Perception of occupational balance by people with mental illness: A new methodology
Abstract
Aims The aims were to (i) investigate initial construct validity of a tool for assessment of time allocation in occupational balance, and (ii) describe perceived occupational balance and its relationship with socio-demographics, well-being, and personal recovery among people with mental illness. Methods Satisfaction with Daily Occupations and Occupational Balance (SDO-OB) was administered to 226 persons. SDO-OB reflects balance in five occupational domains: work, leisure, home chores, self-care, and overall occupational balance. Indicators for assessing construct validity were: satisfaction with everyday occupations, occupational value, symptom severity, and psychosocial functioning. For the second aim, the data collection included socio-demographics, life quality, self-esteem, self-mastery, and personal recovery. Results Occupational balance ratings indicated the participants were either under-occupied or in balance. Few were over-occupied. Feeling in balance was related to greater well-being and recovery compared with being under-occupied. Risk factors for under-occupation were younger age (in relation to work), and higher education (in relation to overall balance). Conclusions Associations with the indicators suggest initial construct validity. The SDO-OB is promising for assessment of occupational balance among people with mental illness. Being under-occupied was detrimental to well-being and recovery, and this indicates the importance of offering more occupational opportunities for people with mental illness.
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SDO-OB balance questions showed satisfactory construct validity.
“The balance questions, added later, were tested separately and showed satisfactory construct validity [33].”
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 [33]
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“Good construct validity has been shown for each of the five items (Eklund & Argentzell, 2016).”
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- Authors
- Eklund, M., & Argentzell, E.
- Affiliations
- Lund University (SE)
- Corresponding author
- Eklund, Mona
- Venue
- Scandinavian Journal of Occupational Therapy
- Published
- 2016-02-12
- Volume
- 23
- Issue
- 4
- Pages
- 304-313
- ISSN
- 1103-8128 (ISSN-L)
- 1651-2014
- OpenAlex
- W2287260174
- Semantic Scholar
- a94ce12b8f878871d5571c754028e7f7181c5a0f
- Cited by
- 81
- References
- 56
- Citations by year
- 2026: 12 · 2025: 10 · 2024: 7 · 2023: 6 · 2022: 12 · 2021: 9 · 2020: 6 · 2019: 8 · 2018: 2 · 2017: 8 · 2016: 1
- FWCI
- 19.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Occupational Therapy (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Vetenskapsrådet (K2009-69X-20067-04-3)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- occupational balance, mental illness, construct validity, time allocation, well-being, personal recovery, self-esteem, self-control, work values, symptom severity, psychosocial functioning, quality of life, employment opportunities
- MeSH terms
- Adult, Mental Disorders, Cross-Sectional Studies, Female, Humans, Job Satisfaction, Leisure Activities, Male, Occupations, Personal Satisfaction, Psychometrics, Self Care
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