Authors
Anja S Sundet, Solveig L Hauger, Ingrid A Havnes, Nada Andelic, Caroline Ustvedt, Grethe Månum, Jeanette Kleven, Catrine Brunborg, Charles H Bombardier, Jennie Ponsford, Marianne Løvstad
Published in
Journal of rehabilitation medicine. Volume 58. Pages jrm45007. Sep 07, 2026. Epub Sep 07, 2026.
Abstract
Compare rehabilitation process and outcomes between patients with and without mental health disorders.
Observational cohort study.
130 patients receiving post-acute inpatient rehabilitation after acute injury or illness.
Mental health disorders were assessed with diagnostic interviews. Adjusted regression analysis examined associations between mental health disorders and rehabilitation processes, func-tional improvement, pain, and patient satisfaction.
Patients with mental health disorders had more psychologist sessions (B = 5.87, 95% CI 3.87-7.87), more cancelled physiotherapy sessions (B = 1.15, 95% CI 0.38-1.93), multiprofessional team members collaborated more with external partners (B = 6.10, 95% CI 2.88-9.32), and nurses and team coordinators found their roles more demanding (OR = 5.47, 95% CI 1.38-21.76; OR = 7.43, 95% CI 2.21-24.94). Mental health disorders were associated with higher pain intensity and pain interference (B = 1.25, 95% CI 0.38-2.12; OR = 6.81, 95% CI 1.39-33.30). Opioid use was comparable on admission, but the mental health disorder group used more on discharge (OR = 4.5, 95% CI 1.75-11.55). Change in functional independence and patient satisfaction was comparable.
Comorbid mental health disorders were associated with several aspects of the post-acute rehabilitation process, including resource use and pain management. These findings may inform the planning and organization of rehabilitation services for patients with mental health challenges.
PMID:
42702964
Bibliographic data and abstract were imported from PubMed on 07 Sep 2026.
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