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Nature-assisted rehabilitation for reactions to severe stress and/or depression in a rehabilitation garden: long-term follow-up including comparisons with a matched population-based reference cohort.

Wahrborg, Peter; Petersson, Ingemar LU and Grahn, Patrik (2014) In Journal of Rehabilitation Medicine 46(3). p.271-276
Abstract
Objective: To determine the effect of a nature-assisted rehabilitation programme in a group of patients with reactions to severe stress and/or mild to moderate depression. Changes in sick-leave status and healthcare consumption in these patients were compared with those in a matched population-based reference cohort (treatment as usual). Design: Retrospective cohort study with a matched reference group from the general population. Subjects: A total of 118 participants referred to a nature-assisted rehabilitation programme, and 678 controls recruited from the Skane Health Care Register. For both groups, information on sick leave was extracted from the National Social Insurance Register and on healthcare consumption data from the Skane... (More)
Objective: To determine the effect of a nature-assisted rehabilitation programme in a group of patients with reactions to severe stress and/or mild to moderate depression. Changes in sick-leave status and healthcare consumption in these patients were compared with those in a matched population-based reference cohort (treatment as usual). Design: Retrospective cohort study with a matched reference group from the general population. Subjects: A total of 118 participants referred to a nature-assisted rehabilitation programme, and 678 controls recruited from the Skane Health Care Register. For both groups, information on sick leave was extracted from the National Social Insurance Register and on healthcare consumption data from the Skane Health Care Register. Methods: The interventional rehabilitation programme was designed as a multimodal programme involving professionals from horticulture and medicine. The programme was conducted in a rehabilitation garden, designed especially for this purpose. Results: A significant reduction in healthcare consumption was noted among participants in the programme compared with the reference population. The main changes were a reduction in outpatient visits to primary healthcare and a reduction in inpatient psychiatric care. No significant difference in sick-leave status was found. Conclusion: A structured, nature-based rehabilitation programme for patients with reactions to severe stress and/or depression could be beneficial, as reflected in reduced healthcare consumption. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
nature, horticultural therapy, burnout professional, psychological, stress, depression
in
Journal of Rehabilitation Medicine
volume
46
issue
3
pages
271 - 276
publisher
Taylor & Francis
external identifiers
  • wos:000332903400012
  • scopus:84894657849
ISSN
1651-2081
DOI
10.2340/16501977-1259
language
English
LU publication?
yes
id
4eeef842-b7b0-4551-8d36-deb1fd196220 (old id 4411105)
date added to LUP
2014-05-05 07:17:17
date last changed
2017-11-12 03:39:57
@article{4eeef842-b7b0-4551-8d36-deb1fd196220,
  abstract     = {Objective: To determine the effect of a nature-assisted rehabilitation programme in a group of patients with reactions to severe stress and/or mild to moderate depression. Changes in sick-leave status and healthcare consumption in these patients were compared with those in a matched population-based reference cohort (treatment as usual). Design: Retrospective cohort study with a matched reference group from the general population. Subjects: A total of 118 participants referred to a nature-assisted rehabilitation programme, and 678 controls recruited from the Skane Health Care Register. For both groups, information on sick leave was extracted from the National Social Insurance Register and on healthcare consumption data from the Skane Health Care Register. Methods: The interventional rehabilitation programme was designed as a multimodal programme involving professionals from horticulture and medicine. The programme was conducted in a rehabilitation garden, designed especially for this purpose. Results: A significant reduction in healthcare consumption was noted among participants in the programme compared with the reference population. The main changes were a reduction in outpatient visits to primary healthcare and a reduction in inpatient psychiatric care. No significant difference in sick-leave status was found. Conclusion: A structured, nature-based rehabilitation programme for patients with reactions to severe stress and/or depression could be beneficial, as reflected in reduced healthcare consumption.},
  author       = {Wahrborg, Peter and Petersson, Ingemar and Grahn, Patrik},
  issn         = {1651-2081},
  keyword      = {nature,horticultural therapy,burnout professional,psychological,stress,depression},
  language     = {eng},
  number       = {3},
  pages        = {271--276},
  publisher    = {Taylor & Francis},
  series       = {Journal of Rehabilitation Medicine},
  title        = {Nature-assisted rehabilitation for reactions to severe stress and/or depression in a rehabilitation garden: long-term follow-up including comparisons with a matched population-based reference cohort.},
  url          = {http://dx.doi.org/10.2340/16501977-1259},
  volume       = {46},
  year         = {2014},
}