The purpose of this study was to examine the predictive factors of quality of life for inpatients with depressive disorders. Eighty-three patients (mean age 44; 73% female) with depressive disorders were recruited from the psychosomatic ward of a medical center in the northern part of Taiwan. The predictive models of this study were established by encompassing three constructs: clinical variables, demographics, and perceived competence. The outcome variables of this study included an overall quality of life score and four domains' scores of the World Health Organization Quality of Life-brief version (WHOQOL-BREF). Stepwise regression analysis was used to identify significant factors related to the outcome variables. The results showed that there were five distinct models for the various domains of the quality of life. The predictive variables of the final model for overall quality of life included: the Beck Anxiety Inventory, the Canadian Occupational Performance Measure-satisfaction, and the Occupational Self Assessment-self. For the physical domain of the quality of life model, the adjusted Beck Depression Inventory-II, the Beck Anxiety Inventory, and the Activity of Daily Living Inventory were the significant predictors. In the psychological domain, the adjusted Beck Depression Inventory-II and age were the predictive factors. The adjusted Beck Depression Inventory-II, the Beck Anxiety Inventory and the Occupational Self Assessment-environment were the predictors for the social domain of quality of life. Finally, the adjusted Beck Depression Inventory-II, age, and the Occupational Self Assessment-environment were the predictors for the environmental domain of quality of life. The significance of the perceived competence variables in the quality of life of patients with depression indicates that occupational therapy intervention is warranted.

No abstract

One of the major goals of occupational therapy in psychiatry is to assist people with mental health problems to return to a productive lifestyle (Pratt and Jacobs 1997, Fan et al 2007, Blank and Hayward 2009, Waghorn et al 2009). In order to provide relevant services to clients who need vocational rehabilitation, there is a need for evaluation tools to identify the strengths and limitations of those clients (Fan and Pan 2009, McFadden et al 2010). The purpose of the study was to examine the validity of one of the proposed instruments, the Model of Human Occupation Screening Tool (MOHOST), as applied in a group of people with mental health problems receiving vocational training. People with mental health problems experience a range of challenges, which contribute to unemployment (Marwaha and Johnson 2004). The unemployment rate for people with mental health problems was high in studies over the past two decades in western countries such as the United Kingdom, the United States, Germany and France (Bond and McDonel 1991, MacDonald-Wilson et al 2001, Marwaha et al 2007). These challenges include symptoms, comorbidity of other impairments and medication side effects,

No abstract

This study examined the dependability of the Assessment of Communication and Interaction Skills-Chinese version (ACIS-C) with psychiatric participants in Taiwan. A convenience sample of 101 participants diagnosed with psychiatric illness were recruited from four day-care wards in northern and eastern Taiwan. The results of the Rasch analysis showed that the ACIS-C items coalesced to form a measure of communication/interaction and the 4-point rating scale functioned as intended. The ACIS-C differentiated participants into six levels of communication and interaction skills. The findings support the conclusion that the ACIS-C is a valid and sensitive tool when used with Chinese clients. Moreover the study supports the generalizability of the Model of Human Occupation concept of communication and interaction skills to an Eastern context.