Observational studyJournal of rehabilitation medicine2026
Inpatient rehabilitation after acute injury or illness for patients with and without mental health disorders: service utilization, functional improvement, and pain.
Observational study in Journal of rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
11 authors.
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Abstract
objectiveCompare rehabilitation process and outcomes between patients with and without mental health disorders.
designObservational cohort study. SUBJECTS: 130 patients receiving post-acute inpatient rehabilitation after acute injury or illness.
methodsMental 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.
resultsPatients 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.
conclusionComorbid 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.
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