PMID- 23405021 OWN - NLM STAT- MEDLINE DCOM- 20140303 LR - 20140731 IS - 1477-0873 (Electronic) IS - 0269-2155 (Linking) VI - 27 IP - 7 DP - 2013 Jul TI - Subject-chosen activities in occupational therapy for the improvement of psychiatric symptoms of inpatients with chronic schizophrenia: a controlled trial. PG - 638-45 LID - 10.1177/0269215512473136 [doi] AB - OBJECTIVE: To compare the therapeutic effects of subject-chosen and therapist-chosen activities in occupational therapy for inpatients with chronic schizophrenia. DESIGN: Prospective comparative study. SETTING: A psychiatric hospital in Japan. SUBJECTS: Fifty-nine patients with chronic schizophrenia who had been hospitalized for many years. INTERVENTIONS: The subjects received six-months occupational therapy, participating in either activities of their choice (subject-chosen activity group, n = 30) or activities chosen by occupational therapists based on treatment recommendations and patient consent (therapist-chosen activity group, n = 29). MAIN MEASURES: The Positive and Negative Syndrome Scale and the Global Assessment of Functioning (GAF) Scale were used to evaluate psychiatric symptoms and psychosocial function, respectively. RESULTS: After six-months occupational therapy, suspiciousness and hostility scores of the positive scale and preoccupation scores of the general psychopathology scale significantly improved in the subject-chosen activity group compared with the therapist-chosen activity group, with 2(2) (median (interquartile range)) and 3(1.25), 2(1) and 2.5(1), and 2(1) and 3(1), respectively. There were no significant differences in psychosocial functions between the two groups. In within-group comparisons before and after occupational therapy, suspiciousness scores of the positive scale, preoccupation scores of the general psychopathology scale, and psychosocial function significantly improved only in the subject-chosen activity group, with 3(1) to 2(2), 3(1) to 2(1), and 40(9) to 40(16) respectively, but not in the therapist-chosen activity group. CONCLUSIONS: 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. FAU - Hoshii, Junko AU - Hoshii J AD - Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan. FAU - Yotsumoto, Kayano AU - Yotsumoto K FAU - Tatsumi, Eri AU - Tatsumi E FAU - Tanaka, Chito AU - Tanaka C FAU - Mori, Takashi AU - Mori T FAU - Hashimoto, Takeshi AU - Hashimoto T LA - eng PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130212 PL - England TA - Clin Rehabil JT - Clinical rehabilitation JID - 8802181 SB - IM MH - Choice Behavior MH - Female MH - Hospitals, Psychiatric MH - Humans MH - Inpatients/psychology MH - Japan MH - Length of Stay/trends MH - Male MH - Middle Aged MH - Occupational Therapy/*methods MH - Patient Preference/*psychology MH - *Patient-Centered Care MH - Prospective Studies MH - Schizophrenia/*rehabilitation MH - *Schizophrenic Psychology OTO - NOTNLM OT - Occupational therapy OT - client-centered OT - controlled trial OT - schizophrenia EDAT- 2013/02/14 06:00 MHDA- 2014/03/04 06:00 CRDT- 2013/02/14 06:00 PHST- 2013/02/14 06:00 [entrez] PHST- 2013/02/14 06:00 [pubmed] PHST- 2014/03/04 06:00 [medline] AID - 0269215512473136 [pii] AID - 10.1177/0269215512473136 [doi] PST - ppublish SO - Clin Rehabil. 2013 Jul;27(7):638-45. doi: 10.1177/0269215512473136. Epub 2013 Feb 12.