The Vårdal Institute, The Swedish Institute for Health Sciences, Lund University, Lund, Sweden.
Int J Soc Psychiatry. 2011 Nov;57(6):588-95. doi: 10.1177/0020764010376606. Epub 2010 Jul 21.
This cross-sectional study is aimed at describing and investigating empowerment and its relationships with level of engagement in daily activities and community life, experienced stigma, psychopathology, and quality of life among people with mental illness entering supported employment.
The following scales were administered to 120 persons: Empowerment Scale, Profiles of Occupational Engagement Scale, Manchester Short Assessment of Quality of Life Scale, Rejection Experience Scale and Brief Psychiatric and Rating Scale.
Higher scores of empowerment were associated with fewer symptoms and experienced stigma, a higher level of engagement in daily activities and community life, better quality of life and having work rehabilitation. Self-efficacy and self-esteem were in particular significantly correlated to depressive symptoms. Descriptive statistics enveloped the group of participants that said 'Yes I want to work' with a somewhat high mean score for empowerment, level of engagement and quality of life, but a low mean score with regard to both symptoms and experienced stigma.
This study advocates the importance of evaluating empowerment in supported employment research and practice. The findings suggest the importance of taking into account not only monetary aspects of having a job but also social and psychological aspects such as empowerment, reduction in experienced stigma and community integration.
本横断面研究旨在描述和探讨赋权及其与参与日常活动和社区生活的程度、经历的污名、精神疾病患者进入支持性就业后的精神病理学和生活质量之间的关系。
对 120 人进行了以下量表的评估:赋权量表、职业参与度量表、曼彻斯特简短生活质量量表、排斥体验量表和简明精神病评定量表。
赋权得分较高与症状和经历的污名较少、参与日常活动和社区生活的程度较高、生活质量较好以及有工作康复有关。自我效能感和自尊与抑郁症状尤其显著相关。描述性统计数据涵盖了那些表示“我想工作”的参与者群体,他们在赋权、参与度和生活质量方面的平均得分较高,但在症状和经历的污名方面的平均得分较低。
本研究提倡在支持性就业研究和实践中评估赋权的重要性。研究结果表明,不仅要考虑到工作的货币方面,还要考虑到社会和心理方面,如赋权、减少经历的污名和社区融合的重要性。