Nordic Journal of Psychiatry最新文献_第9页

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

Psychometric properties of the Strengths and Difficulties Questionnaire in an Icelandic community sample. 冰岛社区样本中优势与困难问卷的心理测量特性。

IF 16.4 4区医学

Nordic Journal of Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-10-08 DOI: 10.1080/08039488.2024.2412777

Gudmundur Skarphedinsson, Urdur Njardvik

{"title":"Psychometric properties of the Strengths and Difficulties Questionnaire in an Icelandic community sample.","authors":"Gudmundur Skarphedinsson, Urdur Njardvik","doi":"10.1080/08039488.2024.2412777","DOIUrl":"10.1080/08039488.2024.2412777","url":null,"abstract":"Purpose: The current paper aimed to evaluate the psychometric properties of the Icelandic translation of the Strengths and Difficulties Questionnaire, for both parent and teacher reports. SDQ is a widely used questionnaire for screening mental problems among youth. However, only a few studies have conducted a factor analysis on the youngest and oldest cohorts using an adequate sample size. This study aims not only to examine the traditional 5-factor model and alternative models suggested in prior research but also to establish norm data for the Icelandic population.Materials and methods: The total sample consists of 1653 youth aged 5-16 years, thereof 316 parent reports and 271 teacher reports for the 5-year-old sample. We used confirmatory factor analysis to evaluate the factor structure. Special attention was given to the models' performance across different age groups and between genders. This cross-demographic evaluation is vital to ensure that the SDQ's utility is not limited by developmental or gender-specific variations in symptom expression or reporting.Results: We found an acceptable fit for both the original five-factor model and the more recent three-factor model with higher-order internalizing and externalizing factors. The fit for the factor structures seemed to be quite similar across ages. However, we observed goodness-of-fit below the acceptable range for girls on the parent ratings. We also found evidence for the convergent and divergent validity of both models.Conclusions: The current study provides further evidence of the utility of the SDQ as a screening instrument, with an acceptable factor structure across ages.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"705-712"},"PeriodicalIF":16.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392093","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 of psychotic-like experiences and their association with depression symptoms among patients entering adolescent psychiatric care. 在接受青少年精神病治疗的患者中，精神病样经历的普遍性及其与抑郁症状的关联。

IF 16.4 4区医学

Nordic Journal of Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-10-04 DOI: 10.1080/08039488.2024.2412036

Niklas Granö, Sakari Lintula, Sebastian Therman, Mauri Marttunen, Virve Edlund, Klaus Ranta

{"title":"Prevalence of psychotic-like experiences and their association with depression symptoms among patients entering adolescent psychiatric care.","authors":"Niklas Granö, Sakari Lintula, Sebastian Therman, Mauri Marttunen, Virve Edlund, Klaus Ranta","doi":"10.1080/08039488.2024.2412036","DOIUrl":"10.1080/08039488.2024.2412036","url":null,"abstract":"Background: Psychotic-like experiences (PLEs) are common in clinical adolescent samples and form a continuum based on their frequency and intensity. PLEs can have harmful effects on both behaviour and affect.Methods: Prevalence and subjective distress due to PLEs were assessed with the Prodromal Questionnaire-Brief (PQ-B) and depressive symptoms with the Beck Depression Inventory (BDI-21A) among adolescents (N = 399; 71.7% female, mean age 14.9 years, range 13-18) entering specialized adolescent psychiatric services. Various PQ-B Distress scale cut-off points were tested for their ability to detect high and low BDI scores using the superiority index, the effect size for mean difference, and spline regressions.Results: The mean number of endorsed PLEs assessed with the PQ-B was 3.27 (SD 3.64; males: M 1.75; SD 2.78; females: M 3.89; SD 3.78), while mean PQ-B Distress scores were 20.33 (SD 18.03; males: M 11.84; SD 13.90; females: M 23.74; SD 18.40). The most common PLE within both genders were experiences of paranoia and suspiciousness, with a prevalence of 59.9%. BDI scores and PQ-B distress scores were strongly associated (r = 0.534, p<.001). Superiority indices, effect sizes, and spline regressions indicated that a low PQ-B Distress cut-off of 2 or 3 was most informative both when using BDI as a continuous variable and when dichotomized as mild depression (≥10) or major depressive disorder (≥16).Conclusion: PLEs are common among adolescent entering psychiatric care. Even a relatively small amount of distress due to PLEs indicates clinical levels of depressive symptoms.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"698-704"},"PeriodicalIF":16.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372395","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 Thoughtful program: a randomized controlled study of a mentalization-based mental health education intervention in a psychiatric outpatient population. 深思计划：一项针对精神病门诊患者的随机对照研究，研究对象是以心理化为基础的心理健康教育干预措施。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1080/08039488.2024.2422371

Poul Lundgaard, Louise Lundgaard, Nick Midgley

{"title":"The Thoughtful program: a randomized controlled study of a mentalization-based mental health education intervention in a psychiatric outpatient population.","authors":"Poul Lundgaard, Louise Lundgaard, Nick Midgley","doi":"10.1080/08039488.2024.2422371","DOIUrl":"10.1080/08039488.2024.2422371","url":null,"abstract":"Background: P-factor and mentalizing theory and research set perspectives for transdiagnostic psychiatric treatments.Aims: To test the effects of a low-cost mentalization-based health education program (the Thoughtful program) in an unselected waiting list population, from a psychiatric outpatient clinic in North Norway.Methods: Waiting list patients were randomized (1:1 allocation): 79 patients in the control group were offered standard individual assessment and treatment. Seventy-nine patients in the intervention group were offered a one-day (six-hour) group-based Thoughtful course, plus individual assessment, and treatment.Results: During a 6-month follow-up period, the number of patients in active assessment and treatment was 66% higher in the control group than in the intervention group. Self-reported patient questionnaire scores on mentalizing, well-being and suicidal ideation scores showed no significant changes in the control group. In the intervention group, significant changes were reported: Mentalizing scores improved by 72% and well-being scores improved by 55%. Suicidal ideation scores were not significantly changed. No adverse effects were registered.Limitations: The results from this study should be interpreted with caution because of a small population size and low questionnaire response rate. The follow up period was limited to 6 months. Transfer of program information from intervention group patients to control group patients could not be guaranteed. It may be considered a limitation that diagnostic pattern analysis was not included in the study.Conclusions: A low-cost transdiagnostic mentalization-based educational program in an outpatient psychiatry clinic may improve patient mentalizing and wellbeing without adverse effects and reduce the use of hospital services.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"721-726"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546468","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

Arts and mental health: assessment of changes in self-reported wellbeing, psychotic-like experiences, mentalisation and self-efficacy for persons with schizophrenia spectrum disorders participating in the creative writing group intervention REWRITALIZE. 艺术与心理健康：评估参与 "振兴 "创意写作小组干预活动的精神分裂症谱系障碍患者在自我报告的幸福感、精神病样体验、精神化和自我效能方面的变化。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-11-09 DOI: 10.1080/08039488.2024.2423761

Susanne Henningsson, Jon Toke Brestisson, Gry Ardal Printzlau, Bent Rosenbaum, Birgit Bundesen

{"title":"Arts and mental health: assessment of changes in self-reported wellbeing, psychotic-like experiences, mentalisation and self-efficacy for persons with schizophrenia spectrum disorders participating in the creative writing group intervention REWRITALIZE.","authors":"Susanne Henningsson, Jon Toke Brestisson, Gry Ardal Printzlau, Bent Rosenbaum, Birgit Bundesen","doi":"10.1080/08039488.2024.2423761","DOIUrl":"10.1080/08039488.2024.2423761","url":null,"abstract":"Purpose: Schizophrenia spectrum disorders (SSD) are associated with social difficulties that call for psychosocial interventions as supplement to standard treatment. The aim of the present study was to assess if there were changes in wellbeing, psychotic-like experiences, mentalisation and self-efficacy from pre- to post-intervention, in persons with SSD who took part in a creative writing group intervention in addition to their standard treatment.Materials and methods: Participants (n = 73 with SSD) self-reported their level of wellbeing (Patient-reported outcome measures; PROMs), psychotic-like experiences (Inventory of psychotic-like anomalous self-experiences; IPASE), mentalisation (Reflective functioning questionnaire; RFQ and Toronto Alexithymia Scale; TAS), and self-efficacy (General self-efficacy scale; GSE) before and after REWRITALIZE, a creative writing group intervention led by a professional author in which participants were introduced to literary forms, wrote spontaneously on those forms, and engaged in literary conversation about their texts.Results: There was a significant difference from pre- to post-intervention in psychotic-like experiences (IPASE), ability to understand one's own reasons and feelings (TAS), and self-efficacy (GSE).Conclusion: Although the study was uncontrolled, these results suggest that REWRITALIZE as supplement to standard treatment may be beneficial to persons with SSD.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"727-735"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624927","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