Cohesion of the primary social network and sustained service use before the first psychiatric hospitalization

Cohesion of the primary social network and sustained service use before the first psychiatric hospitalization
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DOI:
10.1007/bf02287347
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发表时间:
2002-11-01
影响因子:
1.9
通讯作者:
White, D
White, D
中科院分区:
医学4区
文献类型:
--
作者:
Carpentier, N;White, D

文献摘要

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本研究分析了社会网络动态与初始求助行为的关系。从最初观察到异常行为开始到第一次精神病住院结束,重建了主要的社会网络。基于社会网络凝聚力的概念,从社会关系的结构和内容两个方面分析了社会网络的影响力。结果表明,网络成功地将家庭成员的服务,并在保持临床随访的程度,他们是凝聚力。当一个网络缺乏凝聚力时,问题行为的发生和发展就不那么容易被发现。这些研究结果证实了社会和干预背景的重要性,在决策过程中,导致使用精神科服务,并指定他们发挥的作用。
This study analyzed the relationship between social network dynamics and initial help-seeking behaviors. The primary social network was reconstructed for the period beginning with initial observation of unusual behavior and ending with first psychiatric hospitalization. The social network's influence was analyzed based on the concept of social network cohesion, considering both structure and content of social ties. The results demonstrate that networks succeed in referring the family memher to services and in maintaining a clinical follow-up to the degree that they are cohesive. When a network lacks cohesiveness, the onset and development of problem behaviors are less easily recognized. These findings confirm the importance of social and interactional contexts in decision-making processes leading to use of psychiatric services and specify the roles they play.