Original scientific paper

https://doi.org/10.24869/psyd.2022.644

THE OUTCOME OF PSYCHIATRIC REHABILITATION TREATMENT DEPENDS ON AFFECTIVE STATE AT THE TIME OF ADMISSION

Bernd Reininghaus ; Therapy Centre Justuspark, Bad Hall, Austria ; Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Austria
Karin Riedrich ; Therapy Centre Justuspark, Bad Hall, Austria
Nina Dalkner ; Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Austria
Valerie S. Falzberger ; Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Austria
Alexandra Rieger ; Therapy Centre Justuspark, Bad Hall, Austria ; Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Austria
Laura A. Lehner ; Therapy Centre Justuspark, Bad Hall, Austria
Carlo Hamm ; Therapy Centre Justuspark, Bad Hall, Austria ; Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Austria
Martina Platzer ; Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Austria
Robert Queissner ; Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Austria
Frederike T. Fellendorf ; Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Austria
Armin Birner ; Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Austria
Susanne Bengesser ; Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Austria
Agnes Altmanninger ; Therapy Centre Justuspark, Bad Hall, Austria
Corinna Ortler ; Therapy Centre Justuspark, Bad Hall, Austria
Katharina Sehling ; Therapy Centre Justuspark, Bad Hall, Austria
Kathrin Spanner ; Therapy Centre Justuspark, Bad Hall, Austria
Andrea Strutzenberger ; Therapy Centre Justuspark, Bad Hall, Austria
Christiane Trautwein ; Therapy Centre Justuspark, Bad Hall, Austria
Eva Z. Reininghaus ; Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Austria

Abstract

Background: In Austria, new approaches of rehabilitation programs focus on the prevention of mental illness and offer
treatment not only for acute psychiatric patients, but also for those who are at risk of developing a mental disorder or have
recovered from one.The aim of this study was to determine the effects of a psychiatric rehabilitation program on individuals with
different mood states.
Subjects and methods: 600 patients with a history of affective disorder were tested at the time of admission to an Austrian
inpatient psychiatric rehabilitation center. Data of extreme groups - patients who were depressed (n=59; BDI-II <9 and HAMD <8)
or euthymic (n=59; BDI <18 and HAMD >19) at the time of therapy start - were analyzed. The participants completed the Maslach
Burnout Inventory - General Survey, the Symptom Checklist - Revised and the Stress Coping Questionnaire at the beginning and the
end of the 6-weeks rehabilitation program.
Results: After 6 weeks, both groups showed significantly less psychiatric symptoms (BDI-II, HAMD, SCL-90, and negative coping
strategies (SVF). Importantly, work-related stress symptoms (“burnout” symptoms) improved significantly in the euthymic group.
Conclusions: Euthymic patients seem to be able to focus on work-related stress symptoms including reduced emotional
exhaustion through treatment, while currently depressed patients primarily benefit by an improvement in general psychiatric
symptomatology. The results indicate the crucial role of mood state validated with standardized psychological questionnaires BDI-II
and HAMD at time of admission to such programs. These findings could have implications on treatment decisions for psychiatric
patients and assist in making a forecast concerning ability to recover and treatment prognosis.

Keywords

depression; burnout symptoms; psychiatric treatment; psychiatric rehabilitation; observational descriptive study

Hrčak ID:

291048

URI

https://hrcak.srce.hr/291048

Publication date:

22.12.2022.

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