Nordic Journal of Psychiatry最新文献

Time trends of incidence and prevalence of severe mental illness in Danish adults: a nationwide register study. 丹麦成年人严重精神疾病发病率和流行率的时间趋势：一项全国性登记研究。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-05-08 DOI: 10.1080/08039488.2026.2666066

Sofie Norgil Damgaard, Astrid Helene Deleuran Næsager, Katrine Tranberg Jensen, Anders Hye Dalsgaard, Volkert Siersma, Martin Balslev Jørgensen, Merete Osler, John Brandt Brodersen, Maarten Pieter Bjørn-Rozing

{"title":"Time trends of incidence and prevalence of severe mental illness in Danish adults: a nationwide register study.","authors":"Sofie Norgil Damgaard, Astrid Helene Deleuran Næsager, Katrine Tranberg Jensen, Anders Hye Dalsgaard, Volkert Siersma, Martin Balslev Jørgensen, Merete Osler, John Brandt Brodersen, Maarten Pieter Bjørn-Rozing","doi":"10.1080/08039488.2026.2666066","DOIUrl":"https://doi.org/10.1080/08039488.2026.2666066","url":null,"abstract":"Purpose: Severe mental illness (SMI) accounts for over a third of all mental disorders globally, significantly reducing life expectancy and quality of life. Trends in SMI vary, with recent Danish studies reporting both stable and rising rates in the 2000s. This study examines the prevalence (1996-2018) and incidence (2000-2018) of SMI in Denmark, analyzing age- and sex-specific trends using nationwide health registry data.Material and methods: The study included individuals aged ≥18 years with a psychiatric hospital diagnosis of SMI, recorded in the Danish National Patient Registry (1995-2018). SMI was defined as moderate to severe depression, bipolar disorder, or psychotic disorder based on ICD-10 classifications. We estimated five-year prevalence (2000-2018) and one-year incidence (1996-2018), stratified by age and sex.Results: Between 2000 and 2018, the crude prevalence of depression more than doubled, while bipolar and psychotic disorders increased by 89.6% and 35.0%, respectively. All SMIs increased among individuals aged 18-29. From 1996 to 2018, depression and bipolar disorder incidence rose by 137.5% and 45.1%, respectively, while psychotic disorder incidence declined by 9.5%. The largest incidence increase occurred in the 18-29 age group. Bipolar and psychotic disorder prevalence declined in those ≥70 years. Depression was the most prevalent disorder among individuals ≥90 years.Conclusion: SMI prevalence and incidence in Denmark have risen over the past two decades, particularly among younger adults. However, professional, cultural, administrative, and societal factors must be considered before concluding an actual increase in SMI cases.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sex and age trends in ADHD medication use in Norway, 2020-2022: a nationwide register study. 2020-2022年挪威ADHD药物使用的性别和年龄趋势：一项全国性登记研究

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-04-10 DOI: 10.1080/08039488.2026.2648942

Espen Anker, Bothild Bendiksen, Charlotte Borg Skoglund, Per Hove Thomsen

{"title":"Sex and age trends in ADHD medication use in Norway, 2020-2022: a nationwide register study.","authors":"Espen Anker, Bothild Bendiksen, Charlotte Borg Skoglund, Per Hove Thomsen","doi":"10.1080/08039488.2026.2648942","DOIUrl":"https://doi.org/10.1080/08039488.2026.2648942","url":null,"abstract":"Purpose of article: ADHD diagnoses and medication use have increased internationally, but recent Norwegian trends-particularly by sex and age-have not been systematically described. We aim to examine recent changes in ADHD-medication dispensing in Norway, focusing on sex- and age-specific trends, and to provide context by comparing these changes with dispensing of other psychotropic medications and with recorded activity in psychiatric outpatient services.Materials and methods: This retrospective, population-based register study used dispensing data from the Norwegian Prescription Database (NorPD) for 2020-2022 and population denominators from Statistics Norway, stratified by sex and age. Annual prevalence and incidence were calculated. Contextual comparisons used aggregated national statistics for stimulant subtypes and selected psychotropic drug groups, and outpatient contact statistics from government-funded psychiatric services (2020-2024).Results: From 2020 to 2022, prevalence increased by 36.5% and incidence by 68.1%. Increases were larger among females (+52.4% prevalence, +108.0% incidence), particularly those aged 12-27 years. In 2022, prevalence in children aged 6-11 years was higher in boys than girls (2.77% vs 1.02%). In contextual statistics (2020-2024), stimulants increased markedly, whereas anxiolytic and hypnotics/sedative dispensing remained stable, and antidepressant increased modestly. Recorded activity in government-funded psychiatric outpatient services changed modestly.Conclusions: ADHD medication dispensing increased steeply in Norway during 2020-2022, especially among females and young adults. The pattern suggests a marked shift in ADHD pharmacological treatment, and the shift is not mirrored by comparable increases in dispensing of other psychotropic drug groups or in recorded public outpatient activity.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'Are we doing it right?' - insights from a Norwegian multicentre study on antipsychotic management of psychotic disorders. “我们做得对吗？”——来自挪威一项关于精神障碍抗精神病治疗的多中心研究的见解。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-04-09 DOI: 10.1080/08039488.2026.2653983

Klara Skaare-Fatland, Monica Hermann, Miriam Hartveit, Torleif Ruud, Karin Drivenes, Eva Biringer

{"title":"'Are we doing it right?' - insights from a Norwegian multicentre study on antipsychotic management of psychotic disorders.","authors":"Klara Skaare-Fatland, Monica Hermann, Miriam Hartveit, Torleif Ruud, Karin Drivenes, Eva Biringer","doi":"10.1080/08039488.2026.2653983","DOIUrl":"https://doi.org/10.1080/08039488.2026.2653983","url":null,"abstract":"Introduction: Knowledge about how medication management in the treatment of psychosis aligns with guideline recommendations is limited. This study aimed to investigate the extent to which current antipsychotic medication management adheres to guideline recommendations for the treatment of psychotic disorders in specialist mental healthcare in Norway.Methods: Antipsychotic medication management was assessed using 44 criteria from the Antipsychotic Medication Management Fidelity Scale in Norwegian public mental health specialist units. The scale measures adherence (fidelity) to core components of medication management, as recommended in guidelines, at both unit level (N = 16 units) and patient level (N = 147 patient records).Results: At the unit level, the mean fulfilment of criteria for maintaining a list of current medications and for systematic monitoring of side-effects were 8.8 (55%) and 5.5 (34%) units, respectively.At the patient level, lists of medications and doses were systematically updated in 112 (76%) patient records. The choice of antipsychotic medication and dosage was in accordance with the guidelines in 79 (54%) and 69 (47%) patient records, respectively. Mean fulfilment of criteria for monitoring and reducing side-effects was 42.8 (29%) patient records. Systematic monitoring of symptoms was not documented in any patient record.Conclusions: Our study found structural and procedural shortcomings in medication management for psychosis in specialist mental healthcare. Low adherence to guidelines poses a significant patient safety risk. Addressing the implementation of clinical guidelines is essential to improve patient outcomes and the quality of care in specialist mental health services.Trial registration: NCT03271242, 5 Sept. 2017.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The perspectives of previous young adult psychiatric patients regarding mental health recovery and the influence of received psychiatric care - a qualitative 20-year follow-up study. 先前年轻成人精神病患者对心理健康恢复的看法及所接受的精神病护理的影响-一项20年的定性随访研究。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-04-01 Epub Date: 2026-02-09 DOI: 10.1080/08039488.2026.2626799

Sara von Wallenberg Pachaly, Mathilde Hedlund Lindberg, Adriana Ramirez

{"title":"The perspectives of previous young adult psychiatric patients regarding mental health recovery and the influence of received psychiatric care - a qualitative 20-year follow-up study.","authors":"Sara von Wallenberg Pachaly, Mathilde Hedlund Lindberg, Adriana Ramirez","doi":"10.1080/08039488.2026.2626799","DOIUrl":"10.1080/08039488.2026.2626799","url":null,"abstract":"Purpose: Young adults (18-25 years) have the highest prevalence of psychiatric disorders of any age group. This qualitative study aims to gain perspectives on individual change and recovery, and the influence of psychiatric care, 20 years after being treated as young adults.Methods: Semi-structured interviews were conducted at 20-year follow-up with 18 participants from the original 'Young Adult' study in Uppsala, Sweden from 2002/2003. All interviews were audio-recorded and transcribed. The data were analysed using inductive thematic analysis.Results: The analysis resulted in three themes: Personal recovery, Communication and participation in psychiatric care, and Organization of psychiatric care. Personal recovery included subthemes: Acceptance of vulnerability, Maturity, and Social stigma. Communication and participation in psychiatric care included subthemes: Personal approach, and Individually-adapted care and individual responsibility. Organization of psychiatric care included subthemes: Availability of health care, Resources, and Diagnostics and treatment.Conclusions: Personal recovery for young adults included social changes, comparison with peers, being between dependence and independence, and stigma. Acceptance of vulnerability and maturity helped to increase stability. Communication, participation and the organization of psychiatric care were described within the framework of patient-centred care, with an emphasis on an empathetic approach and the availability of psychiatric care. These findings offer clinically relevant insights into how psychiatric services can support long-term recovery.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"158-166"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Group cognitive therapy for social anxiety disorder among adolescents treated at routine adolescent psychiatric services: preliminary effects and implementation model. 团体认知疗法治疗常规青少年精神科治疗的青少年社交焦虑障碍：初步效果及实施模式。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-04-01 Epub Date: 2026-01-05 DOI: 10.1080/08039488.2025.2604654

Klaus Ranta, Mauri Marttunen, Siiri Lampela, Saira Noreen, Niklas Granö

{"title":"Group cognitive therapy for social anxiety disorder among adolescents treated at routine adolescent psychiatric services: preliminary effects and implementation model.","authors":"Klaus Ranta, Mauri Marttunen, Siiri Lampela, Saira Noreen, Niklas Granö","doi":"10.1080/08039488.2025.2604654","DOIUrl":"10.1080/08039488.2025.2604654","url":null,"abstract":"Purpose: Social Anxiety Disorder (SAD) typically onsets in adolescence. Few studies have targeted delivery of evidence-based interventions for SAD in mental health services for adolescents. In specific, no prior studies have examined group cognitive therapy (CT) for SAD in adolescent services delivered by method-trained staff. We implemented group CT in psychiatric outpatient units to assess its feasibility and effectiveness in routine services.Materials and methods: In the context of a region-wide implementation program launched by Helsinki University Hospital (HUH), eleven psychiatric nurses and psychologists were trained to deliver group CT for SAD at its outpatient clinics. None of them had prior psychotherapy training. A two-day training workshop and monthly group supervision were arranged. Clinicians treated 13-to-18-year-old adolescents with primary SAD. Dropout rate, completer/dropout analysis, and effects of group CT on SAD symptoms and general psychological distress were assessed.Results: Of adolescents referred to group CT, 75% completed the intervention. Magnitude of pre-to-post change in SAD symptoms was large (d = 0.85), comparable to findings from studies of group CBT/CT for SAD in adult services. General psychological distress of adolescents decreased somewhat, however, only 20% showed reliable change. The program was maintained in the HUH outpatient clinical services over an 8-year period.Conclusions: Group-adapted CT for SAD based on the cognitive model of SAD appears feasible for young people. It was transferable to clinical units using a cross-regional implementation model. Our results support further controlled research of group CT for SAD delivered by method-trained staff of routine services.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"141-150"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics and predictors of antipsychotic medication off-label use among community-dwelling older people. 社区老年人抗精神病药物超说明书使用的特点和预测因素。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-04-01 Epub Date: 2026-02-16 DOI: 10.1080/08039488.2026.2631597

Tuomas Majuri, Jenni Silvan, Anna-Maija Tolppanen, Sirpa Hartikainen, Taina Huotari, Nina Rautio, Jouko Miettunen, Tanja Nordström, Erika Jääskeläinen, Marianne Haapea

{"title":"Characteristics and predictors of antipsychotic medication off-label use among community-dwelling older people.","authors":"Tuomas Majuri, Jenni Silvan, Anna-Maija Tolppanen, Sirpa Hartikainen, Taina Huotari, Nina Rautio, Jouko Miettunen, Tanja Nordström, Erika Jääskeläinen, Marianne Haapea","doi":"10.1080/08039488.2026.2631597","DOIUrl":"10.1080/08039488.2026.2631597","url":null,"abstract":"Background: Concerns have been raised regarding the common off-label use of antipsychotic (AP) medications among older adults. However, comprehensive knowledge of the determinants of AP off-label use in this population remains limited.Methods: We examined characteristics and predictors of AP off-label use in a nationwide Finnish cohort of community-dwelling older adults with psychiatric morbidity-but without Alzheimer's disease-using longitudinal register data on sociodemographic and illness-related factors. The sample comprised four groups: those prescribed APs off-label (n = 20,563), those with non-psychotic mental disorders without off-label APs (CG1, n = 22,891), those with psychosis or bipolar disorder with APs (CG2, n = 8,966), and those with psychosis or bipolar disorder without APs (CG3, n = 4,585). Sociodemographic and illness-related factors were compared between the off-label and the comparison groups using logistic regression.Results: Compared to comparison groups, individuals with off-label use more frequently had cardiovascular diseases and strokes. Compared to CG1 and CG3, individuals with AP off-label use were more often female, had a lower prevalence of asthma/chronic obstructive pulmonary disease, and a higher use of psychotropic medications and opioids. Compared to CG2, individuals with off-label use were more often male and had a lower prevalence of diabetes, epilepsy, as well as a lower use of psychotropic medications and a higher use of opioids. Risperidone (43%) and quetiapine (39%) were the most used APs off-label.Conclusion: Alternative treatments are needed to curb off-label AP use among community-dwelling older adults, given the high prevalence of cardiovascular disease and stroke. Monitoring guidelines are needed to promote safer prescribing practices.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"167-176"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Electroconvulsive therapy as a treatment modality in adolescent psychiatric patients. 电休克疗法作为青少年精神病患者的一种治疗方式。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-04-01 Epub Date: 2026-03-18 DOI: 10.1080/08039488.2026.2643586

Maja Vedel Cederlund, Anne Virring Sørensen, Martin Hansen, Per Hove Thomsen, Tirill Fjellhaugen

{"title":"Electroconvulsive therapy as a treatment modality in adolescent psychiatric patients.","authors":"Maja Vedel Cederlund, Anne Virring Sørensen, Martin Hansen, Per Hove Thomsen, Tirill Fjellhaugen","doi":"10.1080/08039488.2026.2643586","DOIUrl":"10.1080/08039488.2026.2643586","url":null,"abstract":"Objective: Due to the relatively rare clinical application of electroconvulsive therapy (ECT) in adolescent psychiatric patients and its underrepresentation in the literature, the aim of this study was to explore indications for ECT in adolescents by systematically describing the clinical characteristics of patients treated at the Child and Adolescent Psychiatry Department, Aarhus University Hospital.Methods: Data were extracted from the Business intelligence (BI) portal, comprising comprehensive electronic medical records. The study included 25 patients under the age of 21, who received ECT between 28 February 2020 and 28 February 2025. Treatment response was assessed using individual changes in the Manic Assessment Scale (MAS score), Brøset Violence Checklist (BVC-score), records of coercive measures, and psychiatric hospitalizations during a 200-day follow-up period.Results: Of the 25 patients, 12 were males (48%) with a mean age of 17 years. They were grouped by referral diagnosis: psychosis (n = 11), affective disorders (n = 11), and others (n = 3). Following ECT initiation, there was a marked and rapid reduction in both MAS and BVC scores. In addition, the use of coercive measures decreased by 74%. However, as patients received ECT in conjunction with pharmacological treatment adjustments, these observed changes should be interpreted as associations rather than causal effects of ECT alone.Conclusions: ECT appears to be a safe and feasible intervention in child and adolescent psychiatry, associated with improvements in clinical outcomes within the context of concurrent pharmacotherapy. These findings support consideration of ECT earlier in the treatment trajectory for carefully selected, severely ill patients.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"191-197"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147474319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cognitive behavioral group therapy for bipolar disorder with comorbid anxiety disorder: a mixed-methods feasibility pilot study. 认知行为团体治疗双相情感障碍合并焦虑障碍：一项混合方法可行性试点研究。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-04-01 Epub Date: 2026-02-13 DOI: 10.1080/08039488.2026.2629872

Rasmus Nejst Jensen, Stine Pedersen, Glennie Marie Almer, Christina Wagner, Maj Vinberg

{"title":"Cognitive behavioral group therapy for bipolar disorder with comorbid anxiety disorder: a mixed-methods feasibility pilot study.","authors":"Rasmus Nejst Jensen, Stine Pedersen, Glennie Marie Almer, Christina Wagner, Maj Vinberg","doi":"10.1080/08039488.2026.2629872","DOIUrl":"10.1080/08039488.2026.2629872","url":null,"abstract":"Background: Half of all individuals with bipolar disorder (BD) are estimated to have or develop a comorbid anxiety disorder (AD). Comorbid AD is associated with decreased treatment response and a more severe illness trajectory. However, as only a few studies have targeted comorbid anxiety as a treatment goal in BD, this mixed-methods study aimed to assess the feasibility and preliminary effect of a cognitive behavioral therapy (CBT) based group course for comorbid ADs in people with BD.Methods: Nine individuals with BD and comorbid AD completed a CBT group course for anxiety consisting of 15 weekly sessions. The study employed a mixed-methods design combining a longitudinal follow-up study of the CBT-based group therapy intervention with a qualitative evaluation 6 months after treatment completion (follow-up).Results: A reduction in anxiety and an improvement in functioning were observed from baseline to post-treatment. The effects persisted and even improved at the six months follow up. In the qualitative evaluation, the participants reported a positive outcome and highlighted the unique qualities of the group setting, especially the opportunity to 'mirror themselves in others.' Participants felt better equipped to handle anxiety, experienced an improved quality of life and more stability in their BD.Conclusions: The CBT group course was a feasible and acceptable treatment for comorbid AD in BD with improvements in anxiety and functioning persisting at the 6-months follow-up. Participants appreciated the unique benefits of the group setting. Future randomized studies including individuals with BD and comorbid anxiety are recommended.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"182-190"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146181498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A comparison of characteristics of individuals with psychosis and substance use disorders seeking vocational rehabilitation. 寻求职业康复的精神病和物质使用障碍个体特征的比较。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-04-01 Epub Date: 2026-02-16 DOI: 10.1080/08039488.2026.2625696

Oda Skancke Gjerdalen, Erlend Marius Aas, June Ullevoldsæter Lystad, Torill Ueland, Espen Ajo Arnevik, Erik Falkum, Stig Evensen, Helen Christine Bull, Silje Endresen Reme, Petter Andreas Ringen, Olivia Schjøtt-Pedersen, Eline Borger Rognli

{"title":"A comparison of characteristics of individuals with psychosis and substance use disorders seeking vocational rehabilitation.","authors":"Oda Skancke Gjerdalen, Erlend Marius Aas, June Ullevoldsæter Lystad, Torill Ueland, Espen Ajo Arnevik, Erik Falkum, Stig Evensen, Helen Christine Bull, Silje Endresen Reme, Petter Andreas Ringen, Olivia Schjøtt-Pedersen, Eline Borger Rognli","doi":"10.1080/08039488.2026.2625696","DOIUrl":"10.1080/08039488.2026.2625696","url":null,"abstract":"Introduction: Unemployment is high among individuals with schizophrenia spectrum disorders (SSDs) and substance use disorders (SUDs). Vocational rehabilitation (VR) programs have demonstrated effectiveness on occupational outcomes for both groups. The aim of this study is to compare characteristics of individuals with SSD and SUD seeking VR.Methods: This study draws on data from two independent projects: the Job Management Program (JUMP) for individuals with SSD and the IPS in SUD (IPS-SUD) study, comprising a total of 341 participants. Baseline demographic, occupational, and diagnostic characteristics are described, with group comparisons.Results: The groups differed significantly in age, employment history, and benefit status. Restricting the sample to participants aged 18-49, differences in prior employment remained but were attenuated. Overall, SUD participants were older and more frequently received full disability benefits, whereas JUMP participants were younger and more often received partial disability benefits.Conclusions: These findings highlight the heterogeneity of populations targeted by VR interventions and underscore the need for tailored program adaptations. Demographic and clinical differences should guide the design, implementation, and evaluation of VR services to enhance their relevance and effectiveness.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"177-181"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differences and similarities of persons with a diagnosis psychosis or non-psychosis assessed as SMI, among a population of elderly persons in Sweden. 在瑞典的老年人中，被诊断为精神病或被评估为重度精神分裂症的非精神病患者的差异和相似之处。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-04-01 Epub Date: 2026-01-23 DOI: 10.1080/08039488.2026.2619969

Per Bülow, Deborah Finkel, Cristina Joy Torgé, Monika Allgurin, Magnus Jegermalm, Marie Ernsth Bravell, Pia H Bülow

{"title":"Differences and similarities of persons with a diagnosis psychosis or non-psychosis assessed as SMI, among a population of elderly persons in Sweden.","authors":"Per Bülow, Deborah Finkel, Cristina Joy Torgé, Monika Allgurin, Magnus Jegermalm, Marie Ernsth Bravell, Pia H Bülow","doi":"10.1080/08039488.2026.2619969","DOIUrl":"10.1080/08039488.2026.2619969","url":null,"abstract":"Purpose: In Sweden, in the wake of deinstitutionalization, in 1995 the responsibility for support regarding accommodation, employment, and an active everyday life for persons with severe mental illness (SMI) became a matter for the municipality's social services. The overall aim of this study was to investigate whether there are differences in functioning and needs among older adults (65+) with severe mental illness (SMI) when divided into Psychosis and Non‑Psychosis groups.Materials and methods: Data was collected from 5 surveys, and data from national registers. A group of older adults with SMI, with a history of long-term stays in mental hospitals, was identified and divided into two groups: Psychosis diagnosis (N = 222) and Non-Psychotic diagnosis (N = 253).Results: The level of functioning was significantly lower in the Psychosis group, but at the same time, long periods of institutionalization, regardless of diagnosis category, also contributed to lower functioning scores. Diagnostic group did not explain differences in the proportion of unsatisfied needs; however, the length of institutionalization did.Conclusions: Although there were diagnostic group differences in functioning, there were no diagnostic group differences in unmet needs, suggesting that social services were responding to individuals' actual level of functioning. In line with the studies by Barton and by Goffman, it can be argued that the long periods of institutionalization were the most decisive factors influencing functional levels.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"151-157"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0