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The Importance of Work as Compared to Other Forms of Daily Occupations for Wellbeing and Functioning Among Persons with Long-Term Mental Illness
Abstract
This study investigated the importance of competitive work as compared to participating in community-based activities and having no regular daily activity for people with long-term mental illness. One hundred and three persons visiting an outpatient unit and representing the three targeted occupational conditions were randomized to the study and assessed on satisfaction with daily occupations, health, and wellbeing. Persons with work were more satisfied with their daily occupations and were interviewer-rated as better functioning than the other groups, but the groups did not differ on self-ratings of health and wellbeing. Unexpectedly, people participating in community-based activities did not show better satisfaction or functioning than those without regular daily activity. It was concluded that competitive work should be an urgent end goal for services designed for occupational or vocational support.
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Sample size was based on a power analysis on the SDO: 82 participants per group to detect a difference of 0.5 with 80% power at p<0.05; presuming 25% attrition, 120 participants per group were sought.
“Using the means and standard deviations from a previous study [27] we arrived at 82 participants in each group to detect a difference on the SDO of 0.5 with 80% power at p < 0.05. Presuming 25% attrition, we sought to include 120 participants from BEL setting and the same number from SOT settings.”
From Exploring mediators of the recovery process over time among mental health service users, using a mixed model regression analysis based on cluster RCT data (2020) · cites this paper as [27]
A previous study could not identify differences in satisfying and valued everyday occupations between a day centre group and an outpatient group without a regular daily occupation.
“Furthermore, a previous study could not identify any differences regarding satisfying and valued everyday occupations between a day centre group and an outpatient group without a regular daily occupation (10).”
From Factors influencing subjective perceptions of everyday occupations: Comparing day centre attendees with non-attendees (2012) · cites this paper as [10]
Previous research found that diagnosis made by psychiatrists did not show to be an important factor for subjective perceptions of occupation.
“This is in line with previous research, where diagnosis made by psychiatrists did not show to be an important factor for subjective perceptions of occupation (10).”
From Factors influencing subjective perceptions of everyday occupations: Comparing day centre attendees with non-attendees (2012) · cites this paper as [10]
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References 40 · Cited by 146
Research works printed but not linked: 5
- Csikszentmihalyi, M. (1998). Living well. The psychology of everyday life. London: Phoenix.
- Kolakowska, T. (1976). BPRS. Oxford: Oxford University Press.
- Ministry of Health and Social Affairs (1992). Välfärd och valfrihet-service, stöd och va°rd för psykiskt störda [Welfare and freedom of choice—service, support, and care for the mentally ill]. SOU 1992:73. Stockholm: Socialdepartementet [The Ministry of Health and Social Affairs].
- National Board of Health and Welfare (1998). The first thousand days of the Swedish mental health care reform. English summary in: Reformens första tusen dagar. A Arsrapport för psy-kiatrireformen 1998 [The reform's first thousand days. Annual report for the Mental Health Care Reform 1998] (pp. 188–197). Stockholm: The National Board of Health and Welfare.
- WHO (1993). The ICD-10 classification of mental and behavioural disorders. Geneva: World Health Organization.
Metadata
- Authors
- Eklund, M., Hansson, L., & Ahlqvist, C.
- Affiliations
- Lund University (SE)
- Corresponding author
- Eklund, Mona
- Venue
- Community Mental Health Journal
- Published
- 2004-10
- Volume
- 40
- Issue
- 5
- Pages
- 465-477
- ISSN
- 0010-3853 (ISSN-L)
- 1573-2789
- OpenAlex
- W2021478278
- Cited by
- 146
- References
- 40
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 6 · 2018: 12 · 2017: 9 · 2016: 15 · 2015: 11 · 2014: 9 · 2013: 10 · 2012: 9
- FWCI
- 25.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Community Mental Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Social Sciences › Education › Disability Education and Employment
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- long-term mental illness, competitive employment, daily occupations, community-based activities, well-being, functioning, job satisfaction, self-rated health, career support, occupational therapy
- MeSH terms
- Activities of Daily Living, Adult, Mental Disorders, Female, Humans, Male, Occupations, Outpatients, Quality of Life, Residence Characteristics, Self Concept, Vocational Guidance
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