{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:30:11Z","timestamp":1777663811336,"version":"3.51.4"},"reference-count":33,"publisher":"Public Library of Science (PLoS)","issue":"1","license":[{"start":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T00:00:00Z","timestamp":1642032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004440","name":"wellcome trust","doi-asserted-by":"publisher","award":["204829"],"award-info":[{"award-number":["204829"]}],"id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000269","name":"economic and social research council","doi-asserted-by":"publisher","award":["ES\/S004459\/1"],"award-info":[{"award-number":["ES\/S004459\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"medical research council","doi-asserted-by":"publisher","award":["MR\/V028529"],"award-info":[{"award-number":["MR\/V028529"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Aim\/Goal\/Purpose<\/jats:title>\n                    <jats:p>Population surveys underrepresent people with severe mental ill health. This paper aims to use multiple regression analyses to explore perceived social support, loneliness and factor associations from self-report survey data collected during the Covid-19 pandemic in a sample of individuals with severe mental ill health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Design\/Methodology\/Approach<\/jats:title>\n                    <jats:p>We sampled an already existing cohort of people with severe mental ill health. Researchers contacted participants by phone or by post to invite them to take part in a survey about how the pandemic restrictions had impacted health, Covid-19 experiences, perceived social support, employment and loneliness. Loneliness was measured by the three item UCLA loneliness scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      In the pandemic sub-cohort, 367 adults with a severe mental ill health diagnosis completed a remote survey. 29\u201334% of participants reported being lonely. Loneliness was associated with being younger in age (adjusted\n                      <jats:italic>OR<\/jats:italic>\n                      = -.98,\n                      <jats:italic>p<\/jats:italic>\n                      = .02), living alone (adjusted\n                      <jats:italic>OR<\/jats:italic>\n                      = 2.04,\n                      <jats:italic>p<\/jats:italic>\n                      = .01), high levels of social and economic deprivation (adjusted\n                      <jats:italic>OR<\/jats:italic>\n                      = 2.49,\n                      <jats:italic>p<\/jats:italic>\n                      = .04), and lower perceived social support (\n                      <jats:italic>B<\/jats:italic>\n                      = -5.86,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001). Living alone was associated with lower perceived social support. Being lonely was associated with a self-reported deterioration in mental health during the pandemic (adjusted\n                      <jats:italic>OR<\/jats:italic>\n                      = 3.46, 95%CI 2.03\u20135.91).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Practical implications<\/jats:title>\n                    <jats:p>Intervention strategies to tackle loneliness in the severe mental ill health population are needed. Further research is needed to follow-up the severe mental ill health population after pandemic restrictions are lifted to understand perceived social support and loneliness trends.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Originality<\/jats:title>\n                    <jats:p>Loneliness was a substantial problem for the severe mental ill health population before the Covid-19 pandemic but there is limited evidence to understand perceived social support and loneliness trends during the pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0262363","type":"journal-article","created":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T14:24:59Z","timestamp":1642083899000},"page":"e0262363","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":30,"title":["Loneliness among people with severe mental illness during the COVID-19 pandemic: Results from a linked UK population cohort study"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3529-5737","authenticated-orcid":true,"given":"Paul","family":"Heron","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2732-8300","authenticated-orcid":true,"given":"Panagiotis","family":"Spanakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Crosland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4483-8932","authenticated-orcid":true,"given":"Gordon","family":"Johnston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Newbronner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Wadman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Walker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8236-6983","authenticated-orcid":true,"given":"Simon","family":"Gilbody","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Peckham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2022,1,13]]},"reference":[{"issue":"10119","key":"pone.0262363.ref001","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/S0140-6736(18)30142-9","article-title":"The growing problem of loneliness","volume":"391","author":"JT Cacioppo","year":"2018","journal-title":"Lancet (London, England)."},{"key":"pone.0262363.ref002","unstructured":"What Works Wellbeing. 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