Occupational Perspectives on Health in People with Schizophrenia

Research output: ThesisDoctoral Thesis (compilation)

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The thesis has provided with systematic information about how people with schizophrenia live their everyday life, and the results have shown significant relationships between occupational perspectives and health. The thesis departed in two in-depth studies that concerned time use and occupational engagement in relation to what people with schizophrenia do in their everyday life, with whom they are with, where they are and how they perceive and experience what they do, as reflected by time-use diaries. The first study showed that most time was spent alone, at home, where few occupational situations worked as a routine, providing a structure in terms of familiarity of habits. The second study showed that the participants functioned at different levels of occupational engagement, which ranged from performing mostly quiet activities alone, at home, with few routines and a little sense of meaning, to having ongoing occupational engagement that were interpreted as having meaning, in a greater variety of social and geographical environments. In particular, the function of performing quiet activities, the different ways of being social and of interpreting on experiences, have provided with new aspects that concern the occupational behaviour in people with schizophrenia. Based of these findings elucidated so far, the third and fourth study concerned the development of a reliable and valid instrument, the Profiles of Occupational Engagement in people with Schizophrenia. In study four and five, the POES was used to assess occupational engagement in relation to health related variables. The results showed that a high level of occupational engagement was related to higher ratings of self-related variables, fewer psychiatric symptoms, and better ratings of quality of life, and vice versa. The results of this thesis add a new dimension to understanding mental health. Consequently, identifying the level of occupational engagement in clients with schizophrenia is imperative to, understanding occupational balance and disability, the forming of a supporting relationship, providing appropriate occupational challenges and environmental support with intention to facilitate self-definition.
Original languageEnglish
Awarding Institution
  • Sustainable occupations and health in a life course perspective
  • Eklund, Mona, Supervisor
  • Hansson, Lars, Supervisor, External person
Award date2007 Feb 16
ISBN (Print)91-85559-89-x
Publication statusPublished - 2007

Bibliographical note

Defence details

Date: 2007-02-16
Time: 09:00
Place: Hörsal 01 Vårdvetenskapens hus, Baravägen 3, Lund

External reviewer(s)

Name: Jacobsson, Lars
Title: Professor
Affiliation: Institutionen för klinisk vetenskap, Psykiatri, Umeå universitet


<div class="article_info">U Bejerholm and M Eklund. <span class="article_issue_date">2004</span>. <span class="article_title">Time use and occupational performance among persons with schizophrenia.</span> <span class="journal_series_title">Occupational Therapy in Mental Health</span>, <span class="journal_volume">vol 20</span> <span class="journal_pages">pp 27-47</span>.</div>
<div class="article_info">U Bejerholm and M Eklund. <span class="article_issue_date">2006</span>. <span class="article_title">Engagement in occupations among men and women with schizophrenia.</span> <span class="journal_series_title">Occupational Therapy International</span>, <span class="journal_volume">vol 13</span> <span class="journal_pages">pp 100-121</span>.</div>
<div class="article_info">U Bejerholm, L Hansson and M Eklund. <span class="article_issue_date">2006</span>. <span class="article_title">Profiles of occupational engagement in people with schizophrenia, POES: Development of a new instrument based on timeuse diaries.</span> <span class="journal_series_title">British Journal of Occupational Therapy</span>, <span class="journal_volume">vol 69</span> <span class="journal_pages">pp 58-68</span>.</div>
<div class="article_info">U Bejerholm and M Eklund. <span class="article_issue_date">2006</span>. <span class="article_title">Construct validity of a newly-developed instrument: Profiles of Occupational Engagement in people with Schizophrenia, POES.</span> <span class="journal_series_title">Nordic Journal of Psychiatry</span>, <span class="journal_volume">vol 60</span> <span class="journal_pages">pp 200-206</span>.</div>
<div class="article_info">U Bejerholm and M Eklund. <span class="article_issue_date">2007</span>. <span class="article_title">Occupational engagement in persons with schizophrenia: Relationships to self-related variables, psychopathology, and quality of life.</span> <span class="journal_series_title">American Journal of Occupational Therapy</span>, <span class="journal_volume">vol 61</span> <span class="journal_pages">pp 21-32</span>.</div>

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000)

Subject classification (UKÄ)

  • Occupational Therapy

Free keywords

  • revalidation
  • kinesitherapy
  • Physical medicine
  • Medicin (människa och djur)
  • Medicine (human and vertebrates)
  • Mental Health
  • Time Use
  • Schizophrenia
  • rehabilitation
  • Rehabilitering (medicinsk och social)


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