Nordic Journal of Psychiatry最新文献_第6页

Comparisons between obsessive-compulsive disorder and trichotillomania in terms of autistic traits and repetitive behaviors in adolescents. 从青少年自闭症特征和重复行为的角度比较强迫症和毛手毛脚症。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-01-01 Epub Date: 2024-11-20 DOI: 10.1080/08039488.2024.2431116

Merve Onat, Ayda Beril Nas Ünver, Gülser Şenses Dinç, Esra Çöp, Aynur Pekcanlar Akay

{"title":"Comparisons between obsessive-compulsive disorder and trichotillomania in terms of autistic traits and repetitive behaviors in adolescents.","authors":"Merve Onat, Ayda Beril Nas Ünver, Gülser Şenses Dinç, Esra Çöp, Aynur Pekcanlar Akay","doi":"10.1080/08039488.2024.2431116","DOIUrl":"10.1080/08039488.2024.2431116","url":null,"abstract":"Background: Our study aims to reveal the relationship between autistic traits and repetitive behaviors in adolescents diagnosed with obsessive-compulsive disorder and trichotillomania and to compare them to healthy controls.Method: A total of 100 adolescents, 33 of whom were diagnosed with obsessive-compulsive disorder, 32 of whom were diagnosed with trichotillomania and 35 healthy controls, aged 11-18 years, who applied to a Child and Adolescent Psychiatry Outpatient Clinic between February 2023 and July 2023, were included in the study. Participants were evaluated with the Autism Spectrum Quotient (AQ)-Adolescent, Repetitive Behavior Scale-Revised (RBS-R), Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), and Clinical Global Impression Scale-Severity (CGI-S). SPSS 25.0 program was used in the analysis. p < 0.05 was accepted as the significance level.Results: It was found that adolescents diagnosed with obsessive-compulsive disorder and trichotillomania had higher autistic trait levels compared to healthy controls, while there was no significant difference between the obsessive-compulsive disorder and trichotillomania groups. While stereotypic, routine, sameness, and restricted repetitive behaviors were more common in the obsessive-compulsive disorder and trichotillomania groups as opposed to healthy controls, it was found that compulsive behavior was more common in the obsessive-compulsive disorder group, and self-injurious behavior was more common in the trichotillomania group compared to healthy controls.Conclusion: The findings of our study indicate that adolescents diagnosed with trichotillomania, similar to those with obsessive-compulsive disorder, have a higher level of autistic traits and repetitive behaviors. The authors believe it is crucial to focus on the social skill difficulties these adolescents may be experiencing.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"34-41"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676441","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

Family intimacy and depression: a comparative study among adolescents in Finland. 家庭亲密与抑郁：芬兰青少年的比较研究。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-01-01 Epub Date: 2024-12-06 DOI: 10.1080/08039488.2024.2436986

Meysam Haddadi Barzoki, Timo Toikko

{"title":"Family intimacy and depression: a comparative study among adolescents in Finland.","authors":"Meysam Haddadi Barzoki, Timo Toikko","doi":"10.1080/08039488.2024.2436986","DOIUrl":"10.1080/08039488.2024.2436986","url":null,"abstract":"Background: Substantial research has demonstrated the strong influence of family factors on adolescent depressive symptoms. However, the mechanisms underlying this relationship, particularly the moderating effects of sex and sexual orientation, remain unclear.Objectives: This study aimed to investigate the direct and indirect effects of family intimacy on depressive symptoms among adolescents, while examining the mediating role of social inclusion and anxiety disorders. Furthermore, it explored how these effects are moderated by sex and sexual orientation.Method: Data from the nationwide School Health Promotion Study in Finland were used (N = 155,166; adolescents aged 14-17 years). The analysis included a multiple mediation model to evaluate the pathways linking family intimacy to depressive symptoms, through social inclusion and anxiety disorders. Moderation analyses were conducted to explore the moderating effects of sex and sexual orientation on these pathways.Results: Family intimacy had a significant direct negative effect on depressive symptoms. Social inclusion and anxiety disorders were identified as mediators, with social inclusion serving as a significant buffer to depression. Moderation analysis revealed that these effects were stronger for non-heterosexual adolescents and varied by sex, with females showing a stronger impact of social inclusion on depressive symptoms, whereas males were more influenced by the pathway through anxiety disorders.Conclusion: The findings highlight the crucial roles of social inclusion and family intimacy in mitigating depressive symptoms among adolescents. Interventions should prioritize enhancing social inclusion, particularly for non-heterosexual adolescents, and tailor strategies based on sex differences to optimize outcomes.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"70-78"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785304","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

Web-based cognitive screening in bipolar disorder: validation of the Internet-based Cognitive Assessment Tool in remote administration settings. 双相情感障碍中基于网络的认知筛查：远程管理设置中基于互联网的认知评估工具的验证。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2025-01-01 Epub Date: 2024-12-01 DOI: 10.1080/08039488.2024.2434601

Jeff Zarp, Caroline Fussing Bruun, Sille Tørring Christiansen, Helle B Krogh, Oscar Vittorio Kuchinke, Christoffer Leth Bernsen, Andreas Elleby Jespersen, Jakob Eyvind Bardram, Lars Vedel Kessing, Kamilla Woznica Miskowiak

{"title":"Web-based cognitive screening in bipolar disorder: validation of the Internet-based Cognitive Assessment Tool in remote administration settings.","authors":"Jeff Zarp, Caroline Fussing Bruun, Sille Tørring Christiansen, Helle B Krogh, Oscar Vittorio Kuchinke, Christoffer Leth Bernsen, Andreas Elleby Jespersen, Jakob Eyvind Bardram, Lars Vedel Kessing, Kamilla Woznica Miskowiak","doi":"10.1080/08039488.2024.2434601","DOIUrl":"10.1080/08039488.2024.2434601","url":null,"abstract":"Background: Cognitive impairments are prevalent during remission in bipolar disorder (BD), but existing cognitive screening tools are time- and resource-intensive. Digital, web-based options can facilitate detection and monitoring of these impairments across clinical and research settings.Methods: This cross-sectional study investigated psychometric properties of the Internet-based Cognitive Assessment Tool (ICAT) when self-administered in home-based settings. Newly diagnosed, remitted outpatients with BD and healthy controls (HC) underwent cognitive testing with the standard paper-pencil tool Screen for Cognitive Impairment in Psychiatry (SCIP) in-clinic and ICAT at-home as part of baseline assessments for an intervention trial (ClinicalTrials ID: 2021-000862-14).Results: Data were analyzed for 31 BD patients and 29 HC. We demonstrated a strong positive correlation between at-home ICAT and in-clinic SCIP total scores within patients with BD (r(29) = 0.66, p < .001), which survived subsyndromal mood symptoms adjustment (partial r(25) = 0.67, p < .001), indicating adequate concurrent validity. There was a moderate positive correlation between ICAT and SCIP total scores across the entire sample (r(54) = 0.56, p < .001) and between subtest scores (r = 0.29-0.61, ps ≤ .03), except the executive functions tasks (p = .1). BD patients exhibited no impaired performance compared to HC on ICAT or SCIP (ps ≥ .08).Conclusions: ICAT is a valid and feasible online tool for remote cognitive screening in remitted patients with BD. Web-based screening constitutes an accessible and efficient approach for implementing systematic cognitive screening in BD.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"52-61"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770790","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 influence of the contextual framing on physio- and occupational therapists' clinical reasoning in sensory rooms with patients admitted to psychiatry - a qualitative case study. 理疗师和职业治疗师在感官室对精神病科住院病人进行临床推理时，情境框架对其临床推理的影响--定性案例研究。

IF 16.4 4区医学

Nordic Journal of Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-10-26 DOI: 10.1080/08039488.2024.2415307

Christina Enemark Obarzanek, Merethe Lønne Kjær, Kim Lee, Jeanette Præstegaard, Siv-Therese Bogevik Bjørkedal

{"title":"The influence of the contextual framing on physio- and occupational therapists' clinical reasoning in sensory rooms with patients admitted to psychiatry - a qualitative case study.","authors":"Christina Enemark Obarzanek, Merethe Lønne Kjær, Kim Lee, Jeanette Præstegaard, Siv-Therese Bogevik Bjørkedal","doi":"10.1080/08039488.2024.2415307","DOIUrl":"10.1080/08039488.2024.2415307","url":null,"abstract":"Aim: To investigate the influence of contextual framing on physio- and occupational therapists' clinical reasoning in sensory rooms for patients admitted to psychiatric units.Material and method: Physiotherapists and occupational therapists from acute and intensive care units with sensory rooms were invited to participate in the study. The therapists were interviewed following sessions with patients in sensory rooms, using a semi-structured interview guide. These therapists also participated in a focus group interview. All interviews were transcribed and analysed based on the thematic analysis by Braun and Clarke.Results: Twenty individual interviews and one focus group interview were conducted with seven physio- and occupational therapists. Three themes with accompanying subthemes emerged: (i) The contextual influence: Therapists' perceptions of the use of sensory rooms, The dominance of the medical paradigm). (ii) The therapeutic alliance: The therapists' relational skills, The importance of a good therapeutic patient relation, and Physio- and occupational therapy in a psychiatric setting.: (iii) The therapeutic diagnosis, Therapeutic sensory room interventions, and Holistic approach in a limited timeframe.Conclusion: The clinical reasoning of physio- and occupational therapists in sensory-modulating sessions for patients admitted to psychiatric units is influenced by a primarily medically dominated paradigm; legally, economically, and politically. Occupational therapists mainly focus on everyday skills and being in the present, whereas physiotherapists focused on activities with bodily anchoring and awareness.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"685-697"},"PeriodicalIF":16.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142504858","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

Long-term effectiveness of SBIRT by outreach visits on subsequent alcohol treatment utilization among inpatients from general hospital: a 36-months follow-up. 通过外展访问开展 SBIRT 对综合医院住院病人随后使用酒精治疗的长期效果：36 个月的随访。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-11-06 DOI: 10.1080/08039488.2024.2424952

Jeppe Sig Juelsgaard Tryggedsson, Anette Søgaard Nielsen, Bent Nielsen

{"title":"Long-term effectiveness of SBIRT by outreach visits on subsequent alcohol treatment utilization among inpatients from general hospital: a 36-months follow-up.","authors":"Jeppe Sig Juelsgaard Tryggedsson, Anette Søgaard Nielsen, Bent Nielsen","doi":"10.1080/08039488.2024.2424952","DOIUrl":"10.1080/08039488.2024.2424952","url":null,"abstract":"Aim: To investigate the long-term effect of Screening, Brief Intervention, and Referral to Treatment (SBIRT) on alcohol treatment utilization among general hospital inpatients.Methods: This 36-month follow-up of a randomized controlled trial included general hospital inpatients who were screened using the Alcohol Use Disorder Identification Test (AUDIT). Patients with an AUDIT score of 8+ were included. Patients were randomized to either SBIRT (Relay) or treatment as-usual (TAU). Outcome was attendance at a specialized outpatient treatment institution or prescription of pharmacological alcohol treatment in general practice. Using the Danish Civil Registration System, patients were followed in the Danish National Patient Registry, Danish National Alcohol Treatment Register, and the Danish National Prescription Registry. Data was collected up to 36 months after discharge.Results: The study population consisted of 258 patients in the Relay group and 303 patients in the TAU group. In the Relay group, 36 (14.0%) patients received treatment versus 23 (7.6%) in the TAU group. Patients in the Relay group had higher odds for receiving treatment compared to the TAU group (OR: 1.97, 95% CI: 1.1-3.4, p = 0.01). Significantly more patients in the Relay group scored 16+ on the AUDIT and had already tried to change their alcohol consumption (both p < 0.01). Adjusted for potential confounders, the effect of the Relay intervention was reduced (OR: 1.37, 95%CI: 0.7-2.5, p = 0.31).Conclusions: This study did not find evidence that SBIRT is better than TAU at sustaining significant long-term alcohol treatment utilization after discharge among inpatients from general hospital.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"736-742"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591226","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

What do we know now about evidence-based treatment for psychosis and aggressive behaviour or criminality that we did not know when community care was implemented? 关于精神病和攻击性行为或犯罪行为的循证治疗，我们现在知道了什么，而在社区护理实施之初我们并不知道？

IF 16.4 4区医学

Nordic Journal of Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-09-27 DOI: 10.1080/08039488.2024.2403586

Sheilagh Hodgins

{"title":"What do we know now about evidence-based treatment for psychosis and aggressive behaviour or criminality that we did not know when community care was implemented?","authors":"Sheilagh Hodgins","doi":"10.1080/08039488.2024.2403586","DOIUrl":"10.1080/08039488.2024.2403586","url":null,"abstract":"Purpose: Community care replaced institutional care for people with psychosis without guidance about what constituted effective treatment. In a Swedish birth cohort, many of those who developed schizophrenia or bipolar disorder as community care was being implemented were subsequently convicted of violent and non-violent crimes. Studies from other countries that were implementing community care at this time also reported elevated proportions of patients acquiring criminal convictions. Since community care was first implemented, much has been learned about factors that promote and treatments that limit aggressive/antisocial behaviour/criminality (AABC) among people with psychosis. Without the benefit of this knowledge, did mental health policy and practices that were in place as the asylums were closed inadvertently contribute to criminality?Material and methods: This article provides a narrative review of current evidence of effective treatments and management strategies to reduce AABC among patients with psychosis.Results: Reductions in AABC are associated with stable contact with psychiatric services, second-generation antipsychotic medication, clozapine for patients with schizophrenia and elevated levels of hostility and/or a history of childhood conduct disorder, abstinence from substances, avoidance of trauma, and constant monitoring of both illness symptoms and AABC.Conclusions: Failure to adopt evidence-based practices allows the problem of AABC to persist, prevents patients from experiencing independent, safe, community tenure, and puts those around them at risk. Many challenges remain, including implementing effective assessment and interventions at first-episode and convincing patients with antisocial attitudes and behaviours to participate in treatment programs to reduce AABC and to learn prosocial behaviours.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"649-658"},"PeriodicalIF":16.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142350906","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 comparative study of comorbidities, symptom profiles, and childhood trauma in PTSD and non-PTSD trauma patients at Oslo University Hospital. 奥斯陆大学医院创伤后应激障碍和非创伤后应激障碍创伤患者合并症、症状特征和童年创伤的比较研究。

IF 16.4 4区医学

Nordic Journal of Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-10-16 DOI: 10.1080/08039488.2024.2415306

Anustha Mainali, Erik Ganesh Iyer Søegaard, Edvard Hauff, Suraj Bahadur Thapa

{"title":"A comparative study of comorbidities, symptom profiles, and childhood trauma in PTSD and non-PTSD trauma patients at Oslo University Hospital.","authors":"Anustha Mainali, Erik Ganesh Iyer Søegaard, Edvard Hauff, Suraj Bahadur Thapa","doi":"10.1080/08039488.2024.2415306","DOIUrl":"10.1080/08039488.2024.2415306","url":null,"abstract":"Purpose: To explore the differences in mental health symptom profiles, trauma profiles, childhood trauma and comorbidities in patients with PTSD and those without PTSD.Materials and methods: A cross-sectional study was carried out on 110 adult patients with trauma backgrounds attending a mental health outpatient clinic in Southern Oslo, Norway. In addition to self- report questionnaires, several standardized validated diagnostic tools were used to assess mental disorders. Multiple linear regression models were used to assess the association between trauma history, the mental health symptom profile of the patients, and PTSD diagnosis. Bivariate logistic regression was used to examine if childhood trauma/adversities were associated with PTSD.Results: Patients diagnosed with PTSD had significantly higher rates of comorbid major depressive disorder, panic disorder, agoraphobia disorder, and social phobia compared to those without PTSD. We also found a positive association between PTSD diagnosis and all the different mental health symptoms domains of the Symptom Checklist-90-Revised instrument. When adjusted for age, gender, education, smoking habits, immigration, relationship, and employment status, these associations persisted with varying effects. We did not find any association between PTSD and childhood trauma/adversities, however, sexual abuse trended towards an association.Conclusion: Adult trauma patients with PTSD may have more comorbid disorders and mental health symptoms. Childhood trauma may be less critical for the PTSD diagnosis in this group. In clinical practice, personalized treatment plans addressing both the symptom burden and its comorbidities may be beneficial.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"713-720"},"PeriodicalIF":16.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142470982","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

Unravelling the complexity of suicidality: a network analysis of theory-driven and culturally relevant suicide risk factors in a country with high suicide rates. 揭示自杀的复杂性：在一个自杀率较高的国家对理论驱动和文化相关的自杀风险因素进行网络分析。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-11-10 DOI: 10.1080/08039488.2024.2424960

Jurgita Rimkevičienė, Dovilė Grigienė, Said Dadašev, Paulius Skruibis, Danutė Gailienė

{"title":"Unravelling the complexity of suicidality: a network analysis of theory-driven and culturally relevant suicide risk factors in a country with high suicide rates.","authors":"Jurgita Rimkevičienė, Dovilė Grigienė, Said Dadašev, Paulius Skruibis, Danutė Gailienė","doi":"10.1080/08039488.2024.2424960","DOIUrl":"10.1080/08039488.2024.2424960","url":null,"abstract":"Purpose: This study aimed to explore whether individual theory-based constructs are sufficient in explaining suicidality in a culture marked by high suicide rates and whether, if any, culturally relevant factors need to be considered additionally.Methods: The study used a community sample of 1873 Lithuanian adults (age M = 43.61 SD = 16.96, 69.1% female). A survey using online and pen-and-paper formats was conducted, measuring suicidality, the main constructs from two predominant theories of suicide (thwarted belongingness, perceived burdensomeness, acquired capability for suicide, and defeat and entrapment), and culturally relevant factors (gender role expectations, attitudes towards help-seeking, perfectionism, negative social comparisons, alcohol use, child-parent relationships and childhood experiences). Network analysis method was used in the analysis.Results: From the key factors identified in the two theories perceived burdensomeness had stronger links with self-perceived risk for suicide compared to thwarted belongingness and entrapment. Acquired capability to suicide had no direct links with other factors in the network apart from a weak link with history of suicidal behavior. In the network some of the culturally relevant variables (reasons for alcohol use, experience of sexual abuse, emotional neglect, and cultural norms representing restricted emotionality and attitudes towards psychological help) had direct relationships with suicidality, not only via key theory based factors.Conclusions: The results suggest the need to consider cultural context when applying universal suicide theories.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"743-751"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624947","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

Use of the Return-to-Work-Readiness Questionnaire with patients undergoing psychiatric assessment of work ability - a pilot study. 在接受精神科工作能力评估的患者中使用重返工作岗位准备情况问卷--一项试点研究。

IF 16.4 4区医学

Nordic Journal of Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI: 10.1080/08039488.2024.2409140

Susanne Heikinheimo, Niina Puustinen, Jaana Kuoppala, Viveca Kailasto, Katinka Tuisku

{"title":"Use of the Return-to-Work-Readiness Questionnaire with patients undergoing psychiatric assessment of work ability - a pilot study.","authors":"Susanne Heikinheimo, Niina Puustinen, Jaana Kuoppala, Viveca Kailasto, Katinka Tuisku","doi":"10.1080/08039488.2024.2409140","DOIUrl":"10.1080/08039488.2024.2409140","url":null,"abstract":"Objectives: Our aim was to explore the predictive value of Return-to-Work-Readiness Questionnaire (RTW-RQ) among patients with mental disability.Material and methods: The cohort consists of 129 patients undergoing psychiatric assessment for work ability. RTW-RQ was used to assess self-perceived functional capacity concerning return-to-work. The questionnaire comprises an equal appearing interval scale (0-10) and qualitative questions related to facilitating and hindering factors towards return-to-work. Work status was measured at one-year.Results: At one-year follow-up, 31 patients (24%) had returned to competitive employment (CE) and 81 (63%) were considered able to work. The mean score for RTW-RQ was 4.8 (SD 3.9) for patients having returned to CE, and 1.9 (2.7) for those having not returned. Medium and high RTW-RQ scores predicted return to CE compared to those with a low score (scores 2-4: OR 3.1, 95% 0.8-12.4; scores 5-10: OR 52.8, 95% 6.0-461.7). Health and work-related facilitating factors were positively associated with RTW-RQ and seemed to predict return to CE (OR 2.4, 95% CI 0.6-9.4, and OR 2.2, 95% CI 0.6-9.0, respectively). On the other hand, health-related hindering factors were negatively associated with RTW-RQ and seemed to predict return to CE (OR 0.6, 95% CI 0.1-3.3). Results were similar regarding work ability.Conclusions: RTW-RQ seem to predict return to competitive employment and work ability within one year among patients with mental disability. It also seems crucial to recognize facilitating and hindering factors in order to succeed in rehabilitation.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"668-674"},"PeriodicalIF":16.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361848","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

'It provided me with a sense of safety that I hadn't felt in weeks.' A qualitative case study of service users' experiences with sensory rooms in psychiatric inpatient units. 它给了我几周来从未有过的安全感。精神病住院部感官室服务使用者体验的定性案例研究。

IF 16.4 4区医学

Nordic Journal of Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-10-07 DOI: 10.1080/08039488.2024.2412033

Merethe Lønne Kjær, Christina Enemark Obarzanek, Jeanette Præstegaard, Siv Therese Bogevik Bjørkedal

{"title":"'It provided me with a sense of safety that I hadn't felt in weeks.' A qualitative case study of service users' experiences with sensory rooms in psychiatric inpatient units.","authors":"Merethe Lønne Kjær, Christina Enemark Obarzanek, Jeanette Præstegaard, Siv Therese Bogevik Bjørkedal","doi":"10.1080/08039488.2024.2412033","DOIUrl":"10.1080/08039488.2024.2412033","url":null,"abstract":"Introduction: Sensory rooms are environments designed to provide sensory input to help service users regulate arousal and manage distress. Sensory rooms are widely implemented in psychiatric inpatient units, but limited knowledge exists on how the sensory rooms are perceived by those who use them. This study investigated service users' experiences with sensory rooms during admission.Methods: A qualitative case study using semi-structured interviews conducted with 20 participants, admitted in acute, intensive, and open inpatient psychiatric units in Copenhagen, Denmark. Participants used the sensory rooms under guidance from occupational therapists or physiotherapists and were subsequently interviewed about their experiences. Interviews were transcribed and subjected to thematic analysis.Results: Participants reported that being in the sensory rooms helped them to reconnect to their body and to experience peace of mind. Over time, participants used the sensory approaches to develop self-management strategies and enable participation in activities.Conclusion: This study concludes that most of the participants had a positive experience in the sensory room under guidance from one of the unit's physio or occupational therapists. Participants experienced increased physical and mental calmness in the sensory room and an increased sense of safety which made a difference during their admission and, for several of them, also in terms of their expectations for everyday life following their discharge.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"675-684"},"PeriodicalIF":16.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392092","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