Clinical trial NCT04304417: The Role of Group Identity on the Community Integration of People With Severe Mental Disorder
Official title: The Role of Group Identity on the Community Integration of People With Severe Mental Disorder
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Bipolar Disorder
Personality Disorders
Psychotic Disorders
Keywords: Severe Mental Disorder
Community Integration
Group Identity
Stigma
Dehumanization
Lead sponsor: Universidad Complutense de Madrid
Sponsor class: OTHER
First posted: 2020-03-11
Enrollment: 70
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The population of the study are adult people with a diagnosis of severe mental disorder (SMD), who are users of the public centers of social care for people with SMD of the State of Madrid in Spain.

Brief summary: This study analyzes which variables enhance or hinder community integration among people with severe mental disorder. Participants will complete a questionnaire to test our hypotheses:

* Hypothesis 1: group identification predicts less self-dehumanization and self-stigma, and more empowerment, these in turn predict more community integration.
* Hypothesis 2: the relationship between group identification and self-dehumanization and self-stigma is moderated by group value.
* Hypothesis 3: when group identification is low, group identification predicts higher community integration, but this relationship is mediated by diagnosis concealment.

Detailed description: Community integration, which includes physical integration (e.g. participation in activities, as well as use of goods and services in the community in a self-initiated manner), social integration (e.g. quantity and quality of social relationships) and psychological integration (e.g. perception of belongingness to the community), is a necessary element to achieve personal recovery among people with severe mental disorder (SMD).

Group identification, based on Social Identity Theory, emphasizes an individual's definition of who they are in relation to their group membership. When individuals have a strong tendency to define their self-concept in terms of the group they belong to and uphold the values of their group, they are said to have high identification with the group. Group value, on the other hand, refers to the evaluative judgment of one's social group, which reflects the extent to which individuals feel positively or negatively toward their ingroup, and people who have positive perceptions toward their group are more strongly identified with it.

Self-dehumanization is the process by which people dehumanize themselves. This can happen in two ways: when they perceiving themselves as unintelligent, amoral, irrational, wild, etc.; thus perceived as animal-like, it is called animalistic dehumanization; or when they perceive themselves as lacking emotion, warmth, vitality, etc.; perceived as object-like, which is referred to as mechanistic dehumanization.

Self-stigma occurs when people accept the negative stereotypes about their in-group apply to themselves. This has shown to influence the community integration of people with SMD.

Empowerment is understood as the process by which people, organizations and communities acquire control over their own lives. People with SMD who endorsed higher group value were more likely to be involved in educating the public about mental health and helping others with mental disorder, which are considered a behavioral manifestation of empowerment.

In order to test the hypotheses previously mentioned, the users of the public centers of social care for people with SMD of the State of Madrid (Spain) will be contacted. The inclusion criteria are: to have a diagnosis of SMD and disorder consciousness. The exclusion criteria are: to be underage and legally incapacitated. Participants will complete a pencil-and-paper questionnaire, including the measurement of the variables previously mentioned and some socio-demographical questions, in the centers they attend.

The analytical program SPSS.25 (Statistical Package for the Social Sciences) will be used to conduct the appropriate test of hypothesis (correlation, regression, mediation, moderation).

Eligibility criteria: Inclusion Criteria:

* Having a diagnosis of severe mental disorder.
* Having disorder consciousness.

Exclusion Criteria:

* Being underage.
* Being legally incapacitated.

Primary outcomes:
measure: Physical integration
timeFrame: 1 day. Measured the day of the study.
measure: Social integration
timeFrame: 1 day. Measured the day of the study.
measure: Psychological integration
timeFrame: 1 day. Measured the day of the study.
Secondary outcomes:
measure: Self-dehumanization
timeFrame: 1 day. Measured the day of the study.
measure: Self-stigma
timeFrame: 1 day. Measured the day of the study.
measure: Empowerment
timeFrame: 1 day. Measured the day of the study.
measure: Group identity
timeFrame: 1 day. Measured the day of the study.
measure: Group value
timeFrame: 1 day. Measured the day of the study.
Other outcomes:
Locations:
city: Madrid
country: Spain
facility: Grupo 5
state: State Of Madrid
Study officials:
affiliation: Universidad Complutense de Madrid
name: Carolina Ugidos
role: PRINCIPAL_INVESTIGATOR
References: