An Examination of Time-Use among Adults Diagnosed with Severe Mental Illnesses Using Daily Interviews
An Examination of Time-Use among Adults Diagnosed with Severe Mental Illnesses Using Daily Interviews
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DOI：
10.2975/34.3.2011.243.247
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发表时间：
2011-12-01
影响因子：
1.9
通讯作者：
Robilotta, Stephanie A.
中科院分区：
文献类型：
--
作者：
Yanos, Philip T.;Robilotta, Stephanie A.
目的：作者研究了工作日和周末平均时间使用的临床、人口统计学和程序预测因素。研究方法：参加日间治疗（DT）和自信的社区治疗（ACT）计划的精神健康消费者（N = 22）首先完成了症状和物质使用的措施，然后完成了长达20天的时间使用的日常采访。结果如下：与ACT相比，参加DT的消费者在工作日花更多的时间进行生产活动，但只有当治疗被认为是生产活动时。DT参与者还报告了更多的周末生产时间使用。临床和人口统计学变量没有预测生产性时间使用，除了阴性症状（预测较少）和非洲裔美国人种族（预测更多）。结论和实践的影响：研究结果与以前的研究表明，许多心理健康消费者花费相当多的时间参与睡眠和被动休闲是一致的。然而，结构性因素，而不是症状，可能是有效利用时间的最大决定因素。可能需要调整康复干预措施，以增加这种有效利用时间的机会。
Objective: The authors examined clinical, demographic and programmatic predictors of average time-use during weekdays and weekends. Methods: Mental health consumers (N = 22) participating in day treatment (DT) and assertive community treatment (ACT) programs first completed measures of symptoms and substance use, and then completed daily interviews on time-use for up to 20 days. Results: Consumers who were participating in DT, as opposed to ACT, spent more weekday time in productive activity, but only when treatment was considered productive activity. DT participants also reported more weekend productive time-use. Clinical and demographic variables did not predict productive time-use, with the exception of negative symptoms (which predicted less) and African-American ethnicity (which predicted more). Conclusions and Implications for Practice: Findings are consistent with previous studies indicating that many mental health consumers spend considerable amounts of time involved in sleep and passive leisure. However, structural factors, rather than symptoms, may be the greatest determinants of productive time-use. Rehabilitation interventions may need to be tailored to increase such opportunities for productive time-use.