Assessing Social Connectedness Among Persons with Schizophrenia: Psychometric Evaluation of the Perceived Social Connectedness Scale
The purpose of this study was a psychometric evaluation of the 4-item perceived social connectedness (PSC) scale. The study analyzed secondary data from a project that assessed physical, behavioral, and social health characteristics of adults with serious mental illness receiving integrated services at community mental health centers (CMHs). The current sample comprised those diagnosed with schizophrenia attending these CMHs (N = 146). Most participants were African-American males who receive disability benefits with Medicaid as health insurance. The sample self-reported low-to-moderate levels of social connectedness, daily functioning, and symptom severity. Factor analysis of the PSC scale revealed one dimension, accounting for 66% of total variance, with strong item loadings. Reliability coefficients indicated sufficient scale internal consistency. Construct validity was suggested via the PSC scale’s directional, significant convergence with daily functioning and symptom severity. Implications include the application of the PSC scale for this socioeconomically disadvantaged population that customarily lacks meaningful social networks.
Some content on this manuscript was taken, with permission, from a graduate thesis by Mary E. Heintz.
Compliance with Ethical Standards
Ethical guidelines of researchers’ evaluative independence and requisite objectivity throughout the study were followed, as required by the LSU Institutional Review Board.
Conflict of Interest
The authors declare that they have no conflict of interest.
Data from this study were obtained from a previous research project supported by the Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS), Grant No. SM-59688, Primary and Behavioral Health Care Integration. The views reported in this manuscript do not represent those of SAMHSA CMHS.
- 2.Wilkinson R, Marmot M. Social Determinants of Health: The Solid Facts, Second Edition. Copenhagen, Denmark: WHO Regional Office for Europe, 2003.Google Scholar
- 3.Wills TA. Social support and interpersonal relationships. In: MS Clark (Ed). Psychosocial Behavior. Newbury Park, CA: Sage, 1991, pp. 265–289.Google Scholar
- 14.Crits-Cristoph K. Dimensions of Social Support, Stress and Symptomology Among Chronic Schizophrenics: An Examination of the Buffering Hypothesis [doctoral dissertation]. New York, NY: Fordham University, 1985.Google Scholar
- 23.Parks J, Radke AQ, Mazade NA. Measurement of Health Status for People with Serious Mental Illness. Alexandria, VA: National Association of State Mental Health Program Directors, Medical Directors Council, 2008.Google Scholar
- 26.Taylor SE. Social support: A review. In: HS Friedman (Ed). Oxford Handbook of Health Psychology. New York, NY: Oxford University Press, 2011, pp. 192–217.Google Scholar
- 31.Lemieux CM, Thomas KA, Newransky CM, et al. Correlates of treatment retention among persons with serious mental illness receiving integrated care in a community mental health setting. Journal of Social Service Research. 2018. Available online at https://www.tandfonline.com/doi/full/10.1080/01488376.2018.1457594. Accessed on May 22, 2018.
- 33.Schacht LM. NRI/MHSIP Inpatient Consumer Survey: Results of Pilot Implementation. Alexandria, VA: National Association of State Mental Health Program Directors, 2001.Google Scholar
- 36.Substance Abuse and Mental Health Services Administration [SAMHSA]. NOMs Client-Level Measures for Discretionary Programs Providing Direct Services: Services Tool for Adult Programs. OMB No. 0930–0285, Rockville, MD: Center for Behavioral Health Services, 2011.Google Scholar
- 37.Heintz ME. Characteristics Associated with Improvements in Health Among Community Mental Health Clients with Thought Disorders Receiving Co-Located Primary Care Services [master’s thesis]. Baton Rouge, LA: Louisiana State University, 2018.Google Scholar
- 38.Hatcher L. A Step-by-Step Approach to Using the SAS System for Factor Analysis and Structural Equation Modeling. Cary, NC: SAS Institute, 1994.Google Scholar
- 39.Nunnally JC. Psychometric Theory, Second Edition. New York: McGraw Hill, 1978.Google Scholar
- 40.Shafer A, Ang R. The Mental Health Statistics Improvement Program (MHSIP) Adult Consumer Satisfaction Survey factor structure and relation to external criteria. Journal of Behavioral Health Services and Research. 2018;19:1–14.Google Scholar
- 45.Tabachnick BG, Fidell LS. Using Multivariate Statistics, Fifth Edition. New York: Pearson Education, 2007.Google Scholar
- 46.Stevens JP. Applied Multivariate Statistics for the Social Sciences, Second Edition. Hillsdale, NJ: Lawrence Erlbaum, 1992.Google Scholar
- 47.Pagano RR. Understanding Statistics in the Behavioral Sciences, Ninth Edition. Belmont, CA: Wadsworth Publishing, 2009.Google Scholar
- 48.Benton T. An empirical assessment of Guttman’s Lambda 4 reliability coefficient. In: R Millsap, D Bolt, L van der Ark, et al. (Eds). Quantitative Psychology Research: The 78th Annual Meeting of the Psychometric Society. New York: Springer, 2015, pp. 301–310.Google Scholar
- 49.Garson GD. Reliability Analysis: Split-Half Reliability. 2009. Available online at http://tx.liberal.ntu.edu.tw/~purplewoo/Literature/!DataAnalysis/ReliabilityAnalysis.htm. Accessed on May 13, 2018.
- 50.IBM. (n.d.). SPSS Statistics Version 25. Available online at https://www.ibm.com/products/spss-statistics. Accessed on May 13, 2018.
- 51.Shin P, Alvarez C, Sharac J, et al. A Profile of Community Health Center Patients: Implications for Policy. Washington, DC: Kaiser Family Foundation, 2013.Google Scholar