Forsberg Klara, Sutton Daniel, Stjernswärd Sigrid, Brown Catana, Bejerholm Ulrika, Argentzell Elisabeth
Department of Health Sciences, Mental Health, Activity and Participation (MAP), Lund University, Lund, Sweden.
Department of Psychiatry, Habilitation and Aids, Region Skåne, Lund, Sweden.
Aust Occup Ther J. 2025 Feb;72(1):e13016. doi: 10.1111/1440-1630.13016.
Mental health service users often have sensory processing difficulties hampering their ability to cope with mental health problems and occupational engagement. However, there is little knowledge of sensory processing and its relation to these factors. Hence, this current study aims to investigate sensory processing patterns in relation to coping and occupational engagement for the target group.
This cross-sectional study involved 97 mental health service users. Sociodemographic information and self-rated questionnaires were administered; Adolescent/Adult Sensory Profile (AASP), Coping Orientation to Problems Experienced Inventory scale (short version) (Brief-COPE), and Profiles of Occupational Engagement among people with Severe mental illness (POES). Statistical analysis included descriptive statistics and multiple linear regression models.
This study sits within an RCT project where parts were designed collaboratively with research-educated service users.
The result showed strong relationships between sensory processing patterns and occupational engagement. Low levels of occupational engagement were related to high levels of sensory sensitivity, sensation avoiding, and low registration. Whereas, high levels of occupational engagement were related to high levels of sensation-seeking. Concerning coping styles, high levels of emotion-focused coping were related to high levels of low registration, while high levels of avoidant coping styles were related to high levels of sensation-seeking.
The findings indicate that occupational engagement and coping styles are related to outcomes of the sensory profile and thus affect how a person with severe mental health problems interprets and reacts to sensory stimuli in daily life.
心理健康服务使用者常常存在感觉加工困难，这妨碍了他们应对心理健康问题和参与职业活动的能力。然而，对于感觉加工及其与这些因素的关系，人们了解甚少。因此，本研究旨在调查目标群体中与应对和职业参与相关的感觉加工模式。
这项横断面研究纳入了97名心理健康服务使用者。收集了社会人口学信息并进行了自评问卷调查；采用了青少年/成人感觉概况量表（AASP）、经历问题应对取向量表（简版）（Brief-COPE）以及严重精神疾病患者职业参与概况量表（POES）。统计分析包括描述性统计和多元线性回归模型。
本研究属于一项随机对照试验项目的一部分，部分内容是与接受过研究培训的服务使用者合作设计的。
结果显示感觉加工模式与职业参与之间存在密切关系。职业参与水平较低与较高的感觉敏感性、感觉回避和低感觉登记有关。而职业参与水平较高与较高的感觉寻求有关。关于应对方式，高水平的情绪聚焦应对与高水平的低感觉登记有关，而高水平的回避应对方式与高水平的感觉寻求有关。
研究结果表明，职业参与和应对方式与感觉概况的结果相关，从而影响患有严重心理健康问题的人在日常生活中对感觉刺激的解释和反应。
