Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 4 of 4
Encouraging encounters: sick-listed persons’ experiences of interactions with rehabilitation professionals
- Authors:
- MUSSENER Ulrika, et al
- Journal article citation:
- Social Work in Health Care, 46(2), 2008, pp.71-87.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Long term sickness absence has increased in many countries, and more knowledge is needed about factors that can promote a return to work. Positive interactions with professionals might be one such factor. This study analyses transcripts from 11 semi-structured interviews with people who had experienced long term health-related absence from work, and identifies five important aspects of encounters with professionals: being treated with respect; feeling supported; establishing a personal relationship; perceiving demands as well balanced; and participation in decisions about rehabilitation. Several interviewees expressed the opinion that positive encounters with rehabilitation professionals can promote a return to work. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Internet-based cognitive behaviour therapy and physical exercise – effects studied by automated telephone assessments in mental ill-health patients; a randomized controlled trial
- Authors:
- STRID Catharina, et al
- Journal article citation:
- British Journal of Clinical Psychology, 55(4), 2016, p.414–428.
- Publisher:
- Wiley
Objectives: Mental ill-health has become a large health problem and it is important for caregivers to provide effective treatment alternatives. REGASSA is a randomized controlled study performed in primary care to study the effects of 12 weeks of Internet-based cognitive behaviour therapy (ICBT) and physical exercise (PE) compared with treatment as usual (TAU) in patients with mild-to-moderate mental ill-health. The present study aimed to examine the results of these treatment alternatives on psychological functioning, stress, and sleep disturbances. Methods: The study comprised 879 patients with mental ill-health taking part in the REGASSA study. Data were collected by Interactive Voice Response (IVR), a computerised, automated telephone technique. The treatments were compared at baseline, twice during treatment, at the end of treatment and at three follow-ups after treatment. Measures used were the Outcome Questionnaire-45, the short versions of the Perceived Stress Scale, and the Karolinska Sleep Questionnaire. Results: Linear mixed models showed that the patients in ICBT and PE had better results than in TAU on psychological functioning and sleep disturbances, p < .001, with weak-to-moderate effect sizes. On stress there were no differences; all groups made improvements. Women had stronger effects than men. More patients recovered on psychological functioning (OQ-45) in ICBT and PE than in TAU. Conclusions: Internet-based cognitive behaviour therapy and PE proved to be effective treatment alternatives for patients with mild-to-moderate mental ill-health in improving psychological functioning, stress, and sleep disturbances and could be useful alternatives in primary care. Practitioner points: a) Internet-based cognitive behaviour therapy and physical exercise proved to be effective treatment alternatives for mental ill-health patients in primary care. Automated techniques (Interactive Voice Response) could be useful for following treatment course in large groups of patients in the health care; b) It is important to use measures that capture different aspects of patients’ health problems; c) The recruitment of participants was based on patients’ interest and inclusion criteria which may have affect the generalisability. (Edited publisher abstract)
Relationships between traumatic life events, symptoms and Sense of Coherence subscale meaningfulness in a group of refugee and immigrant patients referred to a psychiatric outpatient clinic in Stockholm
- Authors:
- EKBLAD S., WENNSTROM C.
- Journal article citation:
- Scandinavian Journal of Social Welfare, 6(4), October 1997, pp.279-285.
- Publisher:
- Munksgaard/ Blackwell
Describes a study which aimed to test the long version of the Sense of Coherence (SOS) questionnaire and its relationship to other mental symptom questionnaires, in a multicultural immigrant and refugee sample of volunteer patients at a psychiatric outpatient clinic in Sweden. Implications of the findings are presented, as are methodological issues.
Mindfulness group therapy in primary care patients with depression, anxiety and stress and adjustment disorders: randomised controlled trial
- Authors:
- SUNDQUIS Jan, et al
- Journal article citation:
- British Journal of Psychiatry, 206(2), 2015, pp.128-135.
- Publisher:
- Cambridge University Press
Background: Individual-based cognitive-behavioural therapy (CBT) is in short supply and expensive. Aims: The aim of this randomised controlled trial (RCT) was to compare mindfulness-based group therapy with treatment as usual (primarily individual-based CBT) in primary care patients with depressive, anxiety or stress and adjustment disorders. Method: This 8-week RCT (ClinicalTrials.gov ID: NCT01476371) was conducted during spring 2012 at 16 general practices in Southern Sweden. Eligible patients (aged 20-64 years) scored ≥10 on the Patient Health Questionnaire-9, ≥7 on the Hospital Anxiety and Depression Scale or 13-34 on the Montgomery-Åsberg Depression Rating Scale (self-rated version). The power calculations were based on non-inferiority. In total, 215 patients were randomised. Ordinal mixed models were used for the analysis. Results: For all scales and in both groups, the scores decreased significantly. There were no significant differences between the mindfulness and control groups. Conclusions: Mindfulness-based group therapy was non-inferior to treatment as usual for patients with depressive, anxiety or stress and adjustment disorders. (Publisher abstract)