{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T18:51:00Z","timestamp":1793904660969,"version":"4.8.0"},"reference-count":88,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2017,10,27]],"date-time":"2017-10-27T00:00:00Z","timestamp":1509062400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the Swedish Research Council Formas","award":["2011-4982-21023-120"],"award-info":[{"award-number":["2011-4982-21023-120"]}],"id":[{"id":"https:\/\/ror.org\/03pjs1y45","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The global burden of depression and stress-related mental disorders is substantial, and constitutes a major need for effective rehabilitation. Can nature-based rehabilitation help people return to work? Objective: To study if the length of a nature-based rehabilitation program affects the outcome with regard to return to work one year after the onset of the program, in a group of patients with long-term reactions to severe stress and\/or depression. Methods: A prospective, quasi-experimental study comparing results from 8-, 12-, and 24-week periods of rehabilitation. The rehabilitation of 106 participants was carried out by a multimodal rehabilitation team in a specially designed rehabilitation garden. Return to work data were collected before the intervention and one year after the start of rehabilitation. In addition, data were collected regarding self-assessed occupational competence, personal control, and sense of coherence. As many as 68% of the participants returned to work or participated in job training or work-oriented measures, full- or part-time, after one year. Participants with a longer period of rehabilitation reported better results on occupational competence, and were more likely to participate in paid work, full-time or part-time, one year after rehabilitation. Study outcomes indicate that a longer rehabilitation period in a rehabilitation garden increases the possibility of a return to paid work.<\/jats:p>","DOI":"10.3390\/ijerph14111310","type":"journal-article","created":{"date-parts":[[2017,10,27]],"date-time":"2017-10-27T11:33:28Z","timestamp":1509104008000},"page":"1310","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Longer Nature-Based Rehabilitation May Contribute to a Faster Return to Work in Patients with Reactions to Severe Stress and\/or Depression"],"prefix":"10.3390","volume":"14","author":[{"given":"Patrik","family":"Grahn","sequence":"first","affiliation":[{"name":"Department of Work Science, Business Economics and Environmental Psychology, Swedish University of Agricultural Sciences, P.O. Box 88, SE-230 53 Alnarp, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Mar\u00eda","family":"P\u00e1lsd\u00f3ttir","sequence":"additional","affiliation":[{"name":"Department of Work Science, Business Economics and Environmental Psychology, Swedish University of Agricultural Sciences, P.O. Box 88, SE-230 53 Alnarp, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Ottosson","sequence":"additional","affiliation":[{"name":"Department of Work Science, Business Economics and Environmental Psychology, Swedish University of Agricultural Sciences, P.O. Box 88, SE-230 53 Alnarp, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingibj\u00f6rg H.","family":"Jonsdottir","sequence":"additional","affiliation":[{"name":"The Institute of Stress Medicine, Region V\u00e4stra G\u00f6taland, Carl Skottsbergs Gata 22B, SE 413 19 Gothenburg, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2017,10,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2144","DOI":"10.1016\/S0140-6736(12)61690-0","article-title":"Healthy life expectancy for 187 countries, 1990\u20132010: A systematic analysis for the Global Burden Disease Study 2010","volume":"380","author":"Salomon","year":"2012","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1093\/ije\/dyu038","article-title":"The global prevalence of common mental disorders: A systematic review and meta-analysis. 1980\u20132013","volume":"43","author":"Steel","year":"2014","journal-title":"Int. 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