Ngooi Bi Xia, Wong Su Ren, Chen Janice Dehui, Yin Koh Vanessa Shi
Rehabilitation Department, National University Hospital, Singapore, Singapore.
Hong Kong J Occup Ther. 2022 Jun;35(1):52-61. doi: 10.1177/15691861221075798. Epub 2022 Mar 1.
BACKGROUND/OBJECTIVES: Self-efficacy is a key component in mental health recovery and improvement in well-being. Mental illness is often resultant of environmental stressors, highlighting the importance of coping skills. Occupational therapists commonly utilise activity-based group therapy to encourage use of activities as coping strategies. However, there has been little research concerning these groups and their role in enhancing self-efficacy in behavioural-based coping skills. This study aimed to explore factors that affect behavioural-based coping self-efficacy during activity-based group therapy in an acute mental health ward. It investigates the relationships between (1) behavioural-based coping self-efficacy with overall mental health self-efficacy and (2) mental health self-efficacy and subjective well-being.
Immediately after the first group, participants completed a post-group questionnaire. Participation level was also rated. At discharge, the participants were asked to complete the UK Office of National Statistics subjective well-being tool and the Mental Health Self-Efficacy Scale. Descriptive statistics, independent sample t-tests and one-way analysis of variance were done to examine possible covariates and confounders of all outcome variables. General linear models were then conducted.
Post-group questionnaire reflected moderate-high self-efficacy (M = 6.92, SD = 2.48) and positive well-being with higher happiness scores (M = 7.42, SD = 2.20) and lower anxiety scores (M = 3.79, SD = 2.85). Coping self-efficacy significantly predicted overall mental health self-efficacy ( = .014), which in turn significantly predicted positive domains of well-being.
Performing behavioural-based coping strategies in groups can enhance coping self-efficacy and positive well-being, with possible positive influence on mental health self-efficacy and well-being at discharge.
背景/目的：自我效能感是心理健康恢复和幸福感提升的关键要素。精神疾病往往是环境压力源导致的，这凸显了应对技能的重要性。职业治疗师通常采用基于活动的团体治疗来鼓励将活动用作应对策略。然而，关于这些团体及其在增强基于行为的应对技能中的自我效能感方面的研究很少。本研究旨在探讨在急性精神科病房基于活动的团体治疗期间影响基于行为的应对自我效能感的因素。它调查了（1）基于行为的应对自我效能感与整体心理健康自我效能感之间以及（2）心理健康自我效能感与主观幸福感之间的关系。
在第一次团体治疗结束后，参与者立即完成一份团体治疗后问卷。还对参与程度进行了评分。出院时，要求参与者完成英国国家统计局主观幸福感工具和心理健康自我效能量表。进行描述性统计、独立样本t检验和单因素方差分析，以检查所有结果变量的可能协变量和混杂因素。然后进行一般线性模型分析。
团体治疗后问卷显示自我效能感处于中高水平（M = 6.92，SD = 2.48），幸福感积极，快乐得分较高（M = 7.42，SD = 2.20），焦虑得分较低（M = 3.79，SD = 2.85）。应对自我效能感显著预测了整体心理健康自我效能感（ = .014），而整体心理健康自我效能感又显著预测了幸福感的积极方面。
在团体中实施基于行为的应对策略可以增强应对自我效能感和积极幸福感，可能对出院时的心理健康自我效能感和幸福感产生积极影响。
