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对于那些将树主题疗法(®)视为心理社会职业治疗中一种积极干预措施的客户,可持续的改善情况。

Sustainable enhancement in clients who perceive the Tree Theme Method(®) as a positive intervention in psychosocial occupational therapy.

作者信息

Gunnarsson A Birgitta, Björklund Anita

机构信息

Unit for Research and Development, Kronoberg County Council, Växjö,

出版信息

Aust Occup Ther J. 2013 Jun;60(3):154-60. doi: 10.1111/1440-1630.12034. Epub 2013 Mar 27.

Abstract

BACKGROUND/AIM: The Tree Theme Method(®) is an intervention based on creative activities and occupational storytelling. The Tree Theme Method(®) implies that the clients draw and paint trees symbolising various periods in their life. The pictures are then used as a starting point to tell their life story to enhance their wellbeing and management of their everyday life. This study aimed to evaluate if changes observed among clients regarding their wellbeing and everyday occupations, between baseline and the end of their term of the Tree Theme Method(®) therapy, persisted three years after the completion of the intervention.

METHODS

This study had a quantitative design. Thirty-one former clients were recruited to a follow-up three years after completing the intervention. Self-rating questionnaires were used regarding psychological symptoms, self-mastery, sense of coherence, activity level, occupational performance and satisfaction with occupational performance. Non-parametric methods were used for the data analysis.

RESULTS

The findings revealed positive significant changes regarding sense of coherence and occupational performance and satisfaction with occupational performance, measured between the end of the intervention and at the time of the three-year follow-up. Furthermore, the respondents' ratings regarding psychological symptoms, self-mastery, activity level and the extent of satisfaction with performed occupations were found to be stable.

CONCLUSIONS

The Tree Theme Method(®) appeared to function well as an intervention in psychosocial occupational therapy, where the aim was that a client would enhance their wellbeing and management of their everyday life. However, there is need for further evaluation to assess the effects of the Tree Theme Method(®) intervention.

摘要

背景/目的:树主题疗法(Tree Theme Method®)是一种基于创造性活动和职业叙事的干预方法。树主题疗法要求来访者绘制象征其生命中不同阶段的树木画作。这些画作随后被用作讲述他们人生故事的起点,以增进他们的幸福感并改善日常生活管理。本研究旨在评估在树主题疗法治疗期基线至结束期间观察到来访者在幸福感和日常活动方面的变化,在干预结束三年后是否依然持续存在。

方法

本研究采用定量设计。31名曾接受干预的来访者在干预结束三年后被招募进行随访。使用自评问卷评估心理症状、自我掌控感、连贯感、活动水平、职业表现以及对职业表现的满意度。数据分析采用非参数方法。

结果

研究结果显示,在干预结束至三年随访期间,连贯感、职业表现以及对职业表现的满意度有显著正向变化。此外,受访者在心理症状、自我掌控感、活动水平以及对所从事职业的满意度方面的评分保持稳定。

结论

树主题疗法作为一种心理社会职业治疗干预手段,似乎效果良好,其目的是帮助来访者增进幸福感并改善日常生活管理。然而,仍需进一步评估以确定树主题疗法干预的效果。

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