Psychiatric day-care services play a central role in community-based care in Japan. Recovery and related psychosocial factors are critical in promoting community participation of people with mental illness. This study aimed to reveal the relationships among activity information, personal recovery, and related psychosocial factors in day-care users.
Method:
Forty day-care participants answered self-report questionnaires. The following assessments were applied: Recovery Assessment Scale, Occupational Questionnaire, Perceived Devaluation Discrimination Scale, and 26-item version of World Health Organization Quality of Life (QOL). The correlations among the factors were analyzed.
Results:
Data for 35 people were analyzed. Total recovery score was strongly correlated with total WHOQOL-26 score (r = 0.76, p < 0.001). Total QOL score was positively related with the value of activities (r = 0.46, p < 0.05). Social QOL and total stigma score had a significant negative relationship (r = −0.44, p < 0.05).
Conclusion:
Participation in activities was suggested to improve QOL. Although there was a strong relationship between recovery and QOL, it was unclear to what extent participation in activities was related to recovery. We should consider approaches regarding other factors to fully accomplish community integration and personal recovery.
AnthonyWA (1993) Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal16: 11–23.
2.
ArgentzellELeufstadiusCEklundM (2012) Factors influencing subjective perceptions of everyday occupations: Comparing day centre attendees with non-attendees. Scandinavian Journal of Occupational Therapy19): 68–77.
3.
BejerholmUEklundM (2007) Occupational engagement in persons with schizophrenia: relationships to self-related variables, psychopathology, and quality of life. American Journal of Occupational Therapy61: 21–32.
4.
BryantWCraikCMcKayEA (2004) Living in a glasshouse: Exploring occupational alienation. Canadian Journal of Occupational Therapy71: 282–289.
5.
ChibaRMiyamotoYKawakamiN (2010) Reliability and validity of the Japanese version of the Recovery Assessment Scale (RAS) for people with chronic mental illness: Scale development. International Journal of Nursing Studies47: 314–322.
6.
DoroudNFosseyEFortuneT (2015) Recovery as an occupational journey: A scoping review exploring the links between occupational engagement and recovery for people with enduring mental health issues. Australian Occupational Therapy Journal62: 378–392.
7.
EdgelowMKrupaT (2011) Randomized controlled pilot study of an occupational time-use intervention for people with serious mental illness. American Journal of Occupational Therapy65: 267–276.
8.
FujimotoYFujinoYMatsuuraE, et al. (2017) Correlation between the recovery level and background factors of schizophrenics in the community. Journal of Japanese Health Medicine Association25: 335–339.
9.
KayamaAKobayashiMTsurumiT (eds) (2014) Occupational Therapy to Support Daily Living for People With Mental Disorders – From Hospital Acute Care to Community Based Practice – (in Japanese), 2nd edn.Tokyo, Japan: Ishiyaku Publishers, Inc.
10.
KrajewskiCBurazeriGBrandH (2013) Self-stigma, perceived discrimination and empowerment among people with a mental illness in six countries: Pan European stigma study. Psychiatry Research210: 1136–1146.
11.
KyaharaMKunikataHOkamotoA, et al. (2009) The relationships among environmental provision and quality of life of schizophrenic patients (in Japanese). Journal of Japan Society of Nursing Research32: 91–97.
12.
LawMCooperBStrongS, et al. (1996) The person-environment-occupation model: A transactive approach to occupational performance. Canadian Journal of Occupational Therapy63: 9–23.
13.
LeamyMBirdVBoutillierC Le, et al. (2011) Conceptual framework for personal recovery in mental health: Systematic review and narrative synthesis. The British Journal of Psychiatry199: 445–452.
14.
LeendertseJCPWierdsmaAIvan den BergD, et al. (2021) Personal recovery in people with a psychotic disorder: A systematic review and meta-analysis of associated factors. Frontiers in Psychiatry12(February): 1–11.
15.
LinkBG (1987) Understanding labeling effects in the area of mental disorders: An assessment of the effects of expectations of rejection. American Sociological Review52: 96–112.
Ministry of Health, Labour and Welfare (2016) Extensive survey on the function and outcomes of psychiatric day care, etc. (hospitals) (in Japanese). Available at: https://www.ncnp.go.jp/nimh/chiiki/documents/r20-23.pdf (accessed 11 January 2023).
Ministry of Health, Labour and Welfare (2021) Summary of survey of medical institutions and hospital report (Japan). Available at: https://www.mhlw.go.jp/toukei/list/79-1a.html (accessed 10 January 2023).
21.
MiyataRFujiiYInagakiA, et al. (1995) Reliability of the Japanese version of Brief Psychiatric Rating Scale (BPRS) (Japanese). Clinical Evaluation23: 357–367.
22.
NaritaTKobayashiK (2020) Rebuilding of life in local communities by males living with schizophrenia who had experienced long-term hospitalization, and currently using daycare services—developing connections in loss and loneliness—(in Japanese). Journal of Japan Academy of Nursing Science40: 205–213.
23.
Organisation for Economic Co-operation and Development (2020a) Health care utilisation: hospital average length of stay by diagnostic categories. Available at: https://stats.oecd.org/index.aspx?queryid=30165# (accessed 2 August 2021).
OkamotoT (2020) The associations among recovery levels, differences in the utilization of health / welfare services, occupational situations, emotional support, and self-stigma in individuals with schizophrenia (in Japanese). Japanese Journal of Comprehensive Rehabilitation21: 11–22.
ShimotsuSSakamotoSHorikawaN, et al. (2006) Reliability and validity of the Link’s Devaluation-Discrimination Scale (in Japanese). Japanese Journal of Psychiatric Treatment21: 521–528.
28.
SmithNRKielhofnerGWattsJH (1986) The relationships between volition, activity pattern, and life satisfaction in the elderly. The American Journal of Occupational Therapy40: 278–283. DOI: 10.5014/ajot.40.4.278.
29.
TakahashiSOnoYSomeyaT (2004) Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Text Revision (Japanese) (ed. American Psychiatric Association). Tokyo: Igaku-Shoin Ltd.
30.
TazakiMNakaneY (2007) Manual of WHOQOL-26 (Japanese). Tokyo: Kanekoshobo.
31.
TjörnstrandCBejerholmUEklundM (2013) Participation in day centres for people with psychiatric disabilities – A focus on occupational engagement. British Journal of Occupational Therapy76: 144–150.
32.
World Health Organization (1996) WHOQOL-BREF : Introduction, Administration, Scoring and Generic Version of the Assessment.
33.
YamadaTIshibashiY (2018) Assessment Manual, A User’s Manual for the Occupational Questionnaire (OQ) (Japanese). Tokyo: Research Institute of the Model of Human Occupation.
34.
YoshimasuKKiyoharaC (2003) Comparison of the effectiveness of psychiatric day care treatment between Japan and Western countries: A review (in Japanese). Japanese Journal of Public Health50: 485–494.
