ABSTRACT This study explored the association between loneliness and psychiatric hospitalizations, functioning, and physical health conditions in people with serious mental illness. Data were included from 349 individuals with serious mental illnesses, aged 18+ years, who participated in two consecutive cross-sectional survey studies conducted between 2013 and 2018. This study found a higher number of psychiatric hospitalizations in the past 6 months were associated with greater loneliness. The Short-Form-12 mental component score was a highly significant correlate, accounting for a significant amount of variance in loneliness scores. The physical component score and the bodily pain subdomain of the Short-Form-12 were also significantly associated with loneliness, with individuals with lower physical functioning and greater bodily pain reporting more loneliness. Having a higher total number of health conditions, a higher total number of conditions that cause pain, and the presence of at least one respiratory condition were found to be associated with greater loneliness. Loneliness may be an important dimension of health as related to health conditions associated with pain, functioning, and psychiatric hospitalizations among people with serious mental illness. These findings reinforce the powerful role of socio-cultural and environmental factors in shaping whole health in people with serious mental illness.

中文翻译：

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孤独感及其与严重精神疾病患者身体健康状况和精神病住院的关系

摘要 本研究探讨了严重精神疾病患者的孤独感与精神科住院、功能和身体健康状况之间的关系。数据来自 349 名年龄在 18 岁以上的严重精神疾病患者，他们参加了 2013 年至 2018 年期间进行的两项连续横断面调查研究。这项研究发现，过去 6 个月内精神科住院人数增加与孤独。Short-Form-12 心理成分得分是一个高度显着的相关性，解释了孤独得分的显着差异。Short-Form-12 的身体成分评分和身体疼痛子域也与孤独感显着相关，身体机能较低且身体疼痛较重的人报告更多的孤独感。发现有更多的健康状况、更多的导致疼痛的状况以及存在至少一种呼吸系统疾病与更大的孤独感有关。孤独可能是健康的一个重要方面，与严重精神疾病患者的疼痛、功能和精神病住院相关的健康状况有关。这些发现强化了社会文化和环境因素在塑造严重精神疾病患者整体健康方面的强大作用。并且发现至少一种呼吸系统疾病的存在与更大的孤独感有关。孤独可能是健康的一个重要方面，与严重精神疾病患者的疼痛、功能和精神病住院相关的健康状况有关。这些发现强化了社会文化和环境因素在塑造严重精神疾病患者整体健康方面的强大作用。并且发现至少一种呼吸系统疾病的存在与更大的孤独感有关。孤独可能是健康的一个重要方面，与严重精神疾病患者的疼痛、功能和精神病住院相关的健康状况有关。这些发现强化了社会文化和环境因素在塑造严重精神疾病患者整体健康方面的强大作用。