Abstract
Psychiatric Re-Hospitalization and Symptom Relapse as a Function of Problem Solving Skills
Highlights
Despite advances in psychotropic and psychologically based outpatient treatments for chronic mental illness, acute hospitalization can be necessary for the provision of a safe therapeutic environment and the reduction of harmful behaviors
A primary goal of this study was to explore whether a psychiatric patient’s ability to identify and solve problems in their life could buffer them from subsequent re-hospitalization and/or psychiatric relapse
Individuals with poor problem-solving skill were more likely to be readmitted to the hospital within three months following their index hospitalization, and they reported higher psychiatric symptom levels at both three and six months after their index hospitalization
Summary
Despite advances in psychotropic and psychologically based outpatient treatments for chronic mental illness, acute hospitalization can be necessary for the provision of a safe therapeutic environment and the reduction of harmful behaviors. The Agency for Healthcare Research and Quality reported that approximately 2.1 million individuals were hospitalized for mental health concerns, which is a 20.1% increase since 2005 Of these individuals, the most treated diagnoses were mood disorder, followed by schizophrenia and psychotic disorders [1]. This study evaluated whether social problem-solving skill at discharge could predict levels of psychiatric symptoms and rehospitalization at three and six months post discharge. We hypothesized that social problem-solving skills would predict psychiatric symptoms and re-hospitalization after controlling for other identified psychiatric re-hospitalization risk factors. We hypothesized that the performance-based measure of social problem solving (PPSS-R) [14] would result in a better prediction of rehospitalization than a self-report measure (SPSI-R) [17]
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