School of Psychology and Counselling, Queensland University of Technology Brisbane, QLD, Australia.
Psychiatr Rehabil J. 2011 Summer;35(1):59-63. doi: 10.2975/35.1.2011.59.63.
This study explored the relationship between employment and recovery in individuals with psychiatric disabilities and proposed that participants who were employed would have higher levels of recovery than participants who were not employed.
Data were analysed from a pre-existing data-set produced in a large scale NHMRC project conducted as part of the Australian Integrated Mental Health Initiative (AIMhi), High Support Stream. Participants were 344 people with a range of psychiatric illnesses who received support from 11 public sector and non-government mental health organizations in Queensland and New South Wales, Australia. Scores on the Recovery Assessment Scale (RAS) were compared between those participants who were engaged in paid employment and those who were not.
The results revealed that there was no difference in total recovery scores between those who worked and those who did not work. This finding indicated that higher recovery scores were not associated with participants who were employed. Also contrary to expectations, the results showed that workers scored lower than non-workers on the RAS factor described as "reliance on others" and there was a trend towards significance in the same direction on the factor "willingness to ask for help."
Further research needs to be conducted to determine if the differences between workers and non-workers on the above factors represent a personal variable such as independence or self-determination that is associated with individuals with psychiatric disabilities that are engaged in employment. Rehabilitation interventions aimed at increasing levels of employment in people with psychiatric disabilities could improve recovery and employment outcomes through focusing on these personal variables.
本研究探讨了精神病残疾个体的就业与康复之间的关系，并提出就业的参与者比未就业的参与者康复水平更高。
本研究对澳大利亚综合心理健康倡议（AIMhi）中大规模 NHMRC 项目的预先存在的数据集进行了分析，该项目是澳大利亚昆士兰州和新南威尔士州 11 个公共部门和非政府精神卫生组织的一部分。参与者为患有各种精神疾病的 344 人，他们从这些组织获得支持。采用康复评估量表（RAS）对参与者的得分进行评估，比较了有报酬工作和无报酬工作的参与者之间的 RAS 得分。
结果显示，工作和不工作的参与者之间的总康复评分没有差异。这一发现表明，较高的康复评分与就业的参与者无关。此外，与预期相反的是，结果显示，在 RAS 因子中，“依赖他人”的工人得分低于非工人，而在同一方向上，“愿意寻求帮助”的因子也有显著趋势。
需要进一步研究以确定工人和非工人在上述因素上的差异是否代表与从事就业的精神病残疾个体相关的个人变量，例如独立性或自我决定。通过关注这些个人变量，旨在增加精神病残疾个体就业水平的康复干预措施可能会改善康复和就业结果。
