Psychosocial Rehabilitation of Physically and Psychologically Wounded

ObjectivesPsychosocial healthcare is recommended, but little is known about how patients perceive the level of care and whether subgroups of patients experience less psychosocial healthcare than others. We examined the prevalence of patient-reported psychosocial healthcare and factors predicting patient-reported lack of psychosocial healthcare among patients with heart disease.DesignA cohort study.SettingDenmark, nationwide.ParticipantsA registry-based random sample of 5000 patients with incident heart disease in 2013.MeasuresPatient-reported psychosocial healthcare was obtained from a survey and potential predictors before disease onset from registries. We used multivariable logistic regression analysis to determine predictors of patient-reported lack of care.ResultsWe received responses from 56%; 40% reported lacking information on psychosocial aspects, 51% lacking psychosocial rehabilitation and support and 32% reported lacking both types of psychosocial healthcare. The type of heart disease was the strongest predictor of patient-reported lack of psychosocial healthcare, especially among patients with atrial fibrillation (OR: 3.11–3.98). Older age (OR: 1.48–2.05), female gender (OR: 1.27–1.53) and no contact with general practitioner (OR: 1.47–1.84) also predicted patient-reported lack of psychosocial healthcare. Patients outside the labour force (OR: 1.29) and living in the capital region (OR: 1.50) more frequently reported lacking psychosocial rehabilitation and support, and patients with recent (OR: 1.63) or past (OR: 1.33) anxiety or depression and severe comorbidities (OR: 1.34) more frequently reported lacking both types of psychosocial healthcare.ConclusionsMany patients with heart disease reported lacking psychosocial healthcare. Importantly, patients who most need psychosocial healthcare are not those who report receiving it. Our results call for action to translate guidelines into clinical practice.

Download Full-text

Psychosocial Rehabilitation Through Intervention by Second Language Acquisition in Older Adults

Journal of Psycholinguistic Research ◽

10.1007/s10936-021-09805-z ◽

2021 ◽

Author(s):

Marcel Pikhart ◽

Blanka Klimova ◽

Anna Cierniak-Emerych ◽

Szymon Dziuba

Keyword(s):

Older Adults ◽

Second Language Acquisition ◽

Language Learning ◽

Healthy Aging ◽

Psychosocial Rehabilitation ◽

Natural Aging ◽

Foreign Language Learning ◽

Pharmacological Intervention ◽

Subjective Happiness ◽

Online Questionnaire

AbstractThe paper deals with a possibility of foreign language learning (FLL) intervention in older adults as a psychosocial rehabilitation method to improve the quality of life (QoL) in this age segment, i.e. the people who are over 55 years. FLL has been researched as a successful tool to maintain or even enhance cognitive functions in older age along with other intentional activities, such as engagement in any physical activity. FLL cannot dramatically improve memory and cognitive deterioration of older adults, however, it can improve QoL by increasing subjective happiness that is connected to improved wellbeing. The research was conducted in two groups of seniors who are engaged in FLL, specifically in the Czech Republic and Poland. The major premise of the research was based on the positive psychology concept, i.e., the subjective happiness leads to improved levels of QoL. Both groups consisted of about a hundred respondents whose opinions were researched by an online questionnaire. The major focus of this questionnaire was to evaluate the level of subjective happiness and then compare the results obtained from the respondents from these two geographically different regions. The findings clearly showed that those who had engaged in FLL had reached high levels of subjective happiness, therefore, their subjective wellbeing could be improved. These results might be important for psychosocial rehabilitation practices because they can create a framework for further non-pharmacological intervention to maintain healthy aging. FLL can thus be a very efficient tool for any psychosocial rehabilitation in older healthy adults who do not suffer from any cognitive pathological development but who are just experiencing negative side effects of natural aging process. The research into this topic is very scarce, and therefore, this paper could be an inspiration for further and larger-scale research.

Download Full-text

The Influence of a Psychosocial Rehabilitation Program in a Community Health Setting for Patients with Chronic Mental Disorders

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18084319 ◽

2021 ◽

Vol 18 (8) ◽

pp. 4319

Author(s):

Paweł Rasmus ◽

Anna Lipert ◽

Krzysztof Pękala ◽

Małgorzata Timler ◽

Elżbieta Kozłowska ◽

...

Keyword(s):

Mental Health ◽

Community Mental Health ◽

Social Exclusion ◽

Psychosocial Rehabilitation ◽

Rehabilitation Program ◽

Rehabilitation Programs ◽

Mental Health Settings ◽

Health Related ◽

Community Mental Health Settings ◽

General Self Efficacy

Purpose: To examine (a) the amount of health-related behavior, (b) the level of generalized optimism, (c) the belief about patients’ abilities to cope with difficult situations and obstacles and (d) the subjective sense of social exclusion at baseline and at follow-up among patients with chronic mental health issues participating in a psychosocial rehabilitation program in a community mental health setting. Materials and Methods: This prospective study involved 52 participants aged 18–43 years and diagnosed with mental illness who participated in a 6-month psychosocial rehabilitation program, organized within a special community setting. Different questionnaires were used: the Health-Related Behavior Questionnaire, the Revised Life Orientation Test, the General Self-Efficacy Scale, the Personal Competence Scale and a self-made questionnaire concerning social exclusion problems. Results: Statistical analysis of the questionnaire results taken at the beginning and end of the six-month course, running from November 2015 to May 2016, revealed significant increases in health-related behavior (p = 0.006) and general self-efficacy (p = 0.01). Conclusions: Psychosocial rehabilitation programs offered by community mental health settings might serve as an easy, accessible strategy to deal with different interpersonal and intrapersonal problems and as a potential way to improve health behavior. Further research is required to evaluate other psychosocial rehabilitation programs in different community mental health settings in Lodz Voivodeship, Poland.

Download Full-text