| 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, Lisa, et al.
(författare)
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Doing or Undoing Gender? An Explorative Study of Gender, Activities, and Wellbeing among People with Mental Illness Attending Day Centers in Sweden
- 2015
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Ingår i: Society and Mental Health. - : SAGE Publications. - 2156-8693 .- 2156-8731. ; 5:3, s. 218-233
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Tidskriftsartikel (refereegranskat)abstract
- This study explores gender, activity, and well-being among people with mental illness attending day centers in Sweden. Based on survey data of 215 attendees, this study applies the concepts of doing gender and regulatory regimes to analyze the relationship between being involved in gendered activities and wellbeing. The results show that while both male and female participants are involved in gender-neutral activities, men are less likely to engage in women-dominated (WD) activities while women are more prone to engage in men-dominated (MD) activities. Moreover, women involved in MD activities show a positive correlation with well-being, while the same does not hold for men engaging in WD activities. The study concludes that both women and men are ‘‘undoing’’ gender but that women also tend to ‘‘re-do’’ gender, suggesting that gendered regulatory regimes are more permissive to diversified feminist subjectivities than masculine subjectivities.
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| 3. |
- Eklund, Mona, et al.
(författare)
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Gender in relation to work motivation, satisfaction and use of day center services among people with psychiatric disabilities
- 2017
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 24:3, s. 214-221
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Tidskriftsartikel (refereegranskat)abstract
- Background: Day centres can prepare for open-market employment, and attendees’ work motivation is key in this. Aims: Adopting a gender perspective, this study investigated (1) motivation for day centre attendance, satisfaction with the day centre services, number of hours spent there, and number and type of occupations performed; and (2) whether those factors were related with motivation for open-market employment. Methods: Women (n = 164) and men (n = 160) with psychiatric disabilities completed self-report questionnaires. Results: There were no gender differences regarding satisfaction with the day centre services or number of hours spent there, but women engaged in more occupations. More women than men performed externally-oriented services and textile work, while men were in the majority in workshops. Externally oriented services, working in workshops, and low satisfaction with the day centre services were associated with higher motivation for employment. Women and men were equally motivated for employment. Women scored higher on motivation for attending the day centre, something that may deter transition into open-market employment. For men, less motivation for attending day centres may reduce their possibilities of gaining skills that can facilitate transitioning to open-market employment. Conclusion: Thus, the possibility for transitioning from day centre activities to open-market employment may be gendered.
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| 4. |
- 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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| 5. |
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| 6. |
- Andersson, Christina, 1955, et al.
(författare)
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The association between patterns of women’s daily occupations and alcohol consumption; a cluster analytic approach.
- 2009
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Ingår i: 35th Annual Alcohol Epidemiology Symposium of the Kettil Bruun Society, Köpenhamn, DK 2009601-05.
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Konferensbidrag (refereegranskat)abstract
- Earlier studies on women's health and women's drinking and contemporary associated risk factors have highlighted the need for more complex approaches in understanding the pathways into women's problem drinking. Research from both social science and occupational therapy theory have underlined the importance of deconstructing the often dichotomised way of investigating women's daily lives (such as in paid and unpaid work or in work and leisure) when discussing factors from the daily life environment and their impact on health issues. The aim of this study is to explore the relationship between patterns of women's daily occupation and alcohol consumption using the broader concept of occupation from occupational therapy theory. Method: A cross-sectional study with data from the latest wave (2000) of a population-based project, Women and Alcohol in Göteborg (WAG). The study group consists of in total 871 women, aged 20-55 years. For identifying different groups of occupational patterns we are using an individual oriented method; Two-step clustering. Further we aim to use analyses of variance to analyse if there are specific occupational patterns related to problematic alcohol consumption. The specific variables constituting the patterns of daily occupations in this study are employment status, leisure, distribution of household/maintenance work, time for free disposal and the satisfaction with each of these four domains. Preliminary results will be presented.
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| 7. |
- Andersson, Christina, 1955, et al.
(författare)
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Women's patterns of everyday occupations and alcohol consumption : Everyday occupations and alcohol consumption
- 2012
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 19:3, s. 225-238
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Tidskriftsartikel (refereegranskat)abstract
- Earlier studies on women's health and drinking and the contemporary associated risk factors, have highlighted the need for more complex approaches in understanding the pathways into women's problem drinking. Research, from both social science and from occupational therapy models, has underlined the importance of deconstructing the often dichotomized way of investigating women's daily lives (such as in paid and unpaid work or in work and leisure) when discussing factors from the daily life environment and their impact on health issues. The aim of this study was to explore the relationship between women's patterns of everyday occupation and alcohol consumption using the broader concept of occupation from occupational therapy models. This was a cross-sectional study from the latest wave (2000) of a population-based project, Women and Alcohol in Gothenburg (WAG). The study group consisted of 851 women, aged 20-55 years. Using an individually oriented method, two-step clustering, three distinct patterns of everyday occupations were identified. Significant associations with problematic alcohol consumption were found in the clusters, characterized by lower engagement in leisure activities and a larger amount of spare time. The need for new preventive approaches, including investigating the importance of having engaging leisure activities, is discussed.
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| 8. |
- Andersson, Christina, et al.
(författare)
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Women's patterns of everyday occupations and alcohol consumption
- 2012
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 19:3, s. 225-238
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Tidskriftsartikel (refereegranskat)abstract
- Earlier studies on women's health and drinking and the contemporary associated risk factors have highlighted the need for more complex approaches in understanding the pathways into women's problem drinking. Research, from both social science and from occupational therapy models, has underlined the importance of deconstructing the often dichotomized way of investigating women's daily lives (such as in paid and unpaid work or in work and leisure) when discussing factors from the daily life environment and their impact on health issues. The aim of this study was to explore the relationship between women's patterns of everyday occupation and alcohol consumption using the broader concept of occupation from occupational therapy models. This was a cross-sectional study from the latest wave (2000) of a population-based project, Women and Alcohol in Gothenburg (WAG). The study group consisted of 851 women, aged 20-55 years. Using an individually oriented method, two-step clustering, three distinct patterns of everyday occupations were identified. Significant associations with problematic alcohol consumption were found in the clusters, characterized by lower engagement in leisure activities and a larger amount of spare time. The need for new preventive approaches, including investigating the importance of having engaging leisure activities, is discussed.
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| 9. |
- Andersson, Maria, et al.
(författare)
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Frames for choice and market characteristics - a Swedish case study of community mental health services in change
- 2015
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Ingår i: Nordic Social Work Research. - 2156-857X .- 2156-8588. ; 5:3, s. 227-243
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe and analyse structural frames for choice, as well as characteristics of a free-choice market, implemented in community mental health services in Sweden. Day centres were focused. A case study was conducted. Documents were collected and semi-structured interviews were conducted with twenty-eight agents involved in the implementation process. Content analysis of data showed that users’ freedom of choice was influenced by detailed regulation. Freedom of choice was extended, but it was also substantially reduced. The gain or loss of freedom of choice depended on which aspects of the system were emphasised. Features, which could be interpreted as paternalistic, were once again structurally embedded, despite a system addressing individual freedom of choice. Further, the market did not seem to be adjusted for the average user of community mental health services.
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| 10. |
- Andersson, Maria, et al.
(författare)
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Freedom of choice or cost efficiency? : the implementation of a free-choice market system in community mental health services in Sweden
- 2016
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Ingår i: Scandinavian Journal of Disability Research. - : Stockholm University Press. - 1501-7419 .- 1745-3011. ; 18:2, s. 129-141
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Tidskriftsartikel (refereegranskat)abstract
- This case study investigates the implementation of a free-choice market system in community mental health services using the example of day centres for people with psychiatric disabilities. It was conducted in a major city that was about to implement a free-choice market system due to a new legislation that made it feasible. Eighteen semi-structured interviews were conducted. Agents situated in different parts of the organization were interviewed one year before and two years after the free-choice system was launched in 2010. Data showed a top–down political process. A majority of the intentions of the legislation advocated individual autonomy as the market system's main purpose; only one concerned organizational efficiency. Data reflected, however, that financial efficiency dominated the agents' experiences of the implemented system. The twofold market purpose was clearly reflected in the interviews. Front-line staff hoped for improvements mainly for the users, whereas managers mainly focused on the market as a resource allocator.
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