WeChat use and social participation among community-dwelling adults with severe mental disorders: A mixed-methods study

The social media platform WeChat is increasingly used by individuals with severe mental disorders (SMDs). However, few studies have examined WeChat use of adults with SMDs and its association with social participation in the Chinese context. This mixed-methods study examined the effects of WeChat use on this population's social participation. The results indicate that WeChat use was positively and significantly associated with social participation among older adults with SMDs, helping them maintain contact with family, relatives, friends, community residents, and mental health professionals. Owing to different life stages and associated social expectations, younger adults with SMDs were mainly concerned with employment or family obligations and were less likely to use WeChat for social interactions with friends and community residents. WeChat can be a useful tool to encourage social participation among older adults with SMDs; age-related expectations for participation need to be considered in the design and delivery of intervention services.