著者

Aiko Hoshino Ichiro Kutsuna Ami Usui Yukari Mori Mami Suwa

出版者

社団法人 日本作業療法士協会

雑誌

Asian Journal of Occupational Therapy (ISSN:13473476)

巻号頁・発行日

vol.19, no.1, pp.195-204, 2023 (Released:2023-10-03)

参考文献数

35

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Background: Mental health problems in the workplace are an important issue globally, and return-to-work (RTW) programs for people on sick leave because of mental health problems are being developed. However, participants' situations and states are various and there are few assessment tools.Objectives: We aimed to reveal the clinical picture of participants of an RTW program according to depressive state with mixed method research to help occupational therapists plan client-centered rehabilitation programs.Methods: We used a conversion mixed methods research design. We collected basic information and administered the Beck Depression Inventory (BDI) in the quantitative arm, and used written rehabilitation plans based on interviews conducted in the initial stage assessments of participants in an RTW program as the qualitative arm. Data from the quantitative arm were divided into three groups according to severity of depressive symptoms based on BDI cut-off points. Qualitative data were analyzed by creating codes and categories following the grounded theory approach. Both types of data were merged by calculating the frequencies of occurrence of codes for each depression severity group.Results: Our results showed that participants' clinical pictures were different depending on their depressive state. Participants with a severe state had difficulty waking up early, disordered eating habits and appetite, and difficulty with selfdisclosure. Participants with a lighter depressive state had a stable lifestyle and were able to perform high-level cognitive activities like studying or exercise.Conclusions: Our results will help occupational therapists assess participants in the initial stage RTW programs, and contribute to effective interventions.

著者

Aiko Hoshino Mami Suwa

出版者

Japanese Association of Occupational Therapists

雑誌

Asian Journal of Occupational Therapy (ISSN:13473476)

巻号頁・発行日

vol.15, no.1, pp.45-52, 2019 (Released:2019-05-10)

参考文献数

30

被引用文献数

1

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Background: Depression causes mothers to experience difficulties in child care and increases stress, which can influence the development of the child. Japan currently has insufficient support for mothers with depression. Objectives: We aimed to reveal the difficulties in child care and related factors of three Japanese mothers with depression by examining their narratives. Methods: A mixed method design was applied. We conducted in-depth, semi-structured interviews with mothers with depression and analyzed the data using both the grounded theory approach and text mining software (KH Coder). Results: As a result of focus coding, 11 focus codes were extracted. In addition, as a result of multi-dimensional scaling, two codes (“Physical burden caused by family and child care” and “The mother coping with difficulties by herself”) were in close proximity and formed a unit. Another two codes (“Anxiety over not having complete control over child care” and “One-sided coping methods”) were in close proximity, creating a second unit. Conclusion: This study suggested the following: 1) in spite of being aware of their excessive burden, mothers with depression believed that they should take care of their children by themselves; 2) because of the desire to be a perfect mother, mothers with depression tended to have extremes in their child care. We need further research based this result for the developing support systems.