Development of an Individualized Occupational Therapy Programme and its Effects on the Neurocognition, Symptoms and Social Functioning of Patients with Schizophrenia
Abstract
We described an individualized occupational therapy (IOT) programme and examined the effects of adding IOT to group OT (GOT) on improving neurocognition, symptoms and social functioning among recently hospitalized patients with schizophrenia. The Brief Assessment of Cognition in Schizophrenia—Japanese version (BACS‐J), the Positive and Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning scale were used for outcome evaluations. Fifty‐one patients were voluntarily assigned to either the GOT + IOT (n = 30) or GOT alone (n = 21) groups based on their preferences. Retention in the GOT + IOT group was 100%. Three‐month baseline to discharge assessments in the GOT + IOT group showed significant improvements in BACS‐J verbal memory, working memory, verbal fluency, attention, executive function and composite score, and in PANSS positive subscale, general psychopathology subscale, and total score compared to the GOT alone group. Study limitations notwithstanding, the present findings provide preliminary support for the feasibility of implementing IOT and its effectiveness for improving cognitive impairment and symptoms in patients with schizophrenia. The results of this study indicate that IOT in psychiatric facilities may improve psychosocial treatment of schizophrenia. Additional study is warranted to replicate the effects of IOT as demonstrated in this Japanese study. Copyright © 2016 John Wiley & Sons, Ltd.
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An important component of patient-centered care is associated with more promising patient outcomes.
“This is an important component of patient-centered care and is associated with more promising patient outcomes [27,28].”
From Providing Self-Led Mental Health Support Through an Artificial Intelligence–Powered Chat Bot (Leora) to Meet the Demand of Mental Health Care (2023) · cites this paper as [27]
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- Authors
- Shimada, T., Nishi, A., Yoshida, T., Tanaka, S., & Kobayashi, M.
- Affiliations
- Shinshu University (JP)
- Medical Corporation Seitaikai Mental Support Soyokaze Hospital Nagano Japan
- Venue
- Occupational Therapy International
- Publisher
- Wiley
- Published
- 2016-10-17
- Volume
- 23
- Issue
- 4
- Pages
- 425-435
- ISSN
- 0966-7903 (ISSN-L)
- 1557-0703
- OpenAlex
- W2538449123
- Cited by
- 34
- References
- 37
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 5
- FWCI
- 2.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Occupational Therapy International (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mental Support Soyokaze Hospital
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Social Sciences › Arts and Humanities › Conservation › Art Therapy and Mental Health
- Keywords
- schizophrenia, group occupational therapy, neurocognitive function, cognitive impairment, verbal memory, working memory, executive function, attention, positive symptoms, social functioning, psychiatric inpatients, psychosocial interventions, treatment retention
- MeSH terms
- Adult, Attention, Cognition, Cognition Disorders, Female, Humans, Male, Memory, Middle Aged, Occupational Therapy, Patient Care Planning, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Executive Function, Social Participation
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