Nordic Journal of Psychiatry最新文献_第2页

Treatment-seeking methods, internalized stigma, and perceived social support levels of patients with mental disorders in different cultures: comparison of Eastern and Western examples in Turkiye. 不同文化中精神障碍患者的寻求治疗方法、内化耻辱感和感知社会支持水平：土耳其东西方案例的比较

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-04-22 DOI: 10.1080/08039488.2025.2486380

Nurgül Özdemir, Şengül Kocamer Şahin, Fatima Özdemir Şiğva, Ali Rıza Türkmen

{"title":"Treatment-seeking methods, internalized stigma, and perceived social support levels of patients with mental disorders in different cultures: comparison of Eastern and Western examples in Turkiye.","authors":"Nurgül Özdemir, Şengül Kocamer Şahin, Fatima Özdemir Şiğva, Ali Rıza Türkmen","doi":"10.1080/08039488.2025.2486380","DOIUrl":"10.1080/08039488.2025.2486380","url":null,"abstract":"Purpose: This study investigated treatment-seeking methods, internalized stigma levels, and perceived social support among mental disorder patients in the eastern and western regions of Turkiye.Materials and methods: The study was conducted between April 10, 2022, and October 10, 2022, in two centers: Mardin Research and Training Hospital Psychiatry Outpatient Clinic (Southeastern Anatolia Region) and Bagcilar Research and Training Hospital Psychiatry Outpatient Clinic (Marmara Region). Simple random sampling method was used in the selection of participants. 238 patients (119 from each center) diagnosed with DSM-5 disorders participated. Assessment tools included the Help-Seeking Behavior Evaluation Form, Short Form of the Attitude Scale for Seeking Psychological Help (ATSPHS), Internalized Stigma Scale in Mental Illnesses (ISMI), and Multidimensional Perceived Social Support Scale (MSPSS). Data were analyzed using descriptive statistics, chi-square tests, and independent t-tests.Results: Patients in the western region reported higher perceived support from family and friends, while those in the eastern region experienced greater internalized stigma, including alienation, stereotype endorsement, perceived discrimination, and social withdrawal. Patients in the eastern region demonstrated a stronger preference for traditional healers. Conversely, patients in the western region were more likely to consult psychiatrists.Conclusion: The study concludes that cultural factors significantly influence patients' attitudes toward treatment and mental health care. It emphasizes the need for culturally sensitive approaches in mental health interventions, particularly in rural and disadvantaged areas. Community-based psychoeducation programs could help reduce stigma and encourage earlier help-seeking behaviors.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":"79 4","pages":"288-296"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995713","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

Sweden vs. Finland - forensic psychiatric care and subsequent recidivism in violent crime. 瑞典诉芬兰——法医精神病治疗和随后的暴力犯罪累犯。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-05-08 DOI: 10.1080/08039488.2025.2497816

Lenka Sivak, Ilkka Ojansuu, Jari Tiihonen, Markku Lähteenvuo, Jonas Forsman

{"title":"Sweden vs. Finland - forensic psychiatric care and subsequent recidivism in violent crime.","authors":"Lenka Sivak, Ilkka Ojansuu, Jari Tiihonen, Markku Lähteenvuo, Jonas Forsman","doi":"10.1080/08039488.2025.2497816","DOIUrl":"10.1080/08039488.2025.2497816","url":null,"abstract":"Introduction: Legal and medical approaches to mentally ill offenders vary internationally, but those with severe mental disorders are often sentenced to forensic psychiatric care, where one of the main objectives is to prevent recidivism. This retrospective cohort study compared violent recidivism after discharge from such treatment in Sweden and Finland.Methods: The Swedish cohort included patients discharged between 2009 and 2019, with recidivism data collected until December 2019. Finnish patients discharged between 1999 and 2018 were followed for recidivism until 2019. Violent recidivism was analyzed using cumulative incidence curves and Cox regression models for relevant variables.Results: The violent recidivism rate was 3294 per 100,000 person-years in Sweden versus 1083 in Finland. The estimated cumulative incidence of violent crime in Sweden was 6.3% at 12 months, 9.9% at 24 months, and 13.6% at 60 months, versus 0.4% at 12 months, 2.7% at 24 months, and 7.6% at 60 months in Finland. Among Swedish patients with schizophrenia spectrum disorder, the recidivism rate was 11.5% at 60 months. A history of substance use disorder was associated with a more than two-fold risk of committing a violent crime in both Sweden and Finland. Conversely, higher age at discharge reduced the risk in both countries.Conclusion: The rate of violent recidivism among former forensic psychiatric patients is higher in Sweden than in Finland, with the cumulative incidence at five years being 1.8-fold in Sweden (1.5-fold among patients with psychosis). History of substance use disorder and higher age at discharge significantly influenced recidivism risk in both countries.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":"79 4","pages":"314-320"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002979","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

Problematic gaming, problem gambling: co-occurrence and association with depression and generalised anxiety disorder among working-age adults in Latvia. 问题游戏，问题赌博：拉脱维亚工作年龄成年人抑郁症和广泛性焦虑症的共同发生和关联。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-04-23 DOI: 10.1080/08039488.2025.2494838

Kristīne Ozoliņa, Inese Gobiņa, Anda Ķīvīte-Urtāne, Lukas Blinka

{"title":"Problematic gaming, problem gambling: co-occurrence and association with depression and generalised anxiety disorder among working-age adults in Latvia.","authors":"Kristīne Ozoliņa, Inese Gobiņa, Anda Ķīvīte-Urtāne, Lukas Blinka","doi":"10.1080/08039488.2025.2494838","DOIUrl":"10.1080/08039488.2025.2494838","url":null,"abstract":"Aims: This study aimed to investigate the prevalence of problematic gaming and gambling and the co-occurrence of these behaviours in association with depression and generalised anxiety disorder in a representative general working-age adult population in Latvia.Methods: Data from a survey of 4,912 respondents aged 15-64 in the general population of Latvia were studied. The Game Addiction Scale, the Problem Gambling Severity Index, and the PHQ-9 and GAD-7 scales were used to obtain self-reported data for the target study variables. Descriptive statistics and binary logistic regression models assess the prevalence of the variables and estimate the odds ratios for depression and generalised anxiety disorder.Results: By adjusting for age, sex, and income level, both problematic gaming and gambling significantly increased the odds of depression and anxiety by an average of three times. The prevalence of the co-occurrence of problematic gaming and gambling was 0.8%, and it did not elevate the odds of depression and anxiety compared to having either problematic gaming or gambling alone, which maintains the overall threefold increase of both depression and anxiety (p < 0.05).Conclusions: In the general adult population, the presence of problematic gaming and gambling indicates a higher likelihood for the individual burden of mental health problems due to the co-existence of depression or anxiety. Thus, the complexity of problematic gaming and gambling has to be taken into account when planning and implementing effective mental health interventions.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":"79 4","pages":"297-302"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032577","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 disengagement syndrome symptoms in obsessive-compulsive disorder with and without attention deficit hyperactivity disorder. 伴有或不伴有注意缺陷多动障碍的强迫症的认知脱离综合征症状。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-04-07 DOI: 10.1080/08039488.2025.2488386

Yigit Ozaydin, Doga Sevincok, Ufuk Uyar, Borte Gurbuz Ozgur, Hatice Aksu, Levent Sevincok

{"title":"Cognitive disengagement syndrome symptoms in obsessive-compulsive disorder with and without attention deficit hyperactivity disorder.","authors":"Yigit Ozaydin, Doga Sevincok, Ufuk Uyar, Borte Gurbuz Ozgur, Hatice Aksu, Levent Sevincok","doi":"10.1080/08039488.2025.2488386","DOIUrl":"10.1080/08039488.2025.2488386","url":null,"abstract":"Objective: Comorbidity between Obsessive-Compulsive Disorder (OCD) and Attention Deficit/Hyperactivity Disorder (ADHD) appears complex in terms of etiology, phenomenology, and treatment. There is a need to identify possible factors which are related to the co-occurrence of OCD and ADHD in adults. Cognitive Disengagement Syndrome (CDS) may contribute to this comorbidity through its associations with ADHD, emotional dysregulation, cognitive processes, and neuropsychological deficits.Methods: In this study, we compared CDS and various sociodemographic and clinical characteristics in OCD patients with (n = 44) and without ADHD (n = 72), and healthy controls (n = 43), using the Yale Brown Obsessive-Compulsive Scale, Wender Utah Rating Scale, Adult ADD/ADHD DSM-IV Based Diagnostic Screening and Rating Scale, Barkley's Adult Sluggish Cognitive Tempo Rating Scale, Beck Depression Inventory, and Beck Anxiety Inventory.Results: In addition to contamination obsessions (OR = 7.733, p = 0.002), male gender (OR = 3.732, p = 0.031), high anxiety (OR = 1.053, p = 0.02), and high CDS symptoms (OR = 1.145, p = 0.037) were associated with comorbidity between OCD and ADHD.Conclusion: We suggest that CDS may serve as a valuable construct for understanding the nature of comorbidity between OCD and ADHD.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"264-271"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795835","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

Evaluation of Steps Towards Recovery - attitudes towards and experiences of a recovery-oriented nursing programme as an approach to evidence-based nursing practice in psychiatric in-patient care. 对康复步骤的评估-对以康复为导向的护理计划的态度和经验，作为精神科住院病人护理的循证护理实践方法。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-04-12 DOI: 10.1080/08039488.2025.2492157

Johanna Salberg, Timo Hursti, Lisa Ekselius, Caisa Öster

{"title":"Evaluation of Steps Towards Recovery - attitudes towards and experiences of a recovery-oriented nursing programme as an approach to evidence-based nursing practice in psychiatric in-patient care.","authors":"Johanna Salberg, Timo Hursti, Lisa Ekselius, Caisa Öster","doi":"10.1080/08039488.2025.2492157","DOIUrl":"10.1080/08039488.2025.2492157","url":null,"abstract":"Purpose: The study aimed to (1) explore nursing staff attitudes towards evidence-based practice in conjunction with implementation of Steps Towards Recovery, and (2) describe nurses' and nurse managers' experiences of working with Steps Towards Recovery, as an example of evidence-based practice.Materials and methods: The study was carried out in two parts. Part 1 incorporated quantitative questionnaire data using descriptive, non-parametric statistical analyses. Part 2 incorporated qualitative data, from both individual and focus group interviews, using qualitative content analysis and focus group data analysis.Results: In part 1, positive attitudes were reported. Openness to evidence-based practice was significantly higher after implementation. In part 2, the nursing programme was found to be seen as an important contribution to nursing in psychiatric in-patient care. Evidence-based practice was seen as important but insufficiently used.Conclusion: Integrating results from nursing research into daily nursing work is described as challenging in psychiatric in-patient care. There is a need to illuminate the gap between theory and practice to achieve evidence-based nursing. Nurses' professional role and responsibility for the development and improvement of nursing are crucial in doing so and must be addressed in nursing education, by nurses themselves, as well as by managers at all levels of health care.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":"79 4","pages":"280-287"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026330","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

Screening for autism in psychiatric inpatients with severe self-harm - results from the Extreme Challenges research project. 筛查患有严重自残的精神病住院患者的自闭症——来自极端挑战研究项目的结果。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-05-04 DOI: 10.1080/08039488.2025.2497820

Arvid Nikolai Kildahl, Tuva Langjord, Geir Pedersen, Oddbjørn Hove, Øyvind Urnes, Terje Torgersen, Ingeborg Helene Ulltveit-Moe Eikenæs, Elfrida Hartveit Kvarstein

{"title":"Screening for autism in psychiatric inpatients with severe self-harm - results from the Extreme Challenges research project.","authors":"Arvid Nikolai Kildahl, Tuva Langjord, Geir Pedersen, Oddbjørn Hove, Øyvind Urnes, Terje Torgersen, Ingeborg Helene Ulltveit-Moe Eikenæs, Elfrida Hartveit Kvarstein","doi":"10.1080/08039488.2025.2497820","DOIUrl":"10.1080/08039488.2025.2497820","url":null,"abstract":"Purpose: Living with undiagnosed autism may have negative consequences for mental health, including increased risk of self-harm and suicidal behaviours. Autism is currently underdiagnosed in adult females. While severe self-harm is associated with complex psychopathologies, it is often assumed to signify the presence of borderline personality disorder, and underlying autism may not be recognised. The purpose of the current study was to explore the prevalence of diagnosed autism, as well as the prevalence of being screen positive for autism and its clinical correlates, in a clinical sample of inpatients with severe self-harm.Materials and methods: In a national multisite project comprising 12 hospitals, 42 patients (40 female, 2 male; age >18) with frequent (≥ 5) or long (≥ 4 weeks) inpatient admissions due to self-harm during the last year were recruited for a cross-sectional study. The Ritvo Autism and Asperger Diagnostic Scale-Revised (RAADS-R) was used to screen for autism.Results: Four participants, all female, were diagnosed with autism. When applying different cut-off criteria for the RAADS-R, even the strictest cut-off resulted in a considerably higher proportion of the sample being screen positive for autism. Participants with higher scores on the RAADS-R reported more anxiety, depressive, and trauma-related symptoms, as well as poorer functioning across measures of personality, close relationships, emotion regulation and alexithymia.Conclusions: These findings highlight the importance of actively screening for and assessing autism in patients with severe self-harm. Undiagnosed autism may involve a risk that unhelpful interactions with the mental health care system exacerbate these patients' difficulties over time.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":"79 4","pages":"303-313"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020353","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

Prevalence and relevance of neurocognitive challenges in patients admitted to a secondary mental health outpatient clinic. 二级精神卫生门诊患者神经认知挑战的患病率和相关性

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-04-09 DOI: 10.1080/08039488.2025.2489638

Camilla Angelsen Kvestad, Solveig Klæbo Reitan, Ingvild Rønneberg Holte, Turid Follestad, Katrine Høyer Holgersen

{"title":"Prevalence and relevance of neurocognitive challenges in patients admitted to a secondary mental health outpatient clinic.","authors":"Camilla Angelsen Kvestad, Solveig Klæbo Reitan, Ingvild Rønneberg Holte, Turid Follestad, Katrine Høyer Holgersen","doi":"10.1080/08039488.2025.2489638","DOIUrl":"10.1080/08039488.2025.2489638","url":null,"abstract":"Background: Knowledge on factors affecting mental health is pivotal to offer the appropriate help for patients referred to mental health services. Neurocognitive challenges affect a person's capacity to cope in life. If underlying issues with cognitive functioning rather than psychiatric pathology cause suffering and failure to function, other measures than merely psychiatric treatment may be needed. However, there is a lack of knowledge on occurrence of neurocognitive challenges in the general psychiatric outpatient population.Material and method: This study included 283 outpatients in a Community Mental Health Center. Information of previous neurocognitive testing as a proxy for cognitive challenges was registered by patient file exploration. Psychiatric symptoms as well as demographics were reported by patients and clinicians.Results: Of 283 participants, 45 (15.9%) had previously been tested for neurocognitive function, 217 (76.7%) had not been tested and for 21 (7.4%) information was lacking. Patients in the group tested were younger and had a lower level of education. They had higher use of psychotropic drugs, i.e. especially stimulants, and had a history of more psychiatric treatment and more school challenges. Clinicians reported higher cognitive challenges and lower social competence among this group.Discussion: A group of patients referred to specialized psychiatric treatment suffer from neurocognitive challenges that may affect their daily life function and symptoms more than merely psychiatric disorders. This indicates that neurocognitive difficulties should be assessed and adjusted for before further psychiatric treatment is initiated. Findings should be further explored.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"272-279"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811149","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

Positive predictive value of an ICD-10-based operationalization of bipolar II disorder for register-based research. 基于icd -10的双相情感障碍操作化对基于登记的研究的积极预测价值。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1080/08039488.2025.2483749

Søren Dinesen Østergaard, Christian Jon Reinecke-Tellefsen, Anne Hostrup Brunø, Torben Albert Devantier, Pernille Kølbæk

{"title":"Positive predictive value of an ICD-10-based operationalization of bipolar II disorder for register-based research.","authors":"Søren Dinesen Østergaard, Christian Jon Reinecke-Tellefsen, Anne Hostrup Brunø, Torben Albert Devantier, Pernille Kølbæk","doi":"10.1080/08039488.2025.2483749","DOIUrl":"10.1080/08039488.2025.2483749","url":null,"abstract":"Objective: Bipolar II disorder (BD-II) is a subtype of bipolar disorder characterized by recurrent episodes of depression and hypomania, without full manic episodes. Unfortunately, BD-II is not included as a diagnostic code in the ICD-10, which means that the Danish Psychiatric Central Research Register (DPCRR), where diagnoses are recorded according to the ICD-10, cannot be used to study BD-II without further ado. The aim of this study was to investigate whether BD-II can be operationalized retrospectively based on ICD-10 diagnoses with sufficient positive predictive value to allow for studies of BD-II using data from the DPCRR.Materials and methods: We operationalized BD-II a priori based on a set of criteria (e.g. a minimum of two mood episodes labelled with ICD-10 diagnostic codes of hypomania or bipolar depression - at least one being bipolar depression - and no manic/mixed episodes). The positive predictive value of this operationalization was then examined by reviewing (two independent reviewers) the electronic health records (EHRs) of 147 patients from the Psychiatric Services of the Central Denmark Region matching the ICD-10-based operationalization of BD-II.Results: For 107 of the 147 patients, the EHR review confirmed that BD-II was the most likely diagnosis, resulting in a positive predictive value of 73% for the ICD-10-based operationalization of BD-II.Conclusions: This study suggests that, while not perfect in terms of positive predictive value, the proposed ICD-10-based operationalization will allow for studies of 'predominantly BD-II' using data from the DPCRR with sufficient validity.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"259-263"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772454","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

Clozapine acceptance and refusal rates for inpatients vs. outpatients with schizophrenia- secondary analyses of real-world data from a Danish quality assurance and improvement audit. 精神分裂症住院患者与门诊患者氯氮平接受率和拒绝率——丹麦质量保证和改进审计中真实数据的二次分析

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-05-08 DOI: 10.1080/08039488.2025.2499587

Michelle Iris Jakobsen, Jimmi Nielsen

引用次数: 0

Physical activity targeting patients admitted to a psychiatric hospital- a mixed method feasibility study. 针对精神病院住院病人的体育活动——一项混合方法可行性研究。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-04-01 Epub Date: 2025-03-05 DOI: 10.1080/08039488.2025.2472795

Camilla Richter, Ida Ulriksen, Esther Krogh Petersen, Kim Mogensbæk Poulsen, Anette Juel, Lene Lauge Berring

{"title":"Physical activity targeting patients admitted to a psychiatric hospital- a mixed method feasibility study.","authors":"Camilla Richter, Ida Ulriksen, Esther Krogh Petersen, Kim Mogensbæk Poulsen, Anette Juel, Lene Lauge Berring","doi":"10.1080/08039488.2025.2472795","DOIUrl":"10.1080/08039488.2025.2472795","url":null,"abstract":"Background: Physical activity (PA) shows positive effects on mental illness. PA and the use of municipal rehabilitation after discharge from psychiatric hospitalisation are inconsistent. The aim of this study was to evaluate the feasibility and acceptability of an intervention consisting of structured PA during hospitalisation and the use of a personalised physical activity plan and referral for municipal rehabilitation after discharge.Methods: A mixed-method design was used to explore the feasibility and acceptability of the intervention. Changes in health-related quality of life and physical function were measured using a six-minute walk test, a 30-second sit-to-stand test, handgrip strength, and patient reported outcomes (SF-36 and the Patient Specific Functional Scale [PSFS]). Qualitative results were further explored through semi-structured telephone interviews with twelve participants three weeks after discharge.Results: Twenty-six participants completed the intervention (median age: 46 years old; female: 57.7%). Improvements were seen in the PSFS. For SF-36, overall improvements were observed in the subscales physical function, well-being, and social function. Participants adhered to 61.5% of the scheduled physical activity sessions, 88% received a personalised physical activity plan, and 57% received municipal rehabilitation. The clinical provider played an important role in terms of motivation, structure, and knowledge about physical activity.Conclusion: Physical activity during hospitalisation, a personalised physical activity plan, and municipal rehabilitation was feasible for persons with mental illness. Positive changes were observed in the following self-reported outcomes: Quality of life, physical function, and social function, and participants reported moderate to good acceptance of the intervention.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"194-202"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567789","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