Occupational engagement affects personal recovery in people with mental disorders, and cognitive dysfunction and occupational dysfunction affect occupational engagement
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説明
Background: Personal recovery is a major goal in the field of mental health and welfare, and recovery support is of great importance. However, there has not yet been a full exploration of the direct relationship between personal recovery and occupational engagement and occupational and cognitive dysfunction, which are commonly treated within the field of occupational therapy. The aim of this study was to identify factors that influence recovery. Methods: Included in the study were 30 of our patients with schizophrenia or mood disorders. Recovery was measured by the Japanese version of the Recovery Assessment Scale (RAS), occupational engagement by the Self-completed Occupational Performance Index (SOPI), occupational dysfunction by the Screening Tool for the Classification of Occupational Dysfunction (STOD), and cognitive function by the Brief Assessment of Cognition in Schizophrenia (BACS). Correlation between each variable was examined by performing multiple regression analysis with RAS and SOPI as dependent variables. Results: RAS had significant correlation with many domains of SOPI and with the occupational alienation domain of STOD, but not with BACS. SOPI and anti-anxiety medication dose affected RAS, while SOPI was affected by the occupational marginalization domain of STOD and the executive function domain of BACS. Conclusions: Important factors in supporting recovery were focusing on the individual’s independent decision-making and executive functioning, and helping the individual identify and engage in meaningful occupations.
収録刊行物
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- COGNITION & REHABILITATION
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COGNITION & REHABILITATION 4 (1), 27-35, 2023-11-30
Osaka Kawasaki Rehabilitation University