Recovery of patients with severe depression in inpatient rural psychiatry: A descriptive clinical study

Snaebjorn Omar Gudjonsson; Eydis Kristin Sveinbjarnardottir; Ragnheidur Harpa Arnardottir

doi:10.1080/08039488.2020.1733659

Recovery of patients with severe depression in inpatient rural psychiatry: A descriptive clinical study

Háskólinn á Akureyri - University of Akureyri

University of Akureyri

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives: The aim of this study was to investigate the level of and the relationship between symptoms and health-related quality of life (HRQoL) at admittance and recovery at discharge in patients with severe depression, in a rural inpatient psychiatric setting. Furthermore, whether the anxiety level at admission and/or, if the extent of patients’ perception of family support from professionals were related to recovery. Method: Patients admitted with depression were consecutively invited to participate during a 12-month period. Depression, anxiety and stress were measured with DASS (The Depression Anxiety Stress Scale) and HRQoL with The Icelandic Quality of Life scale at admission and discharge. Family support was measured with Icelandic Family Perceived Support Questionnaire at discharge. Results: Majority of the participants had severe depression and anxiety scores (93.8% and 76.9%, respectively) at admission and HRQoL was impaired, especially in men. At discharge, almost three quarters of the participants had recovered into the outpatient or functional symptoms level and HRQoL had increased significantly. Morbid anxiety delayed recovery significantly, but perceived cognitive family support was positively related to depression recovery. Conclusion: Hospitalisation is an effective intervention for severe depression in rural Iceland. Positive benefits in both depression and HRQoL occur, where most of the participants reach outpatient or normal level of depression.

Original language	English
Pages (from-to)	407-414
Number of pages	8
Journal	Nordic Journal of Psychiatry
Volume	74
Issue number	6
DOIs	https://doi.org/10.1080/08039488.2020.1733659
Publication status	Published - 31 Jul 2020

Bibliographical note

Funding Information: This work was supported by the Scientific Fund for the Nurse Association in Iceland, and the Science fund of Akureyri Hospital. The authors thank the participants for their important contribution to science. Patients were willing to participate; some of them mentioned they wanted the study to be beneficial to others. It is admirable that patients with severe mental illness are willing to participate in research. The authors also thank the clinical nurses and the nurse assistants at the acute psychiatric unit at Akureyri Hospital, who did well following the research plan and data gathering. Appreciation is expressed to Merrie J. Kaas, PhD, APRN, PMHCNS-BC, FAAN, Professor at the School of Nursing at the University of Minnesota, USA for her kind assistance in proofreading the manuscript. Publisher Copyright: © 2020, © 2020 The Nordic Psychiatric Association.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 1 No Poverty
SDG 2 Zero Hunger
SDG 3 Good Health and Well-being
SDG 4 Quality Education
SDG 5 Gender Equality
SDG 6 Clean Water and Sanitation
SDG 7 Affordable and Clean Energy
SDG 8 Decent Work and Economic Growth
SDG 9 Industry, Innovation, and Infrastructure
SDG 10 Reduced Inequalities
SDG 11 Sustainable Cities and Communities
SDG 12 Responsible Consumption and Production
SDG 13 Climate Action
SDG 14 Life Below Water
SDG 15 Life on Land
SDG 16 Peace, Justice and Strong Institutions
SDG 17 Partnerships for the Goals

Other keywords

Anxiety
depression
family support
health-related quality of life
recovery

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10.1080/08039488.2020.1733659

Cite this

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title = "Recovery of patients with severe depression in inpatient rural psychiatry: A descriptive clinical study",

abstract = "Objectives: The aim of this study was to investigate the level of and the relationship between symptoms and health-related quality of life (HRQoL) at admittance and recovery at discharge in patients with severe depression, in a rural inpatient psychiatric setting. Furthermore, whether the anxiety level at admission and/or, if the extent of patients{\textquoteright} perception of family support from professionals were related to recovery. Method: Patients admitted with depression were consecutively invited to participate during a 12-month period. Depression, anxiety and stress were measured with DASS (The Depression Anxiety Stress Scale) and HRQoL with The Icelandic Quality of Life scale at admission and discharge. Family support was measured with Icelandic Family Perceived Support Questionnaire at discharge. Results: Majority of the participants had severe depression and anxiety scores (93.8\% and 76.9\%, respectively) at admission and HRQoL was impaired, especially in men. At discharge, almost three quarters of the participants had recovered into the outpatient or functional symptoms level and HRQoL had increased significantly. Morbid anxiety delayed recovery significantly, but perceived cognitive family support was positively related to depression recovery. Conclusion: Hospitalisation is an effective intervention for severe depression in rural Iceland. Positive benefits in both depression and HRQoL occur, where most of the participants reach outpatient or normal level of depression.",

keywords = "Anxiety, depression, family support, health-related quality of life, recovery",

author = "Gudjonsson, \{Snaebjorn Omar\} and Sveinbjarnardottir, \{Eydis Kristin\} and Arnardottir, \{Ragnheidur Harpa\}",

note = "Funding Information: This work was supported by the Scientific Fund for the Nurse Association in Iceland, and the Science fund of Akureyri Hospital. The authors thank the participants for their important contribution to science. Patients were willing to participate; some of them mentioned they wanted the study to be beneficial to others. It is admirable that patients with severe mental illness are willing to participate in research. The authors also thank the clinical nurses and the nurse assistants at the acute psychiatric unit at Akureyri Hospital, who did well following the research plan and data gathering. Appreciation is expressed to Merrie J. Kaas, PhD, APRN, PMHCNS-BC, FAAN, Professor at the School of Nursing at the University of Minnesota, USA for her kind assistance in proofreading the manuscript. Publisher Copyright: {\textcopyright} 2020, {\textcopyright} 2020 The Nordic Psychiatric Association.",

year = "2020",

month = jul,

day = "31",

doi = "10.1080/08039488.2020.1733659",

language = "English",

volume = "74",

pages = "407--414",

journal = "Nordic Journal of Psychiatry",

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T1 - Recovery of patients with severe depression in inpatient rural psychiatry

T2 - A descriptive clinical study

AU - Gudjonsson, Snaebjorn Omar

AU - Sveinbjarnardottir, Eydis Kristin

AU - Arnardottir, Ragnheidur Harpa

N1 - Funding Information: This work was supported by the Scientific Fund for the Nurse Association in Iceland, and the Science fund of Akureyri Hospital. The authors thank the participants for their important contribution to science. Patients were willing to participate; some of them mentioned they wanted the study to be beneficial to others. It is admirable that patients with severe mental illness are willing to participate in research. The authors also thank the clinical nurses and the nurse assistants at the acute psychiatric unit at Akureyri Hospital, who did well following the research plan and data gathering. Appreciation is expressed to Merrie J. Kaas, PhD, APRN, PMHCNS-BC, FAAN, Professor at the School of Nursing at the University of Minnesota, USA for her kind assistance in proofreading the manuscript. Publisher Copyright: © 2020, © 2020 The Nordic Psychiatric Association.

PY - 2020/7/31

Y1 - 2020/7/31

N2 - Objectives: The aim of this study was to investigate the level of and the relationship between symptoms and health-related quality of life (HRQoL) at admittance and recovery at discharge in patients with severe depression, in a rural inpatient psychiatric setting. Furthermore, whether the anxiety level at admission and/or, if the extent of patients’ perception of family support from professionals were related to recovery. Method: Patients admitted with depression were consecutively invited to participate during a 12-month period. Depression, anxiety and stress were measured with DASS (The Depression Anxiety Stress Scale) and HRQoL with The Icelandic Quality of Life scale at admission and discharge. Family support was measured with Icelandic Family Perceived Support Questionnaire at discharge. Results: Majority of the participants had severe depression and anxiety scores (93.8% and 76.9%, respectively) at admission and HRQoL was impaired, especially in men. At discharge, almost three quarters of the participants had recovered into the outpatient or functional symptoms level and HRQoL had increased significantly. Morbid anxiety delayed recovery significantly, but perceived cognitive family support was positively related to depression recovery. Conclusion: Hospitalisation is an effective intervention for severe depression in rural Iceland. Positive benefits in both depression and HRQoL occur, where most of the participants reach outpatient or normal level of depression.

AB - Objectives: The aim of this study was to investigate the level of and the relationship between symptoms and health-related quality of life (HRQoL) at admittance and recovery at discharge in patients with severe depression, in a rural inpatient psychiatric setting. Furthermore, whether the anxiety level at admission and/or, if the extent of patients’ perception of family support from professionals were related to recovery. Method: Patients admitted with depression were consecutively invited to participate during a 12-month period. Depression, anxiety and stress were measured with DASS (The Depression Anxiety Stress Scale) and HRQoL with The Icelandic Quality of Life scale at admission and discharge. Family support was measured with Icelandic Family Perceived Support Questionnaire at discharge. Results: Majority of the participants had severe depression and anxiety scores (93.8% and 76.9%, respectively) at admission and HRQoL was impaired, especially in men. At discharge, almost three quarters of the participants had recovered into the outpatient or functional symptoms level and HRQoL had increased significantly. Morbid anxiety delayed recovery significantly, but perceived cognitive family support was positively related to depression recovery. Conclusion: Hospitalisation is an effective intervention for severe depression in rural Iceland. Positive benefits in both depression and HRQoL occur, where most of the participants reach outpatient or normal level of depression.

KW - Anxiety

KW - depression

KW - family support

KW - health-related quality of life

KW - recovery

UR - https://www.scopus.com/pages/publications/85080944352

U2 - 10.1080/08039488.2020.1733659

DO - 10.1080/08039488.2020.1733659

M3 - Article

C2 - 32129118

SN - 0803-9488

VL - 74

SP - 407

EP - 414

JO - Nordic Journal of Psychiatry

JF - Nordic Journal of Psychiatry

IS - 6

ER -

Recovery of patients with severe depression in inpatient rural psychiatry: A descriptive clinical study

Abstract

Bibliographical note

UN SDGs

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