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Using nature-based rehabilitation to restart a stalled process of rehabilitation in individuals with stress-related mental illness

Sahlin, Eva and Ahlborg Jr., Gunnar and Tenenbaum, Artur and Grahn, Patrik (2015). Using nature-based rehabilitation to restart a stalled process of rehabilitation in individuals with stress-related mental illness. International journal of environmental research and public health. 12:2, 1928-1951
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Official URL: http://dx.doi.org/10.3390/ijerph120201928

Abstract

After a period of decrease, sick leave in Sweden due to psychiatric diagnoses is on the increase. The lack of established rehabilitation programmes for patients with stress-related mental disorders (SRMD) has opened up for the use of garden/nature in a multimodal rehabilitation context (Nature-Based Rehabilitation, NBR). Region Vastra Gotaland (VGR) started an NBR to offer additional rehabilitation for its employees on long-term sick leave due to SRMD, where initial care had not been sufficient. The aim was to explore whether the mental health and well-being of NBR participants had improved at the end of the NBR and at three follow-ups, and to explore the development of sick leave and health care utilization according to the NBR model (n = 57) and an occupational health service (OHS) model (n = 45). Self-assessment instruments for measuring burnout, depression, anxiety and wellbeing, and data from regional and national registers were used. Results showed decreased scores on burnout, depression and anxiety, and increased well-being scores and significantly reduced health care utilization in the NBR group. A large movement from ordinary sickness benefit to rehabilitation benefit was observed, which was not observed in the OHS group. The two groups were in different rehabilitation phases, which limited comparisons. The results point to beneficial effects of using NBR for this patient group and for enhancing a stalled rehabilitation process.

Authors/Creators:Sahlin, Eva and Ahlborg Jr., Gunnar and Tenenbaum, Artur and Grahn, Patrik
Title:Using nature-based rehabilitation to restart a stalled process of rehabilitation in individuals with stress-related mental illness
Series/Journal:International journal of environmental research and public health (1660-4601)
Year of publishing :2015
Depositing date:18 December 2015
Volume:12
Number:2
Page range:1928-1951
Number of Pages:24
Publisher:MDPI
ISSN:1660-4601
Language:English
Publication Type:Journal article
Refereed:Yes
Article category:Scientific peer reviewed
Version:Published version
Full Text Status:Public
Agris subject categories.:X Agricola extesions > X38 Human medicine, health, and safety
X Agricola extesions > X80 Social sciences, humanities and education
Subjects:(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 303 Health Sciences > Occupational Therapy
(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 303 Health Sciences > Other Health Sciences
Agrovoc terms:rehabilitation, therapy, health services
Keywords:Nature-Based Rehabilitation, burnout, depression, anxiety, health care utilization, sick leave
URN:NBN:urn:nbn:se:slu:epsilon-e-3141
Permanent URL:
http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-e-3141
Additional ID:
Type of IDID
Web of Science (WoS)000350209800049
DOI10.3390/ijerph120201928
ID Code:12918
Faculty:LTV - Fakulteten för landskapsarkitektur, trädgårds- och växtproduktionsvetenskap
Department:(LTJ, LTV) > Department of Work Science, Business Economics, and Environmental Psychology
Deposited By: SLUpub Connector
Deposited On:21 Dec 2015 08:37
Metadata Last Modified:11 Feb 2016 17:05

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