The mental health care user (MHCU) with psychosis presents with
various restrictions in his/her occupational performance components
(OPCâs) and occupational performance areas (OPAâs). Restricted
motivation, inappropriate affect and sensory-motor problems,
together with poor cognition, cause inability in directedness towards
activity that leads to poor execution of tasks (Reed, 2001:821-823).
These restrictions in OPCâs lead to restrictions in OPAâs, and therefore
negatively affect the MHCUâs occupation. This negative effect
compromises the promotion of Occupational Therapy goals with this
population, as well as integration in the community and prognosis
(Sue, Sue & Sue, 2006:421). In the field of psychiatry, music is used
by music therapists to treat psychiatric illnesses.
The effect of slow versus fast tempo music, together with activity,
during Occupational Therapy treatment of the MHCU with psychosis
was investigated by using a quantitative, experimental study design.
The focus was specifically on MHCUâs with agitated symptoms versus MHCUâs with inhibited symptoms during the psychotic phase. The
Ethics Committee of the Faculty of Health Sciences, University of the
Free State, approved the study (ETOVS 23/9). Data was collected
between October 2009 and September 2010 at the Free State
Psychiatric Hospital (FSPC).
Hundred and sixty (160) MHCUâs with psychosis, admitted in block A
and C of FSPC, participated in the study. The median ages of the
study population varied between 27.5 and 30.5 years in the four
groups and 72.0% of the participants were male.
The participants were included in the study after being evaluated by
the inclusion criteria checklist. The MHCUâs were divided into two
experimental groups by a process of randomisation. The groups did
not contain more that four members and agitated, as well as inhibited
MHCUâs could be included in one group. The activity participation of
the MHCUâs, in terms of attention, following of instructions,
directedness towards activity and willingness to participate, as well as
behavior was evaluated by three evaluators by means of a pretest,
composed by the researcher. Thereafter the two groups were
exposed to either fast or slow tempo music, during Occupational
Therapy intervention (creative leatherwork activity). The post test,
evaluating the same components and behavior, followed and was
administered by the same evaluators. The blood pressure and pulse
rate of each participant were also measured and noted during the
execution of the group. Results were analysed and presented in four
groups. Department of Biostatistics, University of the Free State,
analysed the data of the study.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:ufs/oai:etd.uovs.ac.za:etd-10042011-104157 |
| Date | 04 October 2011 |
| Creators | Strauss, Monique |
| Contributors | Prof G Joubert, Me A van Heerden, Dr SM van Heerden |
| Publisher | University of the Free State |
| Source Sets | South African National ETD Portal |
| Language | en-uk |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.uovs.ac.za//theses/available/etd-10042011-104157/restricted/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University Free State or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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