The effect of individual enabling and support on empowerment and depression severity in persons with affective disorders: outcome of a randomized control trial.
Nord J Psychiatry
; 72(4): 259-267, 2018 May.
Article
in En
| MEDLINE
| ID: mdl-29382250
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 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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Psychotherapy
/
Rehabilitation, Vocational
/
Social Support
/
Bipolar Disorder
/
Power, Psychological
/
Outcome Assessment, Health Care
/
Depressive Disorder
Type of study:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
Aspects:
Determinantes_sociais_saude
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Nord J Psychiatry
Journal subject:
PSICOFARMACOLOGIA
/
PSIQUIATRIA
Year:
2018
Document type:
Article
Affiliation country:
Suecia