{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:26:46Z","timestamp":1780579606513,"version":"3.54.1"},"reference-count":70,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Innovation Committee of the Federal Joint Committee (Gemeinsamer Bundesausschuss, G-BA), Germany","award":["01VSF17017"],"award-info":[{"award-number":["01VSF17017"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Promoting social inclusion is crucial for people living with severe mental illness (SMI), who often experience high levels of social exclusion. However, research that uses a psychometric social inclusion measure to identify factors that determine varying levels of social inclusion in individuals with SMI is scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This study aimed to examine to what extent people with SMI feel socially included and to identify factors associated with perceived social inclusion among people with SMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      A cross-sectional multicenter investigation of psychiatric inpatients and day hospital patients with SMI aged 18 to 65\u2009years (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009358) was conducted. Perceived social inclusion, sociodemographic, and clinical characteristics were assessed using the Measure of Participation and Social Inclusion for Use in People with a Chronic Mental Disorder (F-INK). Hierarchical multiple linear regression was performed to analyse the association between social inclusion and potential predictors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The participants\u2019 overall level of social inclusion was moderate (F-INK social inclusion total score\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009=\u20091.9,\n                      <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                      \u2009=\u20090.6). Age, relationship status, diagnostic group, employment status, and living situation emerged as predictors of social inclusion. Greater subjective social inclusion was predicted by older age (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.027), being in a committed intimate relationship (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.037), diagnosis of schizophrenia spectrum disorder (compared to diagnosis of depression,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.020), being competitively employed or in education (compared to being in sheltered employment,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.022; compared to being unemployed or receiving a disability pension,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.007), and living with other people (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.042).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The results confirm deficiencies in social inclusion of people with SMI. Individuals with SMI who are younger, single, have a diagnosis of depression, are in sheltered employment, are unemployed or receiving a disability pension, and are living alone seem to be particularly at risk of experiencing low social inclusion. These findings highlight the importance of psychosocial interventions in rehabilitative mental healthcare.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00207640251350218","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T17:46:10Z","timestamp":1753983970000},"page":"103-115","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Predictors of social inclusion among adults with severe mental illness: Results of a cross-sectional study"],"prefix":"10.1177","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0700-6701","authenticated-orcid":false,"given":"Mara","family":"Ohlhoff","sequence":"first","affiliation":[{"name":"Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Pabst","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Breilmann","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy II, Ulm University, G\u00fcnzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Becker","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Medical Faculty, University of Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Allg\u00f6wer","sequence":"additional","affiliation":[{"name":"Institute for Epidemiology and Medical Biometry, Ulm University, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinhold","family":"Kilian","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy II, Ulm University, G\u00fcnzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alkomiet","family":"Hasan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, University of Augsburg, Germany"},{"name":"German Centre for Mental Health, Munich-Augsburg, Augsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Falkai","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, University Hospital Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klemens","family":"Ajayi","sequence":"additional","affiliation":[{"name":"Kbo-Isar-Amper Hospital, Region Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Halms","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, University of Augsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Brieger","sequence":"additional","affiliation":[{"name":"Kbo-Isar-Amper Hospital, Region Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karel","family":"Frasch","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy II, Ulm University, G\u00fcnzburg, Germany"},{"name":"Department of Psychiatry, Psychotherapy and Psychosomatics, District hospital Donauw\u00f6rth, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Heres","sequence":"additional","affiliation":[{"name":"Kbo-Isar-Amper Hospital, Region Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"J\u00e4ger","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy II, Ulm University, G\u00fcnzburg, Germany"},{"name":"Department of Psychiatry, Psychotherapy and Psychosomatics, District hospital Kempten, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"K\u00fcthmann","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy and Psychosomatics, District hospital Memmingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Putzhammer","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy and Psychosomatics, District hospital Kaufbeuren, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffi G.","family":"Riedel-Heller","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertram","family":"Schneewei\u00df","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, University Hospital Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Schwarz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, University Hospital Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"K\u00f6sters","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy II, Ulm University, G\u00fcnzburg, Germany"},{"name":"Center for Evidence-Based Healthcare, University Hospital Dresden and Medical Faculty Carl Gustav Carus, Dresden University of Technology, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3525-963X","authenticated-orcid":false,"given":"Uta","family":"G\u00fchne","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Adamus C. 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