Improvement of functional independence of patients with acute schizophrenia through early occupational therapy: a pilot quasi-experimental controlled study원문보기
Tanaka, Chito
(Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Kobe, Japan)
,
Yotsumoto, Kayano
(Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Kobe, Japan)
,
Tatsumi, Eri
(Kansai University of Welfare Sciences, Osaka, Japan)
,
Sasada, Toru
(Kobe University Hospital, Kobe, Japan)
,
Taira, Masaru
(Kobe University Graduate School of Medicine, Kobe, Japan)
,
Tanaka, Kiwamu
(Kobe University Hospital, Kobe, Japan)
,
Maeda, Kiyoshi
(Kobe University Graduate School of Medicine, Kobe, Japan)
,
Hashimoto, Takeshi
(Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Kobe, Japan)
Objective:To clarify whether early occupational therapy for patients with acute schizophrenia improves their functional independence.Design:Quasi-experimental controlled study.Setting:A university hospital in Japan.Subjects:Forty-six out of 85 eligible patients with schizophrenia.Intervention:Partic...
Objective:To clarify whether early occupational therapy for patients with acute schizophrenia improves their functional independence.Design:Quasi-experimental controlled study.Setting:A university hospital in Japan.Subjects:Forty-six out of 85 eligible patients with schizophrenia.Intervention:Participants were allocated into an intervention group or a control group according to the month of admission. Activities in one-on-one and mainly non-verbal occupational therapy were provided for the intervention group immediately after admission, and not for the control group.Main measures:Functional independence was measured using the Functional Independence Measure (FIM), at admission, at one month and at three months after admission. Psychiatric symptoms were also measured by the Brief Psychiatric Rating Scale.Results:Patients in both groups showed improved FIM total scores at one month and three months after admission. In the intervention group, the medians (interquartile ranges) were 89.0 (44.5) at admission, 113.0 (18.5) at one month, and 121.0 (6.5) at three months. In the control group, they were 88.0 (32.0), 107.0 (39.5), and 111.0 (17.0). At three months, the total FIM scores were significantly higher in the intervention group than in the control group (p = 0.016). In the FIM cognitive domain, the scores were significantly higher in the intervention group than in the control group at one month (p = 0.038) and, three months (p = 0.012). Both groups showed improvement in Brief Psychiatric Rating Scale total scores, while no significant differences were observed between the groups at any points.Conclusion:The results suggest that early occupational therapy may improve functional independence in patients with acute schizophrenia.
Objective:To clarify whether early occupational therapy for patients with acute schizophrenia improves their functional independence.Design:Quasi-experimental controlled study.Setting:A university hospital in Japan.Subjects:Forty-six out of 85 eligible patients with schizophrenia.Intervention:Participants were allocated into an intervention group or a control group according to the month of admission. Activities in one-on-one and mainly non-verbal occupational therapy were provided for the intervention group immediately after admission, and not for the control group.Main measures:Functional independence was measured using the Functional Independence Measure (FIM), at admission, at one month and at three months after admission. Psychiatric symptoms were also measured by the Brief Psychiatric Rating Scale.Results:Patients in both groups showed improved FIM total scores at one month and three months after admission. In the intervention group, the medians (interquartile ranges) were 89.0 (44.5) at admission, 113.0 (18.5) at one month, and 121.0 (6.5) at three months. In the control group, they were 88.0 (32.0), 107.0 (39.5), and 111.0 (17.0). At three months, the total FIM scores were significantly higher in the intervention group than in the control group (p = 0.016). In the FIM cognitive domain, the scores were significantly higher in the intervention group than in the control group at one month (p = 0.038) and, three months (p = 0.012). Both groups showed improvement in Brief Psychiatric Rating Scale total scores, while no significant differences were observed between the groups at any points.Conclusion:The results suggest that early occupational therapy may improve functional independence in patients with acute schizophrenia.
Salter, Katherine, Jutai, Jeffrey, Hartley, Mark, Foley, Norine, Bhogal, Sanjit, Bayona, Nestor, Teasell, Robert.
IMPACT OF EARLY VS DELAYED ADMISSION TO REHABILITATION ON FUNCTIONAL OUTCOMES IN PERSONS WITH STROKE.
Journal of rehabilitation medicine,
vol.38,
no.2,
113-117.
Andelic, Nada, Bautz-Holter, Erik, Ronning, Pal, Olafsen, Kjell, Sigurdardottir, Solrun, Schanke, Anne-Kristine, Sveen, Unni, Tornas, Sveinung, Sandhaug, Maria, Roe, Cecilie.
Does an Early Onset and Continuous Chain of Rehabilitation Improve the Long-Term Functional Outcome of Patients with Severe Traumatic Brain Injury?.
Journal of neurotrauma,
vol.29,
no.1,
66-74.
Buchain, Patrícia Cardoso, Vizzotto, Adriana Dias Barbosa, Henna Neto, Jorge, Elkis, Helio.
Randomized controlled trial of occupational therapy in patients with treatment-resistant schizophrenia.
Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina,
vol.25,
no.1,
26-30.
Cook, Sarah, Chambers, Eleni, Coleman, Julie H.
Occupational therapy for people with psychotic conditions in community settings: a pilot randomized controlled trial.
Clinical rehabilitation,
vol.23,
no.1,
40-52.
Dixon, L. B., Dickerson, F., Bellack, A. S., Bennett, M., Dickinson, D., Goldberg, R. W., Lehman, A., Tenhula, W. N., Calmes, C., Pasillas, R. M., Peer, J., Kreyenbuhl, J..
The 2009 Schizophrenia PORT Psychosocial Treatment Recommendations and Summary Statements.
Schizophrenia bulletin,
vol.36,
no.1,
48-70.
Vancampfort, Davy, Probst, Michel, Helvik Skjaerven, Liv, Catalán-Matamoros, Daniel, Lundvik-Gyllensten, Amanda, Gómez-Conesa, Antonia, Ijntema, Rutger, De Hert, Marc.
Systematic Review of the Benefits of Physical Therapy Within a Multidisciplinary Care Approach for People With Schizophrenia.
Physical therapy,
vol.92,
no.1,
11-23.
Marco, Catherine A., Vaughan, Jason.
Emergency management of agitation in schizophrenia.
The American journal of emergency medicine,
vol.23,
no.6,
767-776.
Fidler Gail S. Design of rehabilitation services in psychiatric hospital setting. Maryland: RAMSCO Publishing Company, 1984, pp.10-11.
McDowell I, Newell C. Measuring health: A guide to rating scales and questionnaires. New York: Oxford University Press, 1996, pp.47-51, 115-121.
Cohen, Michelle E., Marino, Ralph J..
The tools of disability outcomes research functional status measures.
Archives of physical medicine and rehabilitation,
vol.81,
no.suppl2,
S21-S29.
FIM Guide for use of the uniform date set for medical rehabilitation Version 3 Chino N 1991
Arch Psychiatr Diag Clin Eval Kumagai N 547 1 1990
Arch Psychiatr Diag Clin Eval Sumiyama T 203 6 1995
Andreasen, Nancy C., Carpenter Jr., William T., Kane, John M., Lasser, Robert A., Marder, Stephen R., Weinberger, Daniel R..
Remission in Schizophrenia: Proposed Criteria and Rationale for Consensus.
The American journal of psychiatry,
vol.162,
no.3,
441-449.
Juckel, Georg, Morosini, Pier Luigi.
The new approach: psychosocial functioning as a necessary outcome criterion for therapeutic success in schizophrenia.
Current opinion in psychiatry,
vol.21,
no.6,
630-639.
Schennach-Wolff, R., Jager, M., Seemuller, F., Obermeier, M., Messer, T., Laux, G., Pfeiffer, H., Naber, D., Schmidt, L.G., Gaebel, W., Huff, W., Heuser, I., Maier, W., Lemke, M.R., Ruther, E., Buchkremer, G., Gastpar, M., Moller, H.J., Riedel, M..
Defining and predicting functional outcome in schizophrenia and schizophrenia spectrum disorders.
Schizophrenia research,
vol.113,
no.2,
210-217.
Spellmann, I., Riedel, M., Schennach, R., Seemuller, F., Obermeier, M., Musil, R., Jager, M., Schmausz, M., Laux, G., Pfeiffer, H., Naber, D., Schmidt, L.G., Gaebel, W., Klosterkotter, J., Heuser, I., Maier, W., Lemke, M.R., Ruther, E., Klingberg, S., Gastpar, M., Moller, H.J..
One-year functional outcomes of naturalistically treated patients with schizophrenia.
Psychiatry research,
vol.198,
no.3,
378-385.
Barnes, M P, Saunders, M, Walls, T J, Saunders, I, Kirk, C A.
The syndrome of Karl Ludwig Kahlbaum..
Journal of neurology, neurosurgery, and psychiatry,
vol.49,
no.9,
991-996.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.