University of Oulu

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

The impact of psychiatric rehabilitation : a study of outcomes of persons with severe mental disorders

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Author: Tolonen, Jonna1,2,3; Jääskeläinen, Erika2,3,4; Leppänen, Virpi5;
Organizations: 1Humana Sähäkkä Ltd., Ylivieska, Finland
2Research Unit of Population Health, University of Oulu, Oulu, Finland
3Medical Research Center Oulu, Oulu University Hospital and University of Oulu
4Department of Psychiatry, Oulu University Hospital, Oulu, Finland
5Department of Psychiatry, Oulu City Mental Health Services, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2022110764676
Language: English
Published: Psykiatrian Tutkimussäätiö, 2022
Publish Date: 2022-11-07
Description:

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.

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Series: Psychiatria Fennica
ISSN: 2489-6152
ISSN-E: 2489-6152
ISSN-L: 2489-6152
Volume: 53
Pages: 204 - 219
Type of Publication: A1 Journal article – refereed
Field of Science: 3124 Neurology and psychiatry
Subjects:
Funding: This work was supported by Oulu University Hospital funding; Academy of Finland (grant number 316563); Juho Vainio Foundation (author JM); Yrjö Jahnsson Foundation (author JM). The funders had no role in the study design, data collection, data analysis, interpretation of the results, or the decision to publish the article.
Academy of Finland Grant Number: 316563
Detailed Information: 316563 (Academy of Finland Funding decision)
Copyright information: © 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.