Post-Discharge Experiences of People with Psychosis Following Partial Hospital Program Completion

Partial hospital programs are day programs which act as a bridge between inpatient and outpatient care for people with severe and persistent mental illness. This study explored the gap that exists in understanding the post-discharge experiences of people who have experienced psychosis. Qualitative interviews were conducted with 8 participants with psychosis, at least 4 weeks after completing partial hospital program. Identified themes included improved sense of wellness, changes in structure/routine, accessing community resources, social support and engagement, engagement in leisure, and impact of medication. Occupational therapists can use these findings to enhance programming at partial hospital programs and other similar programs.     

Effectiveness of Occupational Therapy Interventions for Students with Mental Illness Transitioning to Higher Education: A Systematic Review

This systematic review examined the available evidence for occupational therapy interventions for students with any mental illness transitioning to post-secondary education. Seven articles were included. The evidence of occupational therapy interventions for this population supported the use of supported education programs consisting of goal setting, skill development, and cognitive training, as well as student-directed planning. Quantity of high levels of research was limited. Articles included were not exclusively related to transition into post-secondary education, but also focused on vocation and supported education. Additional research is needed to determine the best practice in transition services for individuals with any mental illness.     

职业污名与离职倾向：牵连家人污名与家庭卷入的作用

职业污名对从业者的工作态度和工作行为有着重要影响。以往研究从个体职业身份的视角解释职业污名的作用, 忽略了从业者个体身份认同的多重属性。本研究基于身份边界理论, 提出职业污名会通过牵连家人污名这一机制影响从业者的离职倾向。另外, 这一机制的强弱取决于个体的家庭卷入程度。本研究通过对分属不同职业的384名从业者的3轮问卷调研发现, 家庭卷入调节了牵连家人污名在职业污名与离职倾向之间的中介作用。当个体的家庭卷入水平高时, 这一中介作用更强; 家庭卷入水平低时, 该中介作用更弱。本研究在理论上提出并检验了职业污名影响的新机制, 同时对实际管理工作提出了建议。     

幼儿教师职业幸福感的特点及其与职业承诺的关系

为探索幼儿教师职业幸福感的特点及其与职业承诺的关系,随机选取川渝两地幼儿教师533名,用修编的幼儿教师职业幸福感量表（KTOWBS）和教师职业承诺问卷（TOCS）进行调查。结果表明：（1）除认知幸福感外,幼儿教师职业幸福感整体水平较高。其中,城市幼儿教师的心理幸福感和情绪幸福感显著高于农村,公办园幼儿教师的社会幸福感显著高于民办园;（2）月薪超过1000元的幼儿教师其社会幸福感显著高于月薪低于1000元者,月薪超过2000元者其心理幸福感、情绪幸福感和认知幸福感显著高于月薪低于2000元者,但心理幸福感随日工作时间增加而降低;（3）幼儿教师职业幸福感各因子与情感承诺、规范承诺和继续承诺存在不同关系。分层线性回归分析显示,社会幸福感、认知幸福感、情绪幸福感和心理幸福感对情感承诺的正向预测作用为17%,认知幸福感和社会幸福感对规范承诺的正向预测作用为7%,社会幸福感对继续承诺的正向预测作用为1%。     

Utility of Model of Human Occupation Screening Tool in Sweden

abstract

Occupational therapists in Sweden are expected to use evidence-based practice. To meet this expectation, a helpful tool could be the Model of Human Occupational Screening Tool (MOHOST). The aim of this study was to examine the utility of the Swedish version of MOHOST. Thirty-seven occupational therapists were invited to take part in the examination. A questionnaire covering transferability, feasibility and clinical relevance was developed. The results show that MOHOST-S seems to have suitable utility. The study supports its implementation potential and clinical relevance. It gives a broad picture of the client’s occupational participation and it supports the treatment planning process.     

Big Five personality traits and allostatic load in midlife

Objective: To examine the cross-sectional associations of Big Five personality traits with midlife allostatic load, including the role of sex, socio-demographic factors and health-related behaviours.

Design: Cross-sectional analyses of 5512 members of the Copenhagen Aging and Midlife Biobank, aged 49–63 years, 69% men.

Main outcome measure: Allostatic load (AL) based on 14 biomarkers representing the inflammatory, cardiovascular and metabolic system.

Results: Due to significant sex?×?trait interactions, analyses were stratified by sex. Openness and Conscientiousness were inversely associated with AL in both sexes, and Extraversion was positively associated with AL in men. Adjusting for socio-demographic factors significantly attenuated the association of Openness in both sexes and of Extraversion in men, for whom the inverse association of Agreeableness with AL was strengthened. Further adjusting for health-related behaviours, the Conscientiousness-AL association was attenuated but remained significant, and Agreeableness remained significantly associated with AL in men.

Conclusion: Results imply that higher levels of Agreeableness (in men) and Conscientiousness are associated with lower levels of AL above and beyond socio-demographic factors and health-related behaviours. The study further contributes by demonstrating the relevance of sex?×?trait and trait?×?trait interactions in the personality-health literature.     

Occupational Identity,Competence, and Environments Among Adults With and Without Attention Deficit Hyperactivity Disorder

Exploring occupational adaptation among adults with attention deficit hyperactivity disorder (ADHD) is essential due to associated occupational difficulties. Occupational Performance History Interview scales—identity, competence, and environments—were compared between 51 adults with and 50 without ADHD who participated in occupations. Internal and external resources supporting occupational participations were represented by the competence and environment scales, respectively. The group with ADHD reported fewer internal and external occupational resources compared to the group without ADHD, despite occupational identity similarities. Study findings suggest that occupational interventions aimed at increasing internal and external occupational resources may support occupational adaptation among adults with ADHD.     

The role of occupational standards in workplace religious literacy

ABSTRACT

This paper explores the UK National Occupational Standards to identify the breadth of occupations for which it has been determined that workers need some degree of religious literacy. A total of 465 standards documents which mention religion and beliefs relating to a diverse range of occupations were retrieved, of which 13 had a primary focus on religion and beliefs. Approximately 60 percent of these standards noted the need for knowledge about religion and beliefs, though only a quarter of these specified actual performance criteria. With some exceptions, most of the standards were vague as to what is meant by religion and its proxies, with very few attempts to define their terms. A lack of specificity renders the inclusion of references to religion largely tokenistic rather than reflecting a measure of religious literacy which could be practically operationalised.     

The changing relationship between people and their job – the validity of career information

ABSTRACT

An overview of the evolution of career information in light of the changing nature of the world of work is presented. Owing to the constant fundamental changes in the labour market, the distribution of paid work has been also constantly changing. In this article, a more dynamic and – often temporary – interplay between citizens and their professional context is proposed. The case of Hungary has been used to describe the changing nature between people and their jobs. The historical overview helps explain the development of career information from pre-modernity to post-modernity and justifies the need for a more dynamic model of work adjustment and individual career development.     

Cross-Sectional Survey on Burnout and Musculoskeletal Disorders in Greek and Cypriot Occupational Therapists

Abstract

Background: Occupational therapy is a physically, psychologically and cognitively demanding job. This study aims to explore the epidemiology of musculoskeletal injuries, mental issues, and burnout in occupational therapy practitioners in Greece and Cyprus.

Method: A survey was conducted, including the Patient Health Questionnaire (PHQ-9), the Oldenburg Burnout Inventory, and the Nordic Musculoskeletal Questionnaire.

Results: Out of 247 respondents, 70% reported severe lower back pain, 9.7% of Greek occupational therapists were in the moderate and high PHQ-9 scale, while disengagement and exhaustion were found 2.026 (±0.54) and 2.592 (±0.533) respectively.

Conclusion: High rates of burnout, correlated with psychological and musculoskeletal disorders were identified in both countries. Work-related stress and musculoskeletal disorders may be more evident in countries hit by recession.