The impact of psychiatric rehabilitation : a study of outcomes of persons with severe mental disorders
Tolonen, Jonna; Jääskeläinen, Erika; Leppänen, Virpi; Haapea, Marianne; Miettunen, Jouko; Moilanen, Kristiina (2022-11-02)
Tolonen, J., Jääskeläinen, E., Leppänen, V., Haapea, M.& Miettunen, J. (2022). The impact of psychiatric rehabilitation - a study of outcomes of persons with severe mental disorders. Psychiatria Fennica, 53, 204-219. https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2022/11/Psychiatria_Fennica-2022-Tolonen.pdf
© Authors 2022. Psychiatria Fennica uses an open access policy with an open license (Creative Commons) allowing for immediate free access to the work and permitting any user to read, download, copy, distribute, print, search, or link to the full texts of articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose.
https://rightsstatements.org/vocab/InC/1.0/
https://urn.fi/URN:NBN:fi-fe2022110764676
Tiivistelmä
Abstract
Objectives: To explore the changes between before and after residential psychiatric rehabilitation in functioning and psychiatric symptoms in young adults with severe mental disorders. Method: Participants (n = 39) were aged 18‐29 and had been in residential psychiatric rehabilitation for the period 2011‐2017. We gathered data retrospectively from clinical registers, day-to-day records, rehabilitation plans and interRAI community mental health evaluations. Changes in several outcomes of functioning and psychiatric symptoms were analysed in young adults with severe mental disorders at the end of rehabilitation.
Results: Median length of rehabilitation was 29 months. Symptoms of depression (p=0.001), mania (p=0.009), negative symptoms (p=0.017), anhedonia (p=0.012), the risk of harming others (p=0.010) and severity of self-harm (p= 0.015) had decreased from before to end of rehabilitation. In addition, performance in activities of daily living (p=0.016) had improved and the number of persons living independently had increased (p=0.001).
Conclusions: Psychiatric rehabilitation may be effective in decreasing psychiatric symptoms, improving functioning and increasing independent living among young adults with severe mental disorders. These results support the need for comprehensive psychiatric rehabilitation with evidence-based interventions. This important research area requires further investigation with larger sample sizes, prospective study settings and longer follow-up times.
Kokoelmat
- Avoin saatavuus [38618]