: 33877370</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Analysis ; Cohort analysis ; Computational linguistics ; Cross-Sectional Studies ; Delivery of Health Care ; Emergency medical services ; Epidemiology ; Hazards ; Health care ; Health care industry ; Hospitalization ; Humans ; Language processing ; London - epidemiology ; Loneliness ; Medicine ; Medicine & Public Health ; Mental health ; Mental Health Services ; Mental illness ; Mortality ; Natural language interfaces ; Original Paper ; Patient outcomes ; Psychiatry ; Regression models ; Retrospective Studies</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2022-02, Vol.57 (2), p.397-410</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-9e0a9c76a9fae255f288fdede066064798be07cc7f298afc89fe5a1bf0ad713c3</citedby><cites>FETCH-LOGICAL-c541t-9e0a9c76a9fae255f288fdede066064798be07cc7f298afc89fe5a1bf0ad713c3</cites><orcidid>0000-0002-3414-303X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00127-021-02079-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00127-021-02079-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,315,781,785,886,27928,27929,41492,42561,51323</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33877370$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parmar, Mayur</creatorcontrib><creatorcontrib>Ma, Ruimin</creatorcontrib><creatorcontrib>Attygalle, Sumudu</creatorcontrib><creatorcontrib>Mueller, Christoph</creatorcontrib><creatorcontrib>Stubbs, Brendon</creatorcontrib><creatorcontrib>Stewart, Robert</creatorcontrib><creatorcontrib>Perera, Gayan</creatorcontrib><title>Associations between loneliness and acute hospitalisation outcomes among patients receiving mental healthcare in South London: a retrospective cohort study</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Purpose
It is well known that loneliness can worsen physical and mental health outcomes, but there is a dearth of research on the impact of loneliness in populations receiving mental healthcare. This study aimed to investigate cross-sectional correlates of loneliness among such patients and longitudinal risk for acute general hospitalisations.
Method
A retrospective observational study was conducted on the data from patients aged 18 + receiving assessment/care at a large mental healthcare provider in South London. Recorded loneliness status was ascertained among active patients on the index date, 30th Jun 2012. Acute general hospitalisation (emergency/elective) outcomes were obtained until 31st Mar 2018. Length of stay was modelled using Poisson regression models and time-to hospitalisation and time-to mortality were modelled using Cox proportional hazards regression models.
Results
The data from 26,745 patients were analysed. The prevalence of patients with recorded loneliness was 16.4% at the index date. In the fully adjusted model, patients with recorded loneliness had higher hazards of emergency (HR 1.15, 95% CI 1.09–1.22) and elective (1.05, 1.01–1.12) hospitalisation than patients who were not recorded as lonely, and a longer duration of both emergency (IRR 1.06, 95% CI 1.05–1.07) and elective (1.02, 1.01–1.03) general hospitalisations. There was no association between loneliness and mortality. Correlates of loneliness included having an eating disorder (OR 1.67, 95% CI 1.29–2.25) and serious mental illnesses (OR 1.44, 1.29–1.62).
Conclusion
Loneliness in patients receiving mental healthcare is associated with higher use of general hospital services. Increased attention to the physical healthcare of this patient group is therefore warranted.</description><subject>Analysis</subject><subject>Cohort analysis</subject><subject>Computational linguistics</subject><subject>Cross-Sectional Studies</subject><subject>Delivery of Health Care</subject><subject>Emergency medical services</subject><subject>Epidemiology</subject><subject>Hazards</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Language processing</subject><subject>London - epidemiology</subject><subject>Loneliness</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Mental Health Services</subject><subject>Mental illness</subject><subject>Mortality</subject><subject>Natural language interfaces</subject><subject>Original Paper</subject><subject>Patient outcomes</subject><subject>Psychiatry</subject><subject>Regression models</subject><subject>Retrospective Studies</subject><issn>0933-7954</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9ks1u1DAUhSMEokPhBVggS2zYpPgniW0WSKOKP2kkFsDa8jg3E1eJPdjOoD4LL8ttp7QUIWRFdq6_c5zrnKp6zugZo1S-zpQyLmvKGT5U6lo_qFasEaLWXLUPqxXVuJa6bU6qJzlfUEqFluJxdSKEklJIuqp-rnOOztviY8hkC-UHQCBTDDD5ADkTG3pi3VKAjDHvfbGTz9c0iUtxcQZE5hh2ZI9VCCWTBA78wWNpxnc7kRHsVEZnExAfyBfUjWQTQx_DG2IRLwmdwRV_AOLiGFMhuSz95dPq0WCnDM9u5tPq2_t3X88_1pvPHz6drze1axtWag3Uaic7qwcLvG0HrtTQQw-062jXSK22QKVzcuBa2cEpPUBr2XagtpdMOHFavT367pftDL3Dr052MvvkZ5suTbTe3N8JfjS7eDBKqqbRDA1e3Rik-H2BXMzss4NpsgHikg1vWdsp1UiO6Mu_0Iu4pIDtGd5xTnXXqPaO2tkJjA9DxHPdlalZS9Y1grecInX2DwpHD7N3-AsHj_V7An4UOLzxnGC47ZFRcxUpc4yUwUiZ60gZjaIXf97OreR3hhAQRyDjVthBumvpP7a_ALXv24w</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Parmar, Mayur</creator><creator>Ma, Ruimin</creator><creator>Attygalle, Sumudu</creator><creator>Mueller, Christoph</creator><creator>Stubbs, Brendon</creator><creator>Stewart, Robert</creator><creator>Perera, Gayan</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3414-303X</orcidid></search><sort><creationdate>20220201</creationdate><title>Associations between loneliness and acute hospitalisation outcomes among patients receiving mental healthcare in South London: a retrospective cohort study</title><author>Parmar, Mayur ; Ma, Ruimin ; Attygalle, Sumudu ; Mueller, Christoph ; Stubbs, Brendon ; Stewart, Robert ; Perera, Gayan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-9e0a9c76a9fae255f288fdede066064798be07cc7f298afc89fe5a1bf0ad713c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Analysis</topic><topic>Cohort analysis</topic><topic>Computational linguistics</topic><topic>Cross-Sectional Studies</topic><topic>Delivery of Health Care</topic><topic>Emergency medical services</topic><topic>Epidemiology</topic><topic>Hazards</topic><topic>Health care</topic><topic>Health care industry</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Language processing</topic><topic>London - epidemiology</topic><topic>Loneliness</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Mental Health Services</topic><topic>Mental illness</topic><topic>Mortality</topic><topic>Natural language interfaces</topic><topic>Original Paper</topic><topic>Patient outcomes</topic><topic>Psychiatry</topic><topic>Regression models</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parmar, Mayur</creatorcontrib><creatorcontrib>Ma, Ruimin</creatorcontrib><creatorcontrib>Attygalle, Sumudu</creatorcontrib><creatorcontrib>Mueller, Christoph</creatorcontrib><creatorcontrib>Stubbs, Brendon</creatorcontrib><creatorcontrib>Stewart, Robert</creatorcontrib><creatorcontrib>Perera, Gayan</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parmar, Mayur</au><au>Ma, Ruimin</au><au>Attygalle, Sumudu</au><au>Mueller, Christoph</au><au>Stubbs, Brendon</au><au>Stewart, Robert</au><au>Perera, Gayan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations between loneliness and acute hospitalisation outcomes among patients receiving mental healthcare in South London: a retrospective cohort study</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>57</volume><issue>2</issue><spage>397</spage><epage>410</epage><pages>397-410</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><abstract>Purpose
It is well known that loneliness can worsen physical and mental health outcomes, but there is a dearth of research on the impact of loneliness in populations receiving mental healthcare. This study aimed to investigate cross-sectional correlates of loneliness among such patients and longitudinal risk for acute general hospitalisations.
Method
A retrospective observational study was conducted on the data from patients aged 18 + receiving assessment/care at a large mental healthcare provider in South London. Recorded loneliness status was ascertained among active patients on the index date, 30th Jun 2012. Acute general hospitalisation (emergency/elective) outcomes were obtained until 31st Mar 2018. Length of stay was modelled using Poisson regression models and time-to hospitalisation and time-to mortality were modelled using Cox proportional hazards regression models.
Results
The data from 26,745 patients were analysed. The prevalence of patients with recorded loneliness was 16.4% at the index date. In the fully adjusted model, patients with recorded loneliness had higher hazards of emergency (HR 1.15, 95% CI 1.09–1.22) and elective (1.05, 1.01–1.12) hospitalisation than patients who were not recorded as lonely, and a longer duration of both emergency (IRR 1.06, 95% CI 1.05–1.07) and elective (1.02, 1.01–1.03) general hospitalisations. There was no association between loneliness and mortality. Correlates of loneliness included having an eating disorder (OR 1.67, 95% CI 1.29–2.25) and serious mental illnesses (OR 1.44, 1.29–1.62).
Conclusion
Loneliness in patients receiving mental healthcare is associated with higher use of general hospital services. Increased attention to the physical healthcare of this patient group is therefore warranted.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33877370</pmid><doi>10.1007/s00127-021-02079-9</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-3414-303X</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0933-7954 |
| ispartof | Social Psychiatry and Psychiatric Epidemiology, 2022-02, Vol.57 (2), p.397-410 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Analysis Cohort analysis Computational linguistics Cross-Sectional Studies Delivery of Health Care Emergency medical services Epidemiology Hazards Health care Health care industry Hospitalization Humans Language processing London - epidemiology Loneliness Medicine Medicine & Public Health Mental health Mental Health Services Mental illness Mortality Natural language interfaces Original Paper Patient outcomes Psychiatry Regression models Retrospective Studies |
| title | Associations between loneliness and acute hospitalisation outcomes among patients receiving mental healthcare in South London: a retrospective cohort study |
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