The role of empowerment and quality of life in depression severity among unemployed people with affective disorders receiving mental healthcare

Johanson, Suzanne; Bejerholm, Ulrika

doi:10.1080/09638288.2016.1211758

Cited by 30 publications

(23 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It has also been argued by McAllistar and colleagues [35] that empowerment serves as an essential outcome measure for patients with long-term health conditions. Because empowerment is associated with both well-being and rehabilitation among persons with mental health problems [36,37] efforts to enhance empowerment is suggested as one crucial part of mental health treatment.…”

Section: Discussionmentioning

confidence: 99%

Lived experiences: a focus group pilot study within the MentALLY project of mental healthcare among European users

Axelsson

Schønning

Bockting

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background: Mental healthcare is an important component in societies' response to mental health problems. Although the World Health Organization highlights availability, accessibility, acceptability and quality of healthcare as important cornerstones, many Europeans lack access to mental healthcare of high quality. Qualitative studies exploring mental healthcare from the perspective of people with lived experiences would add to previous research and knowledge by enabling in-depth understanding of mental healthcare users, which may be of significance for the development of mental healthcare. Therefore, the aim of the current study was to describe experiences of mental healthcare among adult Europeans with mental health problems. Method: In total, 50 participants with experiences of various mental health problems were recruited for separate focus group interviews in each country. They had experiences from both the private and public sectors, and with in-and outpatient mental healthcare. The focus group interviews (N = 7) were audio recorded, transcribed verbatim and analysed through thematic analysis. The analysis yielded five themes and 13 subthemes. Results: The theme Seeking and trying to find help contained three subthemes describing personal thresholds for seeking professional help, not knowing where to get help, and the importance of receiving help promptly. The theme Awaiting assessment and treatment contained two subthemes including feelings of being prioritized or not and feelings of being abandoned during the often-lengthy referral process. The theme Treatment: a plan with individual parts contained three subthemes consisting of demands for tailored treatment plans in combination with medications and human resources and agreement on treatment. The theme Continuous and respectful care relationship contained two subthemes describing the importance of continuous care relationships characterised by empathy and respect. The theme Suggestions for improvements contained three subthemes highlighting an urge to facilitate care contacts and to increase awareness of mental health problems and a wish to be seen as an individual with potential.

show abstract

Section: Discussionmentioning

confidence: 99%

Lived experiences: a focus group pilot study within the MentALLY project of mental healthcare among European users

Axelsson

Schønning

Bockting

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Another reason closer to the circumstances of the individual could be the time and service gap between the mental health care and the vocational rehabilitation as seen in the TVR approach. This could impact on the depression in a negative way and prolong or delay a positive outcome [ 7 ] when in contemporary society work is a measure of value and success. Lower occupational function can lead to social exclusion [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Critical factors for the return-to-work process among people with affective disorders: Voices from two vocational approaches

Porter

Lexén

Johanson

et al. 2018

WOR

Self Cite

View full text Add to dashboard Cite

BACKGROUND:Depression is among the major causes of disability with a negative impact on both daily life and work performance. Whilst depression is the primary cause of sick-leave and unemployment in today’s workplace there is a lack of knowledge of the needs of individuals with depression regarding their return-to-work (RTW) process.OBJECTIVE:To explore which factors are of critical importance for people suffering from depression and who also are unemployed in their RTW-process and to explore the impact of two vocational approaches on the service users’ experiences. The study included participants in two vocational rehabilitation approaches; Individual Enabling and Support (IES) and Traditional Vocational Rehabilitation (TVR).METHOD:Qualitative methods were applied to explore critical factors in the RTW-process. Individuals with affective disorders including depression and bipolar disorder were included.RESULTSThree themes emerged as critical factors; Experiencing hope and power, professionals’ positive attitudes, beliefs and behaviours, and employing a holistic perspective and integrating health and vocational service. CONCLUSIONThis study has demonstrated critical factors for the return-to-work process as experienced by persons with depression. To experience hope and power, to meet professionals that believe “you can work”, who use a person-centred and holistic service approach, are such factors necessary for gaining a real job. In particular, professionals in TVR need to embrace this understanding since their services were not experienced as including these elements.

show abstract

“…Previous investigations have reported that cognitive dysfunction, age, psychosis, unemployment, suicide ideation are associated with depression severity ( 11 – 13 ). However, to our knowledge, there is a lack of a systematic study on the relationship between DMS-5 symptoms and depression severity.…”

Section: Introductionmentioning

confidence: 99%

DSM-5 Criteria and Depression Severity: Implications for Clinical Practice

2018

View full text Add to dashboard Cite

Background: Depression diagnosis requires five or more symptoms (Diagnostic and Statistical Manual of Mental Disorders-DSM-5). One of them must be either Depressed mood or Anhedonia, named main criteria. Although the secondary symptoms can be divided into somatic and non-somatic clusters, the DSM-5 identify depression in all or none fashion. In contrast, depression severity is a continuous variable. Therefore, it is commonly assessed with scales such as the Hamilton Depression Rating Scale (HAMD). Previously, we reported that patients with moderate depression (MD) exhibit greater impairments in cardiac-autonomic modulation than severely depressed (SD) patients. However, clinicians usually do not use scales.Objective: To verify whether the DSM-5 symptoms would be able to discriminate SD from MD and MD from non-depressed (ND) subjects.Material and Methods: Depression was diagnosed based on the Structured Clinical Interview for DSM-5® Disorders. The HAMD evaluated depression severity. In depressed subjects, MD and SD were defined considering the HAMD scores. ND was defined considering both the absence of DSM-5 criteria for depression and the HAMD score. Among 782 outpatients, 46 SD were found. MD and ND subjects were randomly sampled to match the demographic variables of the SD group.Results: Discriminant analysis showed that Depressed Mood was the most reliable symptom to discriminate ND from MD. Anhedonia discriminated SD from MD. Among the secondary DSM-5 criteria, the somatic cluster discriminated ND from MD and the non-somatic cluster SD from MD patients.Discussion: The presence of the somatic cluster in MD may indicate decreased vagal tone and/or increased sympathetic tone, leading to higher cardiovascular risk. As SD is associated with the non-somatic cluster, these patients are at risk of committing suicide. The DSM-5 symptoms exhibited by the patient may help the choice of adequate pharmacological treatment. This would avoid the use of antidepressants that unnecessarily increase cardiac risk in MD. When the symptom cluster suggests SD, the treatment must focus on the prevention of suicide.Conclusions: Depression severity may be inferred based on the DSM-5 criteria. The presence of the Anhedonia main criterium accompanied by non-somatic criteria indicate SD. The Depressive Mood criterium followed by somatic criteria suggest MD.

show abstract

The role of empowerment and quality of life in depression severity among unemployed people with affective disorders receiving mental healthcare

Cited by 30 publications

References 57 publications

Lived experiences: a focus group pilot study within the MentALLY project of mental healthcare among European users

Lived experiences: a focus group pilot study within the MentALLY project of mental healthcare among European users

Critical factors for the return-to-work process among people with affective disorders: Voices from two vocational approaches

DSM-5 Criteria and Depression Severity: Implications for Clinical Practice

Contact Info

Product

Resources

About