| 1. |
- Eklund, Lisa, et al.
(författare)
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A cross-sectional study addressing the importance of work and other everyday activities for well-being among people with mental illness: does additional vulnerability matter?
- 2021
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Ingår i: BMC Psychiatry. - : Springer Science and Business Media LLC. - 1471-244X. ; 21:1
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Tidskriftsartikel (refereegranskat)abstract
- Background Work and other everyday activities are beneficial for well-being among people with mental illness, but poor circumstances can create detrimental effects, possibly aggravated by additional vulnerabilities linked with their mental illness. This study aimed to investigate how activity factors were related to well-being and functioning among three vulnerable groups using outpatient mental health care - young people with psychosis, people with a history of substance use disorder (SUD), and immigrants with post-traumatic stress disorder (PTSD) - while controlling for vulnerability group, age and gender. Methods Participants represented the three types of vulnerability (n = 46/57/39). Data collection, using self-report and interviewer-rated questionnaires, concerned aspects of everyday activity (work experiences; views of the worker role; satisfaction with everyday occupations; activity level), well-being (quality of life: life and health; quality of life: environmental aspects; recovery) and functioning (psychosocial functioning; symptom severity). Spearman correlations and General Linear Modelling were used. Results Activity satisfaction was positive (p < 0.001) but recent work experience negative (p = 0.015) for the life and health aspect of quality of life. Activity satisfaction was positive for the environmental aspects of quality of life (p < 0.001). Resources for having a worker role (p < 0.001) and belief in having a future worker role (p = 0.007) were positively associated with better recovery. Activity level (p = 0.001) and resources for having a worker role (p = 0.004) showed positive associations with psychosocial functioning. Belief in a future worker role (p = 0.011) was related with symptom level. Women had less severe symptoms in the young group with psychosis. Regarding vulnerability group, young people with psychosis perceived better quality of life; those with a history of SUD had less severe psychiatric symptoms; and the recent immigrants with PTSD had the highest level of psychosocial functioning. Conclusion Work experience may not be conducive to well-being in itself; it is satisfaction with work and other activities that matters, and worker and employer expectations need alignment. No vulnerability group seemed consistently more disadvantaged regarding well-being and functioning, but the fact that differences existed is vital to acknowledge in activity-based rehabilitation. Inquiring about meaningful activities and providing opportunities for executing them would be a fruitful way of support.
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| 2. |
- Eklund, Mona, et al.
(författare)
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Work experiences, resources, and beliefs among vulnerable subgroups of mental health care users
- 2021
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Ingår i: Work. - : IOS Press. - 1051-9815 .- 1875-9270. ; 70:1, s. 125-134
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: People with mental illness may have difficulties related to work and employment, especially if they experience additional difficult life situations.OBJECTIVE: To explore how subgroups with mental illness and additional adversities perceived their situation with respect to work and employment prospects.METHODS: Three subgroups were included, exposed to an additional difficult life situation: i) psychosis interrupting their career development at young age (n = 46), ii) having a history of substance use disorder (SUD) (= 57) or iii) having recently immigrated (n = 39). They responded to questionnaires addressing sociodemographics, work-related factors, everyday activity, and well-being. A professional assessed their level of functioning and symptom severity.RESULTS: The young people with psychosis had a low education level, little work experience, the poorest worker role resources, and a low level of functioning, but a high quality of life. The SUD group had the fewest work experiences, were the least satisfied with work experiences, and had the lowest activity level, but had the least severe psychiatric symptoms. The immigrant group had severe psychiatric symptoms, but high ratings on work experiences, work resources, and activity level.CONCLUSIONS: Each group presented unique assets and limitations pertaining to work and employment, suggesting that they also needed unique support measures.
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| 3. |
- Pooremamali, Parvin, et al.
(författare)
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Aktivitet som meningsskapande praktik
- 2016. - 1
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Ingår i: Att leva med demens. - Malmö : Gleerups Utbildning AB. - 9789140691651 ; , s. 123-132
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 4. |
- Pooremamali, Parvin, et al.
(författare)
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An occupational therapy approach to the support of a young immigrant female's mental health: A story of bicultural personal growth.
- 2011
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2631 .- 1748-2623. ; 6:3
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Tidskriftsartikel (refereegranskat)abstract
- Young immigrants who suffer from psychosis perceive their illness from the outlook of at least two cultures, which is often a source of confusion and misunderstanding for clients, their families, and clinicians. This article presents a case study with a narrative approach, aiming to illustrate how an occupational therapy intervention can highlight the role of culture and address bicultural identification in a young adult immigrant woman with mental health problems. The results show how a culturally adapted intervention model can be used to help the client go through a transition from an interdependent to a more independent self. During the course of occupational therapy, the client gained greater insight into her problems and could view herself as integrating numerous facets related to two different social and cultural contexts. Moreover, the client achieved better skills in dealing with discrepancies and cultural contradictions and became capable of relying on either or both of the cultures in different situations.
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| 5. |
- Pooremamali, Parvin, et al.
(författare)
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Barriers to continuity in the pathway toward occupational engagement among ethnic minorities with mental illness
- 2017
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 24:4, s. 259-268
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Tidskriftsartikel (refereegranskat)abstract
- Ethnic minorities have particular needs and difficulties in terms of support for meaningful occupations, lack of access to and use of occupation-based rehabilitation services. They are not established in the labour market and are seldom in paid employment. This study aimed to investigate how mentally ill ethnic minority clients experience, feel and think about participation in occupation-based rehabilitation, and potential barriers they might encounter. Nine participants experiencing mental illness and receiving occupation-based rehabilitation were interviewed. Grounded theory methods were used in order to collect and analyze data. One core category, “barriers for a continuous path towards enriched and meaningful occupation” described the participants’ experiences of a variety of barriers related to personal, occupational and system factors that hindered participation in occupation-based rehabilitation and influenced their need for occupational development and growth. The core category was composed of; personal-related barriers, occupational-related barriers, and system-related barriers as well as six related sub-categories. These barriers interacted continually across time and space in ways that increased the participants’ sense of occupational deprivation and alienation. The findings also suggested that the issues of paid employment for ethnic minorities with mental illness should feature on the agenda of local, regional and state politicians and professionals involved in occupational rehabilitation.
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| 6. |
- Pooremamali, Parvin
(författare)
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Culture, occupation and occupational therapy in a mental health care context- the challenge of meeting the needs of Middle Eastern immigrants
- 2012
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The purpose of the thesis was to explore the cultural views of reality embedded in experiences and perceptions of occupational therapy made by Middle Eastern clients with mental health disorders and their occupational therapists. The challenges of diversity related to occupational well-being in the field of occupation-based rehabilitation among Middle Eastern clients were also addressed. A qualitative approach was used throughout the thesis. A grounded theory was used for studies I, II and IV and a narrative analysis was applied for study III. In study I, eleven clients who received occupational therapy were interviewed and the elements that shaped their experiences and perceptions with occupational therapists were investigated. The result demonstrated that the clients’ desire for an alliance with the therapists encompassed the realities and truths embedded in their values and preferences and that the belief systems of their collectivistic world-views often clashed with those of the therapists. Study II included interviews with eight occupational therapists and investigated their experiences and perceptions of working with Middle Eastern clients. The result showed that cultural, societal, and professional dilemmas influenced feelings and thoughts, in turn influencing both motivation for seeking cultural knowledge and the choice of adequate strategies for creating a therapeutic relationship. Study III was a case study with a narrative approach, aiming to illustrate how an occupational therapy intervention can highlight the role of culture and address bicultural identification in a young adult immigrant woman with mental health problem. The study demonstrated how a culturally adapted intervention model could help the client go through a transition from an interdependent to a more independent self and achieve better skills in dealing with cultural discrepancies in different situations. Study IV examined perceived occupational well-being among ten participants with psychiatric disabilities who received occupation- based rehabilitation. The results showed the participants’ ambivalence between striving for empowerment and wanting support and revealed the realities and truths embedded in both collectivistic and individualistic world-views, in turn influencing the ways the participants viewed themselves in relation to empowerment, support and occupational well-being. The results of this thesis provide new insight into the complexity of the phenomena of culture and mental health and may be used in developing culturally adjusted interventions, not only within the areas of occupational therapy and occupation-based rehabilitation but in mental health care in general.
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| 7. |
- Pooremamali, Parvin, et al.
(författare)
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Facing challenges during occupation : Middle Eastern immigrants’ paths to occupational well-being in Sweden
- 2015
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Ingår i: Journal of Occupational Science. - : Routledge. - 1442-7591 .- 2158-1576. ; 22:2, s. 228-241
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Tidskriftsartikel (refereegranskat)abstract
- Occupational well-being is a central issue underpinning factors that constitute a good life. This study aimed to explore occupational well-being among Middle Eastern immigrants to Sweden, as reflected in the occupations performed in the context of psychosocial health care. Ten participants experiencing mental health issues, who received occupation-based rehabilitation, were inter- viewed. Grounded theory methods for data collection and analysis were employed. The core category, being empowered by getting support - a paradoxical pathway to occupational well-being, described the participants’ experiences of striving for empowerment and at the same time desiring support. The core category comprised the categories: striving for control, grasping the meaning in occupation, and striving for self-respect. The participants’ ambivalence in relation to empowerment and support reflected the realities and truths embedded in both collective and individualist cultural views, which influenced the ways they viewed themselves in relation to their occupational needs and occupational well-being. Moreover, findings indicated that oscillat- ing between different cultural views related to occupational needs might amplify or diminish the participants’ experiences of occupational well-being, depending on the type of support received.
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| 8. |
- Pooremamali, Parvin, et al.
(författare)
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Muslim Middle Eastern clients' reflections on their relationship with their occupational therapists in mental health care
- 2012
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa Healthcare. - 1103-8128 .- 1651-2014. ; 19:4, s. 328-40
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Tidskriftsartikel (refereegranskat)abstract
- Persons with a Middle Eastern background represent a minority in Sweden which has significantly increased in size over recent years. The purpose of the present study was to explore the elements that shape the experiences and perceptions of clients with a Middle Eastern background living by Muslim norms who received occupational therapy in mental health care at the time of participating in the study. The study included interviews with 11 clients who received occupational therapy in mental health care. Data collection and analysis were carried out in accordance with the grounded theory approach. One core category, desiring a union, described the clients’ desire for an alliance with the therapists that encompassed the realities and truths embedded in their values, preferences, world-views, and belief systems, as well as a wish to reconstruct their abilities to function and perform daily life tasks within their cultural contexts. The core category included sub-categories: desiring relationship, desiring affiliation, and desiring affirmation as well as some related components. The overall findings showed a tentative model in which the notion of mahram affinity was embedded. The results demonstrated that the clients’ views regarding desiring a union had their support in collectivistic world-views that often clash with those of the therapists.
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| 9. |
- Pooremamali, Parvin, et al.
(författare)
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Occupational therapists' experience of working with immigrant clients in mental health care
- 2011
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa Healthcare. - 1103-8128 .- 1651-2014. ; 18:2, s. 109-121
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Tidskriftsartikel (refereegranskat)abstract
- Sweden’s cultural diversity generates considerable challenges for occupational therapists. The aim of this study was to explore experiences and perceptions of occupational therapists working with immigrant psychiatric clients from the Middle East region. The study included interviews with eight occupational therapists employed in mental health care and working in a variety of settings. The data collection and analysis were carried out in accordance with the grounded theory approach. One core category, “the challenges of the multicultural therapeutic journey—a journey on a winding road” was identified. The core category included three categories: dilemmas in clinical practice, feelings and thoughts, and building cultural bridges, in turn comprising sub-categories and components. The results showed that the many dilemmas influencing effective multicultural occupational therapy were cultural, societal, and professional in nature. The dilemmas influenced feelings and thoughts, in turn influencing both motivation for seeking cultural knowledge and choice of adequate strategies in which the multicultural therapeutic relationship could develop. The results imply that culturally congruent occupational therapy practice needs to be further developed and more research is needed on how cultural issues can be met in occupational therapy practice.
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| 10. |
- Pooremamali, Parvin, et al.
(författare)
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Well-being and perceptions of everyday activities among those who attend community-based day centres for people with mental illness in Sweden : Does an immigrant background make a difference?
- 2017
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Ingår i: International Journal of Social Psychiatry. - : SAGE PUBLICATIONS LTD. - 0020-7640 .- 1741-2854. ; 63:6, s. 539-549
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Tidskriftsartikel (refereegranskat)abstract
- Background: Community-based day centres (CBDCs) for people with mental illness are a common service for both people with an immigrant background and native Swedes.Aim: The aim was to compare CBDC attendees with an immigrant background with attendees who were native Swedes in terms of well-being and perceptions of everyday activities and investigate whether ethnic background could predict these factors.Methods: Attendees at nine CBDCs were invited to participate. In all, 56 with an immigrant background and 69 native Swedes completed self-report questionnaires that addressed various aspects of well-being and everyday activities.Results: Attendees with an immigrant background had a worse situation regarding perceived self-esteem, empowerment and satisfaction with everyday activities. In multivariate logistic regression analyses, ethnic background only became a significant predictor in regard to empowerment. Quality of life and activity level were of importance for satisfaction with everyday activities. Empowerment and self-esteem mutually influenced each other.Conclusion: Having a mental illness and an immigrant background may infer a particular risk for low empowerment. The mental health services and society at large should consider measures for adjusting the support to this group, including an analysis of how environments and contexts may act as barriers to activity enrichment and culturally congruent support.
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