{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:32:45Z","timestamp":1787315565806,"version":"build-2736575974"},"reference-count":20,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2013,2,12]],"date-time":"2013-02-12T00:00:00Z","timestamp":1360627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare the therapeutic effects of subject-chosen and therapist-chosen activities in occupational therapy for inpatients with chronic schizophrenia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Prospective comparative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>A psychiatric hospital in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects:<\/jats:title>\n                    <jats:p>Fifty-nine patients with chronic schizophrenia who had been hospitalized for many years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>The subjects received six-months occupational therapy, participating in either activities of their choice (subject-chosen activity group, n = 30) or activities chosen by occupational therapists based on treatment recommendations and patient consent (therapist-chosen activity group, n = 29).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures:<\/jats:title>\n                    <jats:p>The Positive and Negative Syndrome Scale and the Global Assessment of Functioning (GAF) Scale were used to evaluate psychiatric symptoms and psychosocial function, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After six-months occupational therapy, suspiciousness and hostility scores of the positive scale and preoccupation scores of the general psychopathology scale significantly improved in the subject-chosen activity group compared with the therapist-chosen activity group, with 2(2) (median (interquartile range)) and 3(1.25), 2(1) and 2.5(1), and 2(1) and 3(1), respectively. There were no significant differences in psychosocial functions between the two groups. In within-group comparisons before and after occupational therapy, suspiciousness scores of the positive scale, preoccupation scores of the general psychopathology scale, and psychosocial function significantly improved only in the subject-chosen activity group, with 3(1) to 2(2), 3(1) to 2(1), and 40(9) to 40(16) respectively, but not in the therapist-chosen activity group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The results suggested that the subject-chosen activities in occupational therapy could improve the psychiatric symptoms, suspiciousness, and preoccupation of the inpatients with chronic schizophrenia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215512473136","type":"journal-article","created":{"date-parts":[[2013,2,12]],"date-time":"2013-02-12T23:32:00Z","timestamp":1360711920000},"page":"638-645","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Subject-chosen activities in occupational therapy for the improvement of psychiatric symptoms of inpatients with chronic schizophrenia: a controlled trial"],"prefix":"10.1177","volume":"27","author":[{"given":"Junko","family":"Hoshii","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayano","family":"Yotsumoto","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eri","family":"Tatsumi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chito","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Mori","sequence":"additional","affiliation":[{"name":"Higashikakogawa Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,2,12]]},"reference":[{"key":"bibr1-0269215512473136","unstructured":"Organization for economic co-operation and development (OECD). Mental health in OECD countries. Policy brief, Paris, France, November 2008."},{"key":"bibr2-0269215512473136","unstructured":"Ministry of Health, Labour and Welfare. Table 59 in the first volume, Patient survey 2008. Statics and Information Department, Minister\u2019s Secretariat, Ministry of Health, Labour and Welfare, Tokyo, Japan, December 2009 (in Japanese)."},{"key":"bibr3-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1016\/S0160-2527(00)00043-1"},{"key":"bibr4-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(55)92918-4"},{"key":"bibr5-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.139.3.195"},{"key":"bibr6-0269215512473136","unstructured":"Ministry of Health, Labour and Welfare of Japan. An interim report of Visions in Reform of Mental Health and Medical Welfare in 2009. Report, Tokyo Japan, September 2009 (in Japanese)."},{"key":"bibr7-0269215512473136","volume-title":"Diagnostic and statistical manual of mental disorders: DSM-IV","author":"American Psychiatric Association","year":"1994","edition":"4"},{"key":"bibr8-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1023\/A:1004640408501"},{"key":"bibr9-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbp130"},{"key":"bibr10-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1177\/000841749906600203"},{"key":"bibr11-0269215512473136","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.55.1.90"},{"key":"bibr12-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1177\/0269215508098898"},{"key":"bibr13-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1002\/oti.291"},{"key":"bibr14-0269215512473136","volume-title":"Canadian occupational performance measure","author":"Law M","year":"2005","edition":"4"},{"key":"bibr15-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/13.2.261"},{"key":"bibr16-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1177\/000841749506200504"},{"key":"bibr17-0269215512473136","volume-title":"Enabling occupation: an occupational therapy perspective","author":"Canadian Association of Occupational Therapists","year":"1997"},{"key":"bibr18-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1177\/000841740607300303"},{"key":"bibr19-0269215512473136","first-page":"1007","volume":"110","author":"Ikebuchi E","year":"2008","journal-title":"Seishin Shinkeigaku Zasshi"},{"key":"bibr20-0269215512473136","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbj053"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215512473136","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0269215512473136","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215512473136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:49:58Z","timestamp":1777394998000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0269215512473136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,12]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.1177\/0269215512473136"],"URL":"https:\/\/doi.org\/10.1177\/0269215512473136","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2,12]]}}}