دورية أكاديمية
Mental health disorders, functioning and health-related quality of life among extensively hospitalized patients due to severe self-harm – results from the Extreme Challenges project
| العنوان: | Mental health disorders, functioning and health-related quality of life among extensively hospitalized patients due to severe self-harm – results from the Extreme Challenges project |
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| المؤلفون: | Langjord, Tuva, Pedersen, Geir Arild Feigum, Bovim, Tone, Christensen, Tore Buer, Eikenæs, Ingeborg Helene Ulltveit-Moe, Hove, Oddbjørn, Kildahl, Arvid Nikolai, Mork, Erlend, Norheim, Astrid Berge, Ramleth, Ruth-Kari, Ringen, Petter Andreas, Romm, Kristin Lie, Siqveland, Johan, Schønning, Thea, Stänicke, Line Indrevoll, Torgersen, Terje, Pettersen, Mona, Tveit, Tone, Urnes, Øyvind, Walby, Fredrik A, Kvarstein, Elfrida Hartveit |
| بيانات النشر: | Frontiers Media |
| سنة النشر: | 2023 |
| المجموعة: | University of Tromsø: Munin Open Research Archive |
| الوصف: | Background: Severe self-harm leading to extensive hospitalization generates extreme challenges for patients, families, and health services. Controversies regarding diagnoses and health care often follow. Most evidence-based treatments targeting self-harm are designed for borderline personality disorder (BPD). However, current knowledge about mental health status among individuals with severe self-harm is limited. Objectives: To investigate psychopathology among patients extensively hospitalized due to severe or frequent self-harming behaviors. Method: A cross sectional study (period 2019–2021) targeting psychiatric inpatients (>18 years) with frequent (>5) or long (>4 weeks) admissions last year due to self-harm. The target sample (N = 42, from 12 hospitals across all Norwegian health regions) was compared to individuals admitted to outpatient personality disorder (PD) treatment within specialist mental health services in the same period (N = 389). Clinicians performed interviews on self-harm and psychopathology, supplemented by self-report. Results: The target sample were young adults, mainly female, with considerable hospitalization and self-harming behaviors, both significantly more extensive than the comparison group. The majority in both groups reported self-harm onset <18 years. The target sample reported increasing severity of self-harm acts and suicidal intention over time. Both samples had high levels of childhood trauma, impaired personality functioning, and a majority fulfilled criteria for PD. In the target sample, comorbid depression, PTSD, anxiety disorders, and substance use occurred more frequently and in 50%, psychosis/dissociative disorder/autism spectrum disorder/ADHD was reported (outpatient comparison sample: 9%). 35% in the target sample screened over cut-off for possible intellectual disability. The target sample reported poor psychosocial functioning and health-related quality of life – greater impairment than the outpatient comparison sample. Conclusion: The study reveals ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1664-0640 |
| العلاقة: | Frontiers in Psychiatry; Langjord, Pedersen, Bovim, Christensen, Eikenæs, Hove, Kildahl, Mork, Norheim, Ramleth, Ringen, Romm, Siqveland, Schønning, Stänicke, Torgersen, Pettersen, Tveit, Urnes, Walby, Kvarstein. Mental health disorders, functioning and health-related quality of life among extensively hospitalized patients due to severe self-harm – results from the Extreme Challenges project. Frontiers in Psychiatry. 2023;14; FRIDAID 2200063; https://hdl.handle.net/10037/32238Test |
| DOI: | 10.3389/fpsyt.2023.1258025 |
| الإتاحة: | https://doi.org/10.3389/fpsyt.2023.1258025Test https://hdl.handle.net/10037/32238Test |
| حقوق: | Attribution 4.0 International (CC BY 4.0) ; openAccess ; Copyright 2023 The Author(s) ; https://creativecommons.org/licenses/by/4.0Test |
| رقم الانضمام: | edsbas.74D1B610 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 16640640 |
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| DOI: | 10.3389/fpsyt.2023.1258025 |