Occupational Engagement in Persons With Schizophrenia: Relationships to Self-Related Variables, Psychopathology, and Quality of Life
Abstract
Previous research suggests that having schizophrenia involves not being fully equipped to engage in daily occupations. This study was aimed at exploring relationships between occupational engagement and the issues of self-related variables, psychiatric symptoms, and quality of life. Seventy-four outpatients with schizophrenia entered the study. Instruments used in this study were Profile of Occupational Engagement in People with Schizophrenia, Locus of Control, Mastery, Sense of Coherence, Brief Psychiatric Rating Scale, and Lancashire Quality of Life Profile. The results showed that a high level of occupational engagement was related to higher ratings of self-related variables, fewer psychiatric symptoms, and better ratings of quality of life, and vice versa. A significant difference and a linear trend were found among the three subgroups of different levels of occupational engagement and the estimated variables. In the regression model, negative symptoms and internal locus of control together explained 47% of the variance in occupational engagement. The results add a new dimension to understanding mental health and suggest the importance of assessing the level of occupational engagement.
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Self-mastery has been shown to influence activity level.
“Self-mastery has been shown to influence how people with PD perceive their daily occupations (19), as well as their activity level (3).”
From Factors influencing subjective perceptions of everyday occupations: Comparing day centre attendees with non-attendees (2012) · cites this paper as [3]
A high level of involvement in occupation was related to better quality of life and higher levels of self-mastery in people diagnosed with schizophrenia.
“In a study based on people diagnosed with schizophrenia, Bejerholm and Eklund (3) found that a high level of involvement in occupation was related to better quality of life and higher levels of self-mastery.”
From Factors influencing subjective perceptions of everyday occupations: Comparing day centre attendees with non-attendees (2012) · cites this paper as [3]
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- Authors
- Bejerholm, U., & Eklund, M.
- Affiliations
- Lund University (SE)
- Venue
- American Journal of Occupational Therapy
- Publisher
- SAGE Publications
- Published
- 2007-01
- Volume
- 61
- Issue
- 1
- Pages
- 21-32
- ISSN
- 0272-9490 (ISSN-L)
- 1943-7676
- OpenAlex
- W2142584582
- Cited by
- 163
- References
- 79
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 10 · 2023: 14 · 2022: 9 · 2021: 6 · 2020: 7 · 2019: 6 · 2018: 7 · 2017: 9 · 2016: 13 · 2015: 7 · 2014: 14 · 2013: 10 · 2012: 6
- FWCI
- 26.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Occupational Therapy (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Keywords
- occupational engagement, schizophrenia, locus of control, mastery, sense of coherence, negative symptoms, quality of life, psychiatric symptoms, outpatients
- MeSH terms
- Adult, Employment, Female, Humans, Internal-External Control, Male, Middle Aged, Psychopathology, Quality of Life, Surveys and Questionnaires, Schizophrenia, Sweden
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