Volume 26, Issue 1 (4-2018)                   Avicenna J Nurs Midwifery Care 2018, 26(1): 49-56 | Back to browse issues page


XML Persian Abstract Print


1- Instructor of Psychiatric Nursing, Evidence Based Care Research Centre, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2- MSc in Psychiatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3- Associate Professor of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4- Evidence Based Care Research Centre, Instructor of Medical-Surgical Nursing, School of Nursing and Midwife- ry, Mashhad University of Medical Sciences, Mashhad, Iran
5- MSc in Psychiatric Nursing, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Med- ical Sciences, Mashhad, Iran
6- Student Research Committee, Faculty of Medicine, Mashhad Islamic Azad University, Mashhad, Iran
7- PhD Student in Nursing, Student Research Committee, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran , salarhm921@mums.ac.ir
Abstract:   (7793 Views)

Introduction: Although self-esteem has an important role on predicting the symptoms of depression and mania in patients with mood disorders, this subject has been less paid attention to in numerous studies. This study aimed to determine the effect of occupational therapy on self-esteem activities in housewives with mood disorders after discharge from the hospital.
Methods: In this randomized clinical trial, 75 housewives with mood disorders discharged from Ibn-Sina psychiatric hospital in Mashhad during 94-95, were studied in two intervention group (n = 35) and control group (n = 35). Occupational therapy intervention group (according to the model of psychosocial occupational therapy Cara), received 20 sessions each120 minutes, twice a week and the control group received routine care. The research tool was Cooper Smith self-esteem questionnaire which was completed both before the intervention and 2.5 months after the intervention in both groups simultaneously. Data analysis was performed using SPSS 11.5, Fisher's exact test, and paired t-test.
Results: In the pre-intervention, there was no significant difference between the mean scores of self-esteem of intervention group (97/2 ± 11/4) and control group (95/9 ± 10/4) (P= 0/17). But considering the change in the mean scores of self-esteem before and after the intervention, there was a significant difference between the intervention group (13/8 ± 11/2) and control group (3/3 ± 9/6) (P< 0/001).
Conclusion: Implementation of occupational activities can improve self-esteem in patients with mood disorders. Hence, it is suggested that occupational activities be paid more attention to even after the discharge from hospitals.

Persian Full-Text [PDF 301 kb]   (1397 Downloads)    
Type of Study: Original Research | Subject: Nursing
Received: 2017/06/6 | Accepted: 2017/06/30 | Published: 2017/07/17

References
1. Collins P, Patel V, Joestl S, March D, Insel T, Daar A. Grand Challenges in Global Mental Health. Nature. 2011;475(7354):27-30. [DOI] [PubMed]
2. Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences Clinical Psychiatry. 11nd ed. New York: Wolters Kluwer; 2015.
3. Nehal S, Disha L. Study of Mental Health Status of House Wives Living in Surat City. Int J Adv Res Eng Manag. 2015:1-6.
4. Beck A. Depression: Clinical, Experimental, and Theoretical Aspects. New York: Harper and Row; 1967.
5. Ingram RE, Miranda J, Segal ZV. Cognitive Vulnerability to Depression. New York: Guilford Press; 1998.
6. Knowles R, Tai S, Jones SH, Highfield J, Morriss R, Bentall RP. Stability of selfesteem in bipolar disorder: Comparison among remitted bipolar patients, remitted unipolar patients and healthy controls. Bipolar Disorders. 2007;9(5):490-5. [DOI] [PubMed]
7. Pavlickova H, Varese F, Turnbull O, Scott J, Morriss R, et al. Symptomspecific self-referential cognitive processes in bipolar disorder: A longitudinal analysis. Psychol Med. 2013;43(9):1895-907. [DOI] [PubMed]
8. Jones L, Scott J, Haque S, Gordon-Smith K, Heron J, et al. Cognitive style in bipolar disorder. Br J Psychiatry. 2005;187:431-7., [DOI] [PubMed]
9. Pavlickova H, Varese F, Smith A, Myin-Germeys I, Turnbull OH, Emsley R, et al. The Dynamics of Mood and Coping in Bipolar Disorder: Longitudinal Investigations of the Inter-Relationship between Affect, Self-Esteem and Response Styles. PLoS One. 2013;8(4):1-8. [DOI] [PubMed]
10. Blairya S, Linottea S, Souerya D, Papadimitrioub GN, Dikeosb D, Lererc B, et al. Social adjustment and self-esteem of bipolar patients: a multicentric study. J Affect Disord. 2004;79(2004):97-103. [DOI] [PubMed]
11. Kordloo F, Kabir K, Bahador H, Dehghan-Naieri T. Is Mental Health Training Courses in the Field of Nursing Students' Attitudes towards Stigmatized Disorders Mental Change? J Alborz Univ Med Sci. 2015;4(4):248-54.
12. Hojjati H, Sharifinia H, Nazari R. The Effect of Blended Clinical Teaching on Nursing Students' Attitude toward Psychiatric Patients. Education in medical scince. 2012;3(11):238-44.
13. Shapira B, Zislin J, Gelfin Y. Social Adjustment and Self-esteem in Remitted Patients with Unipolar and Bipolar Affective Disorder: A Case-control Study. Compr Psychiatry. 1999;40(1):24-30. [DOI] [PubMed]
14. Liu M, Wu L, Ming Q. How Does Physical Activity Intervention Improve Self-Esteem and Self-Concept in Children and Adolescents? Evidence from a Meta-Analysis. PLoS One. 2015;10(8):1-17. [DOI] [PubMed]
15. World Federation of Occupational Therapy [http://www.wfot.org]: WFOT Org; 2010.
16. Sturkenboom IHK, Keus SHJ, Munneke M, Bloem BR. Physical and occupational therapy. In: Pahwa R, Lyons KE, eds. Handbook of Parkinson's Disease. 5th ed. Boca Raton: CRC Press, 2013: 520-38. [DOI]
17. Rezvan Z, Alizadeh A. Effectiveness of Occupational Therapy on Self – Esteem and the Length of Hospitalization in patients with chronic mental patients. J Res Rehabil Sci. 2013;9(4):658-67.
18. Graff MJ, Vernooij-Dassen MJ, Thijssen M, Dekker J, Hoefnagels WH, Rikkert MG. Community based occupational therapy for patients with dementia and their care givers: randomised controlled trial. Bmj. 2006;333(7580):1196. [DOI] [PubMed]
19. Sturkenboom I, Graff MJ, Borm GF, Adang EM, Nijhuis-van der Sanden MW, Bloem BR, et al. Effectiveness of occupational therapy in Parkinson's disease: study protocol for a randomized controlled trial. Trials. 2013;14(1):34. [DOI] [PubMed]
20. Eklund M, Leufstadius C. Relationships between occupational factors and health and well-being in individuals with persistent mental illness living in the community. Can J Occup Ther. 2007;74(4):303-13. [DOI] [PubMed]
21. Bayer W, Koster M, Salize H, Hohl W, Machleidt W, Wiedl K, et al. [Longer-term effects of inpatient vocational and ergotherapeutic measures on the vocational integration of patients with schizophrenia]. Psychiatr Prax. 2008;35(4):170-3. [DOI] [PubMed]
22. Donovan ML, McCumber S. Interprofessional Collaborative Practice: Dementia Case Studies Engage Nurse Practitioner and Occupational Therapy Students. J Nurs Educ. 2015;54(9):536. [DOI] [PubMed]
23. Cara E, MacRae A. Psychosocial occupational therapy: An evolving practice: Nelson Education; 2012.
24. Chen Y-L, Pan A-W, Hsiung P-C, Chung L. Quality of Life Enhancement Programme for Individuals with Mood Disorder: A Randomized Controlled Pilot Study. Hong Kong Journal of Occupational Therapy. 2015;25:23-31. [DOI]
25. Daremo A, Kjellberg A, Haglund L. Occupational Performance and Affective Symptoms for Patients with Depression Disorder. Advances in Psychiatry. 2015.
26. Cara E, MacRae A. Psychosocial occupational therapy: A clinical practice: Cengage Learning; 2005.
27. Wilcock AA. An occupational perspective of health: Slack Incorporated; 2006.

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.