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严重精神疾病患者日常职业活动中的感觉输入体验。

Experiences of sensory input in daily occupations for people with serious mental illness.

机构信息

Child Adolescent Psychiatry Helsingborg, Region Skåne, Sweden.

School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.

出版信息

Scand J Occup Ther. 2021 Aug;28(6):446-456. doi: 10.1080/11038128.2020.1778784. Epub 2020 Jun 16.

DOI:10.1080/11038128.2020.1778784
PMID:32544360
Abstract

BACKGROUND

There is growing evidence that people with serious mental illness have impaired capacity for processing sensory inputs which affects daily occupation. Although this is known, research regarding the target groups experiences of sensory inputs in daily occupations is lacking.

AIM

To investigate the experience of sensory input and strategies used in daily occupations among people with serious mental illness.

MATERIAL AND METHODS

Fourteen people with serious mental illness were interviewed regarding their experiences of sensory processing and strategies for managing sensory inputs in daily occupations. Data were analysed using content analysis.

RESULTS

Sensory processing issues affected occupational engagement and strategies to control inputs were intuitively used to cope with sensory challenges. Informants either ignored, reduced or avoided sensory inputs. Informants also enabled daily life through strategies such as creating a home that provides rest, finding a safe place, using nature and animals for relaxing and using effects of calming and alerting occupations.

DISCUSSION

Specific sensory inputs were difficult to process, which was experienced as stressful and affected occupations negatively. The results imply a need for further research exploring the management of sensory input and the use of sensory modulation approaches to enable engagement in daily activities.

摘要

背景

越来越多的证据表明,患有严重精神疾病的人在处理感官输入方面的能力受损,这会影响他们的日常活动。尽管这一点已经被人们所了解,但针对目标群体在日常活动中对感官输入的体验的研究却很少。

目的

调查严重精神疾病患者在日常活动中对感官输入的体验以及他们在日常活动中用于管理感官输入的策略。

材料和方法

对 14 名患有严重精神疾病的患者进行了访谈,了解他们在处理感官加工和管理日常活动中的感官输入方面的经验和策略。采用内容分析法对数据进行分析。

结果

感官处理问题影响了职业参与,而控制输入的策略则被用来直观地应对感官挑战。受访者要么忽略、减少或避免感官输入,要么通过创造一个提供休息的家、寻找一个安全的地方、利用大自然和动物来放松以及利用平静和提神的职业的效果等策略来维持日常生活。

讨论

特定的感官输入很难处理,这被体验为有压力,并对职业活动产生负面影响。研究结果表明,需要进一步研究探索如何管理感官输入以及使用感官调节方法来促进日常活动的参与。

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