Subject-chosen activities in occupational therapy for the improvement of psychiatric symptoms of inpatients with chronic schizophrenia: a controlled trial

Hoshii, Junko; Yotsumoto, Kayano; Tatsumi, Eri; Tanaka, Chito; Mori, Takashi; Hashimoto, Takeshi

doi:10.1177/0269215512473136

Cited by 22 publications

(12 citation statements)

References 14 publications

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“…Although there were not statistically significant differences in symptoms as measured by PANSS across treatment groups in this study, effect sizes of the change between groups were observed from small to large in the each domain including positive symptom, negative symptom, general psychopathology, and total score in PANSS. Our previous study of GOT + IOT demonstrated significant improvements in positive subscale, general psychopathology subscale, and total score in PANSS [ 18 ], and other previous studies reported that OT had beneficial effects on symptoms of patients with schizophrenia [ 16 , 17 ]. More studies are needed to evaluate the impact of OT on symptom of schizophrenia.…”

Section: Discussionmentioning

confidence: 95%

“…Several studies have examined the effects of OT on patients with schizophrenia. Many of these reported that OT can improve symptoms, and combined interventions of OT and pharmacological treatment can more effectively improve symptoms than pharmacological treatment alone [ 16 , 17 ]. However, the effectiveness of OT for cognitive impairment in patients with schizophrenia has not been sufficiently verified.…”

Section: Introductionmentioning

confidence: 99%

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A multicenter, randomized controlled trial of individualized occupational therapy for patients with schizophrenia in Japan

Shimada

Ohori

Inagaki³

et al. 2018

PLoS ONE

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The individualized occupational therapy (IOT) program is a psychosocial program that we developed to facilitate proactive participation in treatment and improve cognitive functioning and other outcomes for inpatients with acute schizophrenia. The program consists of motivational interviewing, self-monitoring, individualized visits, handicraft activities, individualized psychoeducation, and discharge planning. This multicenter, open-labeled, blinded-endpoint, randomized controlled trial evaluated the impact of adding IOT to a group OT (GOT) program as usual for outcomes in recently hospitalized patients with schizophrenia in Japanese psychiatric hospitals setting compared with GOT alone. Patients with schizophrenia were randomly assigned to the GOT+IOT group or the GOT alone group. Among 136 randomized patients, 129 were included in the intent-to-treat population: 66 in the GOT+IOT and 63 in the GOT alone groups. Outcomes were administered at baseline and discharge or 3 months following hospitalization including the Brief Assessment of Cognition in Schizophrenia Japanese version (BACS-J), the Schizophrenia Cognition Rating Scale Japanese version, the Social Functioning Scale Japanese version, the Global Assessment of Functioning scale, the Intrinsic Motivation Inventory Japanese version (IMI-J), the Morisky Medication Adherence Scale-8 (MMAS-8), the Positive and Negative Syndrome Scale (PANSS), and the Japanese version of Client Satisfaction Questionnaire-8 (CSQ-8J). Results of linear mixed effects models indicated that the IOT+GOT showed significant improvements in verbal memory (p <0.01), working memory (p = 0.02), verbal fluency (p < 0.01), attention (p < 0.01), and composite score (p < 0.01) on the BACS-J; interest/enjoyment (p < 0.01), value/usefulness (p < 0.01), perceived choice (p < 0.01), and IMI-J total (p < 0.01) on the IMI-J; MMAS-8 score (p < 0.01) compared with the GOT alone. Patients in the GOT+IOT demonstrated significant improvements on the CSQ-8J compared with the GOT alone (p < 0.01). The present findings provide support for the feasibility in implementing an IOT program and its effectiveness for improving cognitive impairment and other outcomes in patients with schizophrenia.

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

A multicenter, randomized controlled trial of individualized occupational therapy for patients with schizophrenia in Japan

Shimada

Ohori

Inagaki³

et al. 2018

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Several studies have examined the effects of OT on patients with schizophrenia. Many of these reported that OT can improve symptoms, and combined interventions of OT and pharmacological treatment can more effectively improve symptoms than pharmacological treatment alone (Foruzandeh and Parvin, ; Hoshii et al, ). However, the effectiveness of OT for cognitive impairment in patients with acute schizophrenia has not been sufficiently verified.…”

Section: Introductionmentioning

confidence: 99%

Development of an Individualized Occupational Therapy Programme and its Effects on the Neurocognition, Symptoms and Social Functioning of Patients with Schizophrenia

Shimada

Nishi²,

Yoshida³

et al. 2016

Occupation Therapy Intl

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We described an individualized occupational therapy (IOT) programme and examined the effects of adding IOT to group OT (GOT) on improving neurocognition, symptoms and social functioning among recently hospitalized patients with schizophrenia. The Brief Assessment of Cognition in Schizophrenia-Japanese version (BACS-J), the Positive and Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning scale were used for outcome evaluations. Fifty-one patients were voluntarily assigned to either the GOT + IOT (n = 30) or GOT alone (n = 21) groups based on their preferences. Retention in the GOT + IOT group was 100%. Three-month baseline to discharge assessments in the GOT + IOT group showed significant improvements in BACS-J verbal memory, working memory, verbal fluency, attention, executive function and composite score, and in PANSS positive subscale, general psychopathology subscale, and total score compared to the GOT alone group. Study limitations notwithstanding, the present findings provide preliminary support for the feasibility of implementing IOT and its effectiveness for improving cognitive impairment and symptoms in patients with schizophrenia. The results of this study indicate that IOT in psychiatric facilities may improve psychosocial treatment of schizophrenia. Additional study is warranted to replicate the effects of IOT as demonstrated in this Japanese study. Copyright © 2016 John Wiley & Sons, Ltd.

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“…1,2 Patients with chronic (but not acute) mental disorders have been successfully treated with occupational therapy, as a form of psychosocial therapy. [3][4][5] In Japan, occupational therapy has been recently tried in an attempt to improve the functioning of patients with acute mental disorders, 6 but the evidence of the feasibility and effects of occupational therapy are still limited. There have been no controlled clinical trials investigating the effect of early intervention with occupational therapy in people with acute psychosis.…”

Section: Introductionmentioning

confidence: 99%

Improvement of functional independence of patients with acute schizophrenia through early occupational therapy: a pilot quasi-experimental controlled study

et al. 2014

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Subject-chosen activities in occupational therapy for the improvement of psychiatric symptoms of inpatients with chronic schizophrenia: a controlled trial

Abstract: The results suggested that the subject-chosen activities in occupational therapy could improve the psychiatric symptoms, suspiciousness, and preoccupation of the inpatients with chronic schizophrenia.

Cited by 22 publications

References 14 publications

A multicenter, randomized controlled trial of individualized occupational therapy for patients with schizophrenia in Japan

A multicenter, randomized controlled trial of individualized occupational therapy for patients with schizophrenia in Japan

Development of an Individualized Occupational Therapy Programme and its Effects on the Neurocognition, Symptoms and Social Functioning of Patients with Schizophrenia

Improvement of functional independence of patients with acute schizophrenia through early occupational therapy: a pilot quasi-experimental controlled study

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