Mental health service users' experiences of everyday occupations while attending day centres during the transition into retirement age.

IF 1.9 4区 医学 Q2 REHABILITATION Scandinavian Journal of Occupational Therapy Pub Date : 2025-01-01 Epub Date: 2024-12-28 DOI:10.1080/11038128.2024.2444594
Carina Tordai, Steven M Schmidt, Mona Eklund, Elisabeth Argentzell
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Abstract

Background: Existing research has shown that those ageing with severe mental illness face significant challenges in daily life. Attendance at community-based day centres (DCs) is offered to support daily structure and break isolation. However, little is known about the experiences of those receiving this type of support while transitioning into retirement age.

Aim: To explore experiences of everyday occupations among older mental health service users attending DC while transitioning into retirement age.

Materials/methods: Fourteen older DC attendees were interviewed on three occasions, spanning a time frame of four and a half years. The material was analyzed using grounded theory.

Results: An overarching theme emerged; A sense of belonging - creating, recreating, and maintaining my occupational identity while ageing, with three underlying categories: Enablers helping to pave a pathway to social contacts and occupations, Struggling through changing conditions, and Recreating and maintaining my occupations and occupational identity.

Conclusions/significance: Attending DC contributed with enablers that helped to maintain an occupational identity, despite ageing with complex health conditions. This study can be useful when planning optimal support focusing on occupational identity.

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心理健康服务使用者在进入退休年龄过渡期间在日间中心的日常职业经历。
背景:现有研究表明,患有严重精神疾病的老年人在日常生活中面临着重大挑战。向社区日间中心提供服务,以支持日常结构和打破孤立。然而,人们对那些在过渡到退休年龄时接受这种支持的人的经历知之甚少。目的:探讨老年心理健康服务使用者在过渡到退休年龄时的日常职业体验。材料/方法:对14位年长的DC与会者进行了三次采访,时间跨度为四年半。用扎根理论对该材料进行了分析。结果:出现了一个总体主题;归属感——在变老的同时创造、再创造和维持我的职业身份,包括三个基本类别:帮助铺平通往社会联系和职业道路的推动者,在不断变化的环境中挣扎,以及再创造和维持我的职业和职业身份。结论/意义:参加DC有助于保持职业身份,尽管老年人的健康状况复杂。本研究可用于规划以职业认同为重点的最佳支持。
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来源期刊
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
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