1
|
Uzun G, Aydın Z, Kayaaslan B, Lok N. The Relationship of Functioning and Life Satisfaction with Illness Management and Recovery in Patients with Bipolar Disorder: A Cross-Sectional Study. Community Ment Health J 2024; 60:1191-1202. [PMID: 38546910 DOI: 10.1007/s10597-024-01270-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Accepted: 03/17/2024] [Indexed: 06/27/2024]
Abstract
The aim of this study was to determine relationship between functioning and life satisfaction with illness management and recovery, and determinants of illness management and recovery in patients with bipolar disorder. This descriptive and correlational study was conducted with 152 participants between August 2022 and February 2023. "Personal Information Form", "Illness Management and Recovery Scale", "Functioning Assessment Short Test" and "Adult Life Satisfaction Scale" were used to collecting data. In study, a positive relationship was found between illness management and recovery and total functionality, autonomy, cognitive functionality, interpersonal relationships, and life satisfaction. Gender, marital status, educational status, employment status, total functioning, autonomy, cognitive functioning, interpersonal relationships, and life satisfaction were found to be effective in illness management and recovery. Being female, single, primary school graduate, unemployed, having low functioning (autonomy, cognitive functioning, interpersonal relationships) and having low life satisfaction were found to be determinants of illness management and recovery.
Collapse
Affiliation(s)
- Gülten Uzun
- Department of Nursing, Selcuk University Health Sciences Institute, Konya, 42130, Turkey.
| | - Zekiye Aydın
- Department of Nursing, Selcuk University Health Sciences Institute, Konya, 42130, Turkey
| | - Büşra Kayaaslan
- Department of Nursing, Selcuk University Health Sciences Institute, Konya, 42130, Turkey
| | - Neslihan Lok
- Faculty of Nursing, Department of Psychiatric Nursing, Selcuk University, Konya, Turkey
| |
Collapse
|
2
|
Yang Y, Zeng W, Lu B, Wen J. The Contributing Factors of Delayed-Onset Post-traumatic Stress Disorder Symptoms: A Nested Case-Control Study Conducted After the 2008 Wenchuan Earthquake. Front Public Health 2022; 9:682714. [PMID: 35004555 PMCID: PMC8739781 DOI: 10.3389/fpubh.2021.682714] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Accepted: 11/09/2021] [Indexed: 02/05/2023] Open
Abstract
Background: Delayed-onset post-traumatic stress disorder after catastrophes is a major public health issue. However, good designs for identifying post-traumatic stress disorder (PTSD) among earthquake survivors are rare. This is the first nested case-control study to explore the possible factors associated with delayed-onset PTSD symptoms. Methods: A nested case-control study was conducted. The baseline (2011) and follow-up (2018) surveys were utilized to collect data. A total of 361 survivors of the Wenchuan earthquake were investigated and 340 survivors underwent follow-up. The survivors, from the hardest-hit areas, who met the criteria for PTSD were included in the case group, and PTSD-free survivors from the same area, matched for age, were included in the control group, with a ratio of one to four. Conditional logistic regression was used to evaluate the variables' odds ratio (OR). Results: The overall prevalence of delayed-onset PTSD symptoms in survivors of the Wenchuan earthquake was 9.7% (33/340). The unemployed earthquake survivors had a higher risk of developing delayed-onset PTSD symptoms (OR = 4.731, 95% CI = 1.408-15.901), while higher perceived social support was a protective factor against delayed-onset PTSD symptoms (OR = 0.172, 95% CI = 0.052-0.568). Conclusion: Delayed-onset PTSD symptoms, after a disaster, should not be ignored. Active social support and the provision of stable jobs can contribute to the earthquake survivors' mental health.
Collapse
Affiliation(s)
- Yanlin Yang
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China
| | - Wenqi Zeng
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China
| | - Bingqing Lu
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Jin Wen
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China
| |
Collapse
|
3
|
Trombini-Souza F, de Maio Nascimento M, da Silva TFA, de Araújo RC, Perracini MR, Sacco ICN. Dual-task training with progression from variable- to fixed-priority instructions versus dual-task training with variable-priority on gait speed in community-dwelling older adults: A protocol for a randomized controlled trial : Variable- and fixed-priority dual-task for older adults. BMC Geriatr 2020; 20:76. [PMID: 32087694 PMCID: PMC7036177 DOI: 10.1186/s12877-020-1479-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Accepted: 02/17/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Functional independence and safe mobility, especially in older people, mostly rely on the ability to perform dual tasks, particularly during activities with variable- and fixed-priority attention. The aim of this study is to compare the dual-task training with progression from variable- to fixed-priority instructions versus dual-task training with variable-priority on gait speed in community-dwelling older adults. METHODS This is an assessor- and participant-blinded, two-arm, randomized controlled trial with 60 community-dwelling male and female older adults between the ages of 60 and 80 years old. Participants will be randomly allocated into either the intervention group or the control group using a computer-generated permuted block randomization schedule. The intervention group will undertake a progressive dual-task training in which the participants will be progressively submitted to dual-task walking and postural balance exercises with variable- to fixed-priority instructions. The control group will be submitted to dual-task training with variable-priority attention exercises. Both groups will receive 48 sessions lasting for 60 min each over 24 weeks. The primary outcome will be the gait speed under single- and dual-task conditions. Secondary outcomes will include spatiotemporal gait parameters, functional balance, executive function, falls, quality of life, and depression symptoms. All the analyses will be based on the intention-to-treat principle. DISCUSSION This is the first assessor- and participant-blinded, two-arm, randomized controlled trial with 6 months of intervention and an additional 6-month post-training follow up aiming to evaluate the effectiveness of training with progression from variable- to fixed-priority instructions on gait biomechanics, postural balance, falls episodes, executive functioning, and quality of life in community-dwelling older adults. If our hypotheses are confirmed, this training protocol can be implemented widely to improve gait speed and other functional activities and quality of life in community-dwelling older adults. This study protocol can be used to improve these functional aspects of community-dwelling older adults. This study may also contribute to future guidelines for the improvement of these clinical and biomechanical aspects in older people. TRIAL REGISTRATION ClinicalTrials.gov Identifier - NCT03886805, Registered 22 March 2019.
Collapse
Affiliation(s)
- Francis Trombini-Souza
- Department of Physical Therapy, University of Pernambuco (UPE) Campus Petrolina, Petrolina, PE, Brazil.
| | - Marcelo de Maio Nascimento
- Department of Physical Education, Federal University of Sao Francisco Valley (UNIVASF) Campus Petrolina, Petrolina, PE, Brazil
| | | | - Rodrigo Cappato de Araújo
- Department of Physical Therapy, University of Pernambuco (UPE) Campus Petrolina, Petrolina, PE, Brazil
| | - Mônica Rodrigues Perracini
- Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil
| | - Isabel C N Sacco
- Physical Therapy, Speech and Occupational Therapy Department, Universidade de Sao Paulo (USP), School of Medicine, São Paulo, SP, Brazil
| |
Collapse
|
4
|
Jensen SB, Dalum HS, Korsbek L, Hjorthøj C, Mikkelsen JH, Thomsen K, Kistrup K, Olander M, Lindschou J, Mueser KT, Nordentoft M, Eplov LF. Illness management and recovery: one-year follow-up of a randomized controlled trial in Danish community mental health centers: long-term effects on clinical and personal recovery. BMC Psychiatry 2019; 19:65. [PMID: 30744590 PMCID: PMC6371462 DOI: 10.1186/s12888-019-2048-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2018] [Accepted: 01/31/2019] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND Illness Management and Recovery (IMR) is a curriculum-based rehabilitation program for people with severe mental illness with the short-term aim of improving illness self-management and the long-term aim of helping people achieve clinical and personal recovery. METHOD Participants with schizophrenia or bipolar disorders were recruited from three community mental health centers in the Capital Region of Denmark and randomized to receive group-based IMR and treatment as usual or only the usual intervention. All outcomes were assessed at baseline, postintervention, and the one-year follow-up. Long-term outcomes were categorized according to clinical recovery (i.e., symptoms, global functioning, and hospitalization) and personal recovery (i.e., hope and personal agency). Generalized linear mixed model regression analyses were used in the intent-to-treat analysis. RESULTS A total of 198 participants were included. No significant differences were found between the IMR and control groups in the Global Assessment of Functioning one year after the intervention, nor were there significant differences in symptoms, number of hospital admissions, emergency room visits, or outpatient treatment. CONCLUSION The present IMR trial showed no significant effect on clinical and personal recovery at the one-year follow-up. Together with the results of other IMR studies, the present study indicates that the effect of IMR on symptom severity is unclear, which raises questions regarding the impact of IMR on functioning. Additionally, IMR did not affect personal recovery. Although more research is needed, the results indicate that the development of other interventions should be considered to help people with severe mental illness achieve a better level of functioning and personal recovery. TRIAL REGISTRATION Trial registered at http://www.clinicaltrials.gov ( NCT01361698 ).
Collapse
Affiliation(s)
- Sofie Bratberg Jensen
- Copenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark.
| | - Helle Stentoft Dalum
- 0000 0004 0646 843Xgrid.416059.fRegion Zealand, University Hospital Roskilde, Roskilde, Denmark
| | - Lisa Korsbek
- Competence Center for Rehabilitation and, Recovery, Mental Health Center Ballerup, Ballerup, Denmark
| | - Carsten Hjorthøj
- Copenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark
| | - John Hagel Mikkelsen
- Community Mental Health Center Frederiksberg-Vanløse, Mental Health Center Frederiksberg, Frederiksberg, Denmark
| | - Karin Thomsen
- Community Mental Health Center Ballerup-Egedal-Herlev, Mental Health Center Ballerup, Ballerup, Denmark
| | | | | | - Jane Lindschou
- 0000 0004 0646 7373grid.4973.9Copenhagen Trial Unit, Center for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
| | - Kim T. Mueser
- 0000 0004 1936 7558grid.189504.1Boston University Center for Psychiatric Rehabilitation, Boston, USA
| | - Merete Nordentoft
- Copenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark
| | - Lene Falgaard Eplov
- Copenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark
| |
Collapse
|
5
|
Illness management and recovery: Clinical outcomes of a randomized clinical trial in community mental health centers. PLoS One 2018; 13:e0194027. [PMID: 29621284 PMCID: PMC5886399 DOI: 10.1371/journal.pone.0194027] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2016] [Accepted: 02/23/2018] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE Illness Management and Recovery (IMR) is a psychosocial intervention with a recovery-oriented approach. The program has been evaluated in different settings; however evidence for the effects of IMR is still deficient. The aim of this trial was to investigate the benefits and harms of the IMR program compared with treatment as usual in Danish patients with schizophrenia or bipolar disorder. METHOD The trial was designed as a randomized, assessor-blinded, multi-center, clinical trial investigating the IMR program compared with usual treatment. 198 people diagnosed with schizophrenia or bipolar disorder participated. The primary outcome was the Global Assessment of Functioning (GAF-F) at the end of intervention and the secondary and explorative outcomes included severity of symptoms and service utilization. RESULTS IMR had no significant effect on functioning, symptoms, substance use or service utilization. CONCLUSION This randomized trial contributes to the evidence base of IMR by providing a methodological solid base for its conclusions; however the trial has some important limitations. More research is needed to get a firm answer on the effectiveness of the IMR.
Collapse
|
6
|
Mateus P, Caldas de Almeida J, de Carvalho Á, Xavier M. Implementing Case Management in Portuguese Mental Health Services: Conceptual Background. PORTUGUESE JOURNAL OF PUBLIC HEALTH 2017. [DOI: 10.1159/000477646] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Case management implementation processes are one of the best examples on how an evidence-based practice can influence health services organisation. This practice helped shaping mental health teams, increasing their multidisciplinarity and interdisciplinary work in the last decades. Examples from several countries show how effectiveness research blends into health policy development to meet different needs in each health system, thus influencing case management inception and improvement of care. Portugal followed its own path in case management implementation, determined mostly by mental health services organisation and closely linked with the capacity to implement a national mental health policy in the last years.
Collapse
|
7
|
Dalum HS, Waldemar AK, Korsbek L, Hjorthøj C, Mikkelsen JH, Thomsen K, Kistrup K, Olander M, Lindschou J, Nordentoft M, Eplov LF. Participants’ and staffs’ evaluation of the Illness Management and Recovery program: a randomized clinical trial. J Ment Health 2016; 27:30-37. [DOI: 10.1080/09638237.2016.1244716] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Helle Stentoft Dalum
- Mental Health Centre Frederiksberg & Mental Health Centre Ballerup, Mental Health Services – Capital Region of Denmark, Ballerup, Denmark,
| | - Anna Kristine Waldemar
- Competence Centre Recovery and Rehabilitation, Mental Health Centre Ballerup, Mental Health Services – Capital Region of Denmark, Ballerup, Denmark,
| | - Lisa Korsbek
- Competence Centre Recovery and Rehabilitation, Mental Health Centre Ballerup, Mental Health Services – Capital Region of Denmark, Ballerup, Denmark,
| | - Carsten Hjorthøj
- Psychiatric Research Unit, Mental Health Centre Copenhagen, Mental Health Services – Capital Region of Denmark, Copenhagen, Denmark,
| | - John Hagel Mikkelsen
- Mental Health Centre Frederiksberg, Mental Health Services – Capital Region of Denmark, Frederiksberg, Denmark,
| | - Karin Thomsen
- Mental Health Centre Hvidovre, Mental Health Services – Capital Region of Denmark, Hvidovre, Denmark,
| | - Kristen Kistrup
- Mental Health Centre Frederiksberg, Mental Health Services – Capital Region of Denmark, Frederiksberg, Denmark,
| | | | - Jane Lindschou
- Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
| | - Merete Nordentoft
- Psychiatric Research Unit, Mental Health Centre Copenhagen, Mental Health Services – Capital Region of Denmark, Copenhagen, Denmark,
| | - Lene Falgaard Eplov
- Psychiatric Research Unit, Mental Health Centre Copenhagen, Mental Health Services – Capital Region of Denmark, Copenhagen, Denmark,
| |
Collapse
|
8
|
Bartels SJ, Pratt SI, Mueser KT, Naslund JA, Wolfe RS, Santos M, Xie H, Riera EG. Integrated IMR for psychiatric and general medical illness for adults aged 50 or older with serious mental illness. Psychiatr Serv 2014; 65:330-7. [PMID: 24292559 PMCID: PMC4994884 DOI: 10.1176/appi.ps.201300023] [Citation(s) in RCA: 83] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVES Self-management is promoted as a strategy for improving outcomes for serious mental illness as well as for chronic general medical conditions. This study evaluated the feasibility and effectiveness of an eight-month program combining training in self-management for both psychiatric and general medical illness, including embedded nurse care management. METHODS Participants were 71 middle-aged and older adults (mean age=60.3 ± 6.5) with serious mental illness and chronic general medical conditions who were randomly assigned to receive integrated Illness Management and Recovery (I-IMR) (N=36) or usual care (N=35). Feasibility was determined by attendance at I-IMR and nurse sessions. Effectiveness outcomes were measured two and six months after the intervention (ten- and 14-month follow-ups) and included self-management of psychiatric and general medical illness, participation in psychiatric and general medical encounters, and self-reported acute health care utilization. RESULTS I-IMR participants attended 15.8 ± 9.5 I-IMR and 8.2 ± 5.9 nurse sessions, with 75% attending at least ten I-IMR and five nurse sessions. Compared with usual care, I-IMR was associated with greater improvements in participant and clinician ratings for psychiatric illness self-management, greater diabetes self-management, and an increased preference for detailed diagnosis and treatment information during primary care encounters. The proportion of I-IMR participants with at least one psychiatric or general medical hospitalization decreased significantly between baseline and ten- and 14-month follow-ups. CONCLUSIONS I-IMR is a feasible intervention for this at-risk group and demonstrated potential effectiveness by improving self-management of psychiatric illness and diabetes and by reducing the proportion of participants requiring psychiatric or general medical hospitalizations.
Collapse
|
9
|
Butler MP, Begley M, Parahoo K, Finn S. Getting psychosocial interventions into mental health nursing practice: a survey of skill use and perceived benefits to service users. J Adv Nurs 2013; 70:866-77. [PMID: 24020885 DOI: 10.1111/jan.12248] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/10/2013] [Indexed: 11/28/2022]
Affiliation(s)
- Mary Pat Butler
- Department of Nursing and Midwifery; Health Sciences Building; University of Limerick; Ireland
| | - Mary Begley
- Limerick Mental Health Services, St Joseph's Hospital; HSE West; Limerick Ireland
| | - Kader Parahoo
- Institute of Nursing and Health Research; University of Ulster; Coleraine UK
| | - Sophia Finn
- HSE-North Cork Mental Health Service; Mental Health Resource Centre; Charleville, Co Cork Ireland
| |
Collapse
|
10
|
Chan AW, Tetzlaff JM, Gøtzsche PC, Altman DG, Mann H, Berlin JA, Dickersin K, Hróbjartsson A, Schulz KF, Parulekar WR, Krleza-Jeric K, Laupacis A, Moher D. SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ 2013; 346:e7586. [PMID: 23303884 PMCID: PMC3541470 DOI: 10.1136/bmj.e7586] [Citation(s) in RCA: 3205] [Impact Index Per Article: 291.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/04/2012] [Indexed: 02/06/2023]
Abstract
High quality protocols facilitate proper conduct, reporting, and external review of clinical trials. However, the completeness of trial protocols is often inadequate. To help improve the content and quality of protocols, an international group of stakeholders developed the SPIRIT 2013 Statement (Standard Protocol Items: Recommendations for Interventional Trials). The SPIRIT Statement provides guidance in the form of a checklist of recommended items to include in a clinical trial protocol. This SPIRIT 2013 Explanation and Elaboration paper provides important information to promote full understanding of the checklist recommendations. For each checklist item, we provide a rationale and detailed description; a model example from an actual protocol; and relevant references supporting its importance. We strongly recommend that this explanatory paper be used in conjunction with the SPIRIT Statement. A website of resources is also available (www.spirit-statement.org). The SPIRIT 2013 Explanation and Elaboration paper, together with the Statement, should help with the drafting of trial protocols. Complete documentation of key trial elements can facilitate transparency and protocol review for the benefit of all stakeholders.
Collapse
Affiliation(s)
- An-Wen Chan
- Women's College Research Institute at Women's College Hospital, Department of Medicine, University of Toronto, Toronto, Canada M5G 1N8
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|