{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:51:39Z","timestamp":1777463499281,"version":"3.51.4"},"reference-count":61,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"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":["British Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>We investigated the effect of combined treatment with cognitive behavioral therapy (CBT) and occupation-based intervention on the mental health, upper extremity function, activities of daily living (ADLs), and occupation participation of patients with cervical spinal cord injury (SCI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We included 40 patients with cervical SCI and randomized them between the experimental (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200920) and the control (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200920) group. Combined CBT and occupation-based intervention treatment was administered to the experimental group; combined progressive muscle relaxation and occupation-based intervention treatment was administered to the control group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The experimental group showed significant changes in the outcomes of negative and automatic thoughts, depression, anxiety, upper extremity function, ADLs, and occupation participation after the intervention compared to the preintervention values (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001). The control group showed no significant postintervention changes in mental health outcomes. (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&gt;\u2009.05), but significant changes were confirmed in upper extremity function, ADLs, and occupation participation (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our results indicated that combined CBT and occupation-based intervention administered based on the goals set by the patients themselves may serve as an effective intervention strategy for achieving improvement in mental health, upper extremity function, ADLs, and occupation participation for patients with cervical SCI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03080226251369652","type":"journal-article","created":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T06:41:51Z","timestamp":1761374511000},"page":"116-128","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The effects of occupation-based intervention combined with cognitive behavioral therapy in patients with cervical spinal cord injury"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2428-3119","authenticated-orcid":false,"given":"JinAh","family":"Kim","sequence":"first","affiliation":[{"name":"Davinci Hospital, Daejeon, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DeokJu","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, College of Health &amp; Medical Sciences, Cheongju University, Cheongju, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"e_1_3_3_2_1","article-title":"Occupational therapy practice framework: Domain and process","volume":"68","author":"American Occupational Therapy Association","year":"2014","unstructured":"American Occupational Therapy Association (2014) Occupational therapy practice framework: Domain and process. 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