Social isolation and well-being in veterans with mental illness

J Ment Health. 2023 Apr;32(2):407-411. doi: 10.1080/09638237.2021.2022625. Epub 2022 Jan 10.

Abstract

Background: Veterans with mental illness are a growing population in the United States (US). For some veterans, their military service has a negative effect on well-being. Social isolation is problematic for veterans' mental health by increasing incidence of depression, suicidal ideation or attempts, and readmittance to psychiatric hospitals. Social support is a protective factor for individuals with mental illness and is key to a successful military-to-civilian transition.

Aim: Thus, we examine the relationship of social isolation on well-being among veterans with any mental illness.

Methods: This cross-sectional correlational study consisted of a sample of 146 US veterans with any mental illness. A three-step hierarchical regression analysis was used to determine if social isolation is a predictor of well-being after controlling for demographics, functional limitations and depression.

Results: Findings revealed social isolation was positively correlated with functional limitations (r = 0.48, p < 0.001), depression (r = 0.66, p < 0.001) and negatively correlated with well-being (r = -.64, p < 0.001). Hierarchical regression analysis revealed social isolation was negatively correlated (β = -.44, p < 0.001) with well-being. Overall, our three-step model accounted a total of 50% of variance in well-being, a large effect size.

Conclusion: The findings underscore the importance of assessing the relationship of social isolation on well-being in veterans with mental illness. The findings also highlight promising targets to improve prevention and psychosocial interventions to improve well-being among veterans with mental illness.

Keywords: Veterans; mental illness; military; social isolation; well-being.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Depression
  • Female
  • Humans
  • Male
  • Mental Disorders* / prevention & control
  • Mental Disorders* / psychology
  • Middle Aged
  • Regression Analysis
  • Social Isolation* / psychology
  • Social Support
  • Suicidal Ideation
  • Suicide, Attempted
  • Veterans Health*
  • Veterans* / psychology