| 1. |
|
|
| 2. |
|
|
| 3. |
- Bejerholm, Ulrika, et al.
(författare)
-
Occupational engagement in persons with schizophrenia: relationships to self-related variables, psychopathology, and quality of life.
- 2007
-
Ingår i: American Journal of Occupational Therapy. - 0272-9490. ; 61:1, s. 21-32
-
Tidskriftsartikel (refereegranskat)abstract
- Previous research suggests that having schizophrenia involves not being fully equipped to engage in daily occupations. This study was aimed at exploring relationships between occupational engagement and the issues of self-related variables, psychiatric symptoms, and quality of life. Seventy-four outpatients with schizophrenia entered the study. Instruments used in this study were Profile of Occupational Engagement in People with Schizophrenia, Locus of Control, Mastery, Sense of Coherence, Brief Psychiatric Rating Scale, and Lancashire Quality of Life Profile. The results showed that a high level of occupational engagement was related to higher ratings of self-related variables, fewer psychiatric symptoms, and better ratings of quality of life, and vice versa. A significant difference and a linear trend were found among the three subgroups of different levels of occupational engagement and the estimated variables. In the regression model, negative symptoms and internal locus of control together explained 47% of the variance in occupational engagement. The results add a new dimension to understanding mental health and suggest the importance of assessing the level of occupational engagement.
|
|
| 4. |
- Bejerholm, Ulrika
(författare)
-
Occupational Perspectives on Health in People with Schizophrenia
- 2007
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The thesis has provided with systematic information about how people with schizophrenia live their everyday life, and the results have shown significant relationships between occupational perspectives and health. The thesis departed in two in-depth studies that concerned time use and occupational engagement in relation to what people with schizophrenia do in their everyday life, with whom they are with, where they are and how they perceive and experience what they do, as reflected by time-use diaries. The first study showed that most time was spent alone, at home, where few occupational situations worked as a routine, providing a structure in terms of familiarity of habits. The second study showed that the participants functioned at different levels of occupational engagement, which ranged from performing mostly quiet activities alone, at home, with few routines and a little sense of meaning, to having ongoing occupational engagement that were interpreted as having meaning, in a greater variety of social and geographical environments. In particular, the function of performing quiet activities, the different ways of being social and of interpreting on experiences, have provided with new aspects that concern the occupational behaviour in people with schizophrenia. Based of these findings elucidated so far, the third and fourth study concerned the development of a reliable and valid instrument, the Profiles of Occupational Engagement in people with Schizophrenia. In study four and five, the POES was used to assess occupational engagement in relation to health related variables. The results showed that a high level of occupational engagement was related to higher ratings of self-related variables, fewer psychiatric symptoms, and better ratings of quality of life, and vice versa. The results of this thesis add a new dimension to understanding mental health. Consequently, identifying the level of occupational engagement in clients with schizophrenia is imperative to, understanding occupational balance and disability, the forming of a supporting relationship, providing appropriate occupational challenges and environmental support with intention to facilitate self-definition.
|
|
| 5. |
|
|
| 6. |
|
|
| 7. |
- Bejerholm, Ulrika, et al.
(författare)
-
Profiles of occupational engagement in persons with schizophrenia, POES: Development of a new instrument based on time diaries
- 2006
-
Ingår i: British Journal of Occupational Therapy. - 1477-6006. ; 69:2, s. 58-68
-
Tidskriftsartikel (refereegranskat)abstract
- Previous time-use research suggests that it is highly relevant for an occupational therapist to estimate time use and occupational engagement in order to understand some of the determinants of wellbeing for people with schizophrenia. This article describes the development and the testing of the psychometric properties of an instrument, Profiles of Occupational Engagement in people with Schizophrenia (POES), with the aim of helping to interpret and evaluate time-use diaries and thus providing a systematic description of status regarding occupational engagement. The first part of POES involves completion of time-use diaries and the second part, the assessment, is based on nine items that are rated on a four-point ordinal scale. The time-use diaries of 41 people with schizophrenia and the judgements from 12 occupational therapists were used in the study. A test of content validation involved experts from Sweden and the United Kingdom and resulted in two stages of revisions. The strength of agreement between two raters resulted in a mean weighted kappa of 0.70. Internal consistency was calculated for both raters separately and the alpha coefficients were 0.97 and 0.95. This study provides initial support for the content validity, interrater agreement and internal consistency of POES. Based on the judgements of the occupational therapists in this study, POES seems to have good clinical utility. However, further research on the clinical utility as well as the criterion validity of the construct is warranted.
|
|
| 8. |
|
|
| 9. |
- Bejerholm, Ulrika, et al.
(författare)
-
Sysselsättning - betydelse och utformning
- 2009
-
Ingår i: Psykiatri för baspersonal : kunskap för en evidensbaserad praktik - kunskap för en evidensbaserad praktik. - 9789172056848 ; , s. 178-198
-
Bokkapitel (populärvet., debatt m.m.)
|
|
| 10. |
- Bejerholm, Ulrika, et al.
(författare)
-
Vardagslivet
- 2005
-
Ingår i: Att leva med psykiska funktionshinder – livssituation och effektiva stödinsatser. - 9144033168 ; , s. 103-103
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Det här kapitlet tar upp hur vardagslivet kan te sig för personer som har ett psykiskt funktionshinder. Vardagen består för oss människor av olika sysslor, och vi upplever dem på olika sätt och de betyder olika saker. Många av dem utförs automatiskt utan reflektion, som exempelvis att duscha på morgonen eller att handla på hemvägen från jobbet. Det kan sägas vara en slags autopilot inkopplad som gör att minimalt med energi och koncentration behöver läggas på sådana uppgifter. Andra saker som utförs kräver mer koncentration och innebär kanske anspänning, som att hålla ett föredrag eller klättra i berg. För en person som drabbats av psykisk sjukdom slås mycket av autopilotfunktionen ut, och därmed blir vardagens olika sysslor en ansträngande och ibland övermäktig uppgift. Vardagslivet får ett annorlunda utseende, och det vanliga mönstret av arbete, fritid, vila och egenvård förändras. Även upplevelsen av det som en person gör förändras vanligtvis. Rent generellt kan det sägas att det psy
|
|
