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Exploring the Relationship Between Brief Inpatient Treatment Intensity and Treatment Outcomes for Mood and Anxiety Disorders

Winona State University in Winona, Minnesota, Mayo Medical Center in Rochester, Minnesota

Connie Luedtke, RN, MA

Pain Rehabilitation Center, Mayo Medical Center, in Rochester, Minnesota

Wendy Moore, RN

Sleep Disorder Center, Mayo Medical Center, in Rochester, Minnesota

BACKGROUND: Few studies have identified effective nursing interventions for today’s psychiatric settings.

OBJECTIVES: This article reports findings from a study that explored the relationship between brief inpatient treatment intensity (average daily frequencies of treatment activities) and treatment outcomes (symptomatology, functioning, and readmission rates up to 3 months postdischarge) among 67 inpatients treated for mood and anxiety disorders.

DESIGN: By using an evaluation design, multiple outcome measures were completed by patients, family members, and clinicians at admission and discharge. Nurses recorded all patient activities on a tool developed by the authors.

RESULTS: Spearman rank correlations and nonparametric regression models indicated that greater community/leisure treatment activities were associated with greater improvements in patient symptoms and functioning. In addition, lower admission functioning was associated with poorer functioning improvements (p < .05).

CONCLUSIONS: Patients may have better outcomes when they actively engage in the inpatient treatment milieu. Further study with rigorous methods is needed to identify effective psychiatric nursing interventions.

Journal of the American Psychiatric Nurses Association, Vol. 7, No. 3, 76-83 (2001)
DOI: 10.1067/mpn.2001.116044


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