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?

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Eklund, LisaLund University,Lunds universitet,Sociologi,Sociologiska institutionen,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Sociology,Department of Sociology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences (författare)

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?

Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

2021-07-31
Springer Science and Business Media LLC,2021

Nummerbeteckningar

LIBRIS-ID:oai:gup.ub.gu.se/307640
https://gup.ub.gu.se/publication/307640URI
https://doi.org/10.1186/s12888-021-03388-8DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-187337URI
https://lup.lub.lu.se/record/8d8edc06-7307-4047-84b6-e01f28880da5URI

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Språk:engelska

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Ämneskategori:art swepub-publicationtype

Anmärkningar

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.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsterapi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Therapy hsv//eng
Activity
Mental illness
Participation
Recovery
Vulnerability
Well-being
Work
Quality of life
quality-of-life
manchester short assessment
long-term employment
global assessment
psychometric properties
construct-validity
unemployed people
use disorders
high-risk
recovery
Psychiatry
Activity

Biuppslag (personer, institutioner, konferenser, titlar ...)

Gunnarsson, A Birgitta,1958University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,Region Kronoberg(Swepub:gu)xgunbi (författare)
Jansson, Jan ÅkeLund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences(Swepub:lu)arb-jja (författare)
Pooremamali, ParvinUmeå University,Umeå universitet,Avdelningen för arbetsterapi(Swepub:lu)arb-ppi (författare)
Eklund, MonaLund University,Lunds universitet,Psykisk hälsa, aktivitet och delaktighet,Forskargrupper vid Lunds universitet,Mental Health, Activity and Participation,Lund University Research Groups(Swepub:lu)arb-mek (författare)
SociologiSociologiska institutionen (creator_code:org_t)

Sammanhörande titlar

Ingår i:BMC Psychiatry: Springer Science and Business Media LLC21:11471-244X

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Av författaren/redakt...: Eklund, Lisa; Gunnarsson, A Bi ...; Jansson, Jan Åke; Pooremamali, Par ...; Eklund, Mona

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Psykiatri

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Arbetsterapi

Artiklar i publikationen: BMC Psychiatry

Av lärosätet: Göteborgs universitet; Umeå universitet; Lunds universitet

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