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The effect of individual enabling and support on empowerment and depression severity in persons with affective disorders : outcome of a randomized control trial

Porter, Susann LU and Bejerholm, Ulrika LU (2018) In Nordic Journal of Psychiatry p.1-9
Abstract

Purpose: To evaluate the effect of Individual Enabling and Support (IES) on empowerment and depression severity as compared to Traditional Vocational Rehabilitation (TVR) in people with affective disorders at 12 months follow-up. Additionally, longitudinal changes within the intervention groups and the correlation over time between empowerment and depression severity were evaluated. Method: A single-blind randomized controlled trial of two intervention groups, IES (n = 33) and TVR (n = 28), was performed with measurement points at baseline, 6, and 12 months. Individuals with affective disorders, including depression and bipolar disorder diagnoses were included. The Empowerment Scale and Montgomery–Åsberg Depression Self-Rating Scale... (More)

Purpose: To evaluate the effect of Individual Enabling and Support (IES) on empowerment and depression severity as compared to Traditional Vocational Rehabilitation (TVR) in people with affective disorders at 12 months follow-up. Additionally, longitudinal changes within the intervention groups and the correlation over time between empowerment and depression severity were evaluated. Method: A single-blind randomized controlled trial of two intervention groups, IES (n = 33) and TVR (n = 28), was performed with measurement points at baseline, 6, and 12 months. Individuals with affective disorders, including depression and bipolar disorder diagnoses were included. The Empowerment Scale and Montgomery–Åsberg Depression Self-Rating Scale were administered, and Intention-To-Treat analysis was applied. The study was registered with the trial number ISRCTN93470551. Result: There was a statistically significant difference between the intervention groups on empowerment and depression severity at 12 months. Within-group analysis showed that IES-participants increased their perceived empowerment and decreased their depression severity between measurement points, this was not seen among TVR-participants. A moderate, inverse relationship was detected between empowerment and depression. Conclusion: IES is more effective in increasing empowerment and decreasing depression severity after a 12-month intervention than is TVR. This study was limited by a small sample size and larger trials in different contexts are needed.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
bipolar disorder, Depression, return-to-work, supported employment, vocational rehabilitation
in
Nordic Journal of Psychiatry
pages
9 pages
publisher
Informa Healthcare
external identifiers
  • scopus:85041237502
ISSN
0803-9488
DOI
10.1080/08039488.2018.1432685
language
English
LU publication?
yes
id
6ce3c7cb-0af3-458e-85cc-57d3c62605f6
date added to LUP
2018-03-05 17:34:38
date last changed
2018-05-29 11:22:13
@article{6ce3c7cb-0af3-458e-85cc-57d3c62605f6,
  abstract     = {<p>Purpose: To evaluate the effect of Individual Enabling and Support (IES) on empowerment and depression severity as compared to Traditional Vocational Rehabilitation (TVR) in people with affective disorders at 12 months follow-up. Additionally, longitudinal changes within the intervention groups and the correlation over time between empowerment and depression severity were evaluated. Method: A single-blind randomized controlled trial of two intervention groups, IES (n = 33) and TVR (n = 28), was performed with measurement points at baseline, 6, and 12 months. Individuals with affective disorders, including depression and bipolar disorder diagnoses were included. The Empowerment Scale and Montgomery–Åsberg Depression Self-Rating Scale were administered, and Intention-To-Treat analysis was applied. The study was registered with the trial number ISRCTN93470551. Result: There was a statistically significant difference between the intervention groups on empowerment and depression severity at 12 months. Within-group analysis showed that IES-participants increased their perceived empowerment and decreased their depression severity between measurement points, this was not seen among TVR-participants. A moderate, inverse relationship was detected between empowerment and depression. Conclusion: IES is more effective in increasing empowerment and decreasing depression severity after a 12-month intervention than is TVR. This study was limited by a small sample size and larger trials in different contexts are needed.</p>},
  author       = {Porter, Susann and Bejerholm, Ulrika},
  issn         = {0803-9488},
  keyword      = {bipolar disorder,Depression,return-to-work,supported employment,vocational rehabilitation},
  language     = {eng},
  month        = {01},
  pages        = {1--9},
  publisher    = {Informa Healthcare},
  series       = {Nordic Journal of Psychiatry},
  title        = {The effect of individual enabling and support on empowerment and depression severity in persons with affective disorders : outcome of a randomized control trial},
  url          = {http://dx.doi.org/10.1080/08039488.2018.1432685},
  year         = {2018},
}