Evidence map›Paper›PMID 35832099›Full record

ArticleOccupational therapy international2022

Occupational Dysfunction as a Mediator between Recovery Process and Difficulties in Daily Life in Severe and Persistent Mental Illness: A Bayesian Structural Equation Modeling Approach.

Aki Watanabe, Takayuki Kawaguchi, Mai Sakimoto, Yuya Oikawa, Keiichiro Furuya, Taichi Matsuoka

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Occupational therapy international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Aki WatanabeDepartment of Rehabilitation, Kitasato University School of Allied Health Sciences, Sagamihara City, Kanagawa, Japan.ORCID https://orcid.org/0000-0002-5519-0062
Takayuki KawaguchiDepartment of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira City, Tokyo, Japan.ORCID https://orcid.org/0000-0002-2063-9106
Mai SakimotoLink Yokohama Home-Visit Nursing Station, Yokohama City, Kanagawa, Japan.
Yuya OikawaMinori Home-Visit Nursing Station Yurigaoka, Kawasaki City, Kanagawa, Japan.
Keiichiro FuruyaDepartment of Recovery Support, Fukui Memorial Hospital, Miura City, Kanagawa, Japan.
Taichi MatsuokaDepartment of Recovery Support, Fukui Memorial Hospital, Miura City, Kanagawa, Japan.
Kitasato University · JPMidorigaoka Hospital · JPNational Center of Neurology and Psychiatry · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study is aimed at verifying a hypothetical model of the structural relationship between the recovery process and difficulties in daily life mediated by occupational dysfunction in severe and persistent mental illness (SPMI). Methods: Community-dwelling participants with SPMI were enrolled in this multicenter cross-sectional study. The Recovery Assessment Scale (RAS), the World Health Organization Disability Assessment Schedule second edition (WHODAS 2.0), and the Classification and Assessment of Occupational Dysfunction (CAOD) were used for assessment. Confirmatory factor analysis, multiple regression analysis, and Bayesian structural equation modelling (BSEM) were determined to analyze the hypothesized model. If the mediation model was significant, the path coefficient from difficulty in daily life to recovery and the multiplication of the path coefficients mediated by occupational dysfunction were considered as each the direct effect and the indirect effect. The goodness of fit in the model was determined by the posterior predictive Results: The participants comprised 98 individuals with SPMI. The factor structures of RAS, WHODAS 2.0, and CAOD were confirmed by confirmatory factor analysis to be similar to those of their original studies. Multiple regression analysis showed that the independent variables of RAS were WHODAS 2.0 and CAOD, and that of CAOD was WHODAS 2.0. The goodness of fit of the model in the BSEM was satisfactory with a PPP = 0.27. The standardized path coefficients were, respectively, significant at -0.372 (95% CI: -0.586, -0.141) from "difficulty in daily life" to "recovery" as the direct effect and at -0.322 (95% CI: -0.477, -0.171) mediated by "occupational dysfunction" as the indirect effect. Conclusions: An approach for reducing not only difficulty in daily life but also occupational dysfunction may be an additional strategy of person-centered, recovery-oriented practice in SPMI.

Indexed as

Mental DisordersOccupational TherapyBayes TheoremCross-Sectional StudiesDisability EvaluationHumansLatent Class Analysis

Identifiers

PMID35832099
PMCPMC9262536
OpenAlexW4283032846

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.