Occupation-focused intervention for in-patient mental health settings: Pilot study of effectiveness.,Journal of Psychiatric Research

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Occupation-focused intervention for in-patient mental health settings: Pilot study of effectiveness.
Journal of Psychiatric Research ( IF 3.7 ) Pub Date : 2020-03-12 , DOI: 10.1016/j.jpsychires.2020.03.004
Lena Lipskaya-Velikovsky ₁ , Terry Krupa ₂ , Ilana Silvan-Kosovich ₃ , Moshe Kotler ₄

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PURPOSE Participation in meaningful occupation is associated with recovery in serious mental illnesses, however, few evidence-based, occupation-focused interventions for hospital settings exist. This study investigated the effectiveness of "Occupational Connections" (OC), a manualized, short-term, group intervention, addressing issues in daily-life occupations' participation and functioning of people with serious mental illness as early as during hospitalization. METHODS Thirty-three inpatients with schizophrenia completed single-blind, pre-post study procedures (up to 10 weeks) in two groups: OC group intervention and open leisure activity group (control condition), in addition to treatment as usual. They were assessed for occupation and participation dimensions, perceptions of services as recovery-oriented, comprehensive cognitive functioning and schizophrenia symptoms. The sampling was convenience with sequential group allocation. RESULTS Improvements were found in the study group in the following measurements: intention to participate in daily activities (t(15) = -2.62, p < .05), participation diversity (t(15) = -2.11, p < .05), experience the recovery orientation of the service (t(15) = -3.15, p < .01), functional capacity (t(15) = -3.44, p < .01), cognitive abilities of language understanding, memory and shifting (-4.5

中文翻译：

以职业为中心的住院心理健康干预措施：有效性的初步研究。

目的参与有意义的职业与严重精神疾病的康复相关，但是，针对医院环境的循证，针对职业的干预措施很少。这项研究调查了“职业联系”（OC）的有效性，这是一种手动的，短期的，团体干预的方法，旨在解决住院期间及早期职业的参与和严重精神疾病患者的功能方面的问题。方法33例精神分裂症住院患者除常规治疗外，还完成了两组的单盲，事后研究程序（长达10周）：OC组干预和开放性休闲活动组（对照组）。对他们的职业和参与程度进行了评估，对服务以恢复为导向，全面的认知功能和精神分裂症症状。顺序组分配方便了抽样。结果研究组在以下测量方面有所改善：参与日常活动的意愿（t（15）= -2.62，p <.05），参与多样性（t（15）= -2.11，p <.05），体验服务的恢复方向（t（15）= -3.15，p <.01），功能能力（t（15）= -3.44，p <.01），语言理解，记忆和转移的认知能力（ -4.5

更新日期：2020-03-12

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