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工作场所社会支持对工作效率的系列中介模型:自我污名和工作任期自我效能感在重度精神障碍患者中的作用

A serial mediation model of workplace social support on work productivity: the role of self-stigma and job tenure self-efficacy in people with severe mental disorders.

作者信息

Villotti Patrizia, Corbière Marc, Dewa Carolyn S, Fraccaroli Franco, Sultan-Taïeb Hélène, Zaniboni Sara, Lecomte Tania

机构信息

a Centre de Recherche de l'Hôpital Charles LeMoyne , Université de Sherbrooke , Longueuil , Canada.

b Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal , Montréal , Canada.

出版信息

Disabil Rehabil. 2018 Dec;40(26):3113-3119. doi: 10.1080/09638288.2017.1377294. Epub 2017 Sep 12.

Abstract

PURPOSE

Compared to groups with other disabilities, people with a severe mental illness face the greatest stigma and barriers to employment opportunities. This study contributes to the understanding of the relationship between workplace social support and work productivity in people with severe mental illness working in Social Enterprises by taking into account the mediating role of self-stigma and job tenure self-efficacy.

METHOD

A total of 170 individuals with a severe mental disorder employed in a Social Enterprise filled out questionnaires assessing personal and work-related variables at Phase-1 (baseline) and Phase-2 (6-month follow-up). Process modeling was used to test for serial mediation.

RESULTS

In the Social Enterprise workplace, social support yields better perceptions of work productivity through lower levels of internalized stigma and higher confidence in facing job-related problems. When testing serial multiple mediations, the specific indirect effect of high workplace social support on work productivity through both low internalized stigma and high job tenure self-efficacy was significant with a point estimate of 1.01 (95% CI = 0.42, 2.28).

CONCLUSIONS

Continued work in this area can provide guidance for organizations in the open labor market addressing the challenges posed by the work integration of people with severe mental illness. Implications for Rehabilitation: Work integration of people with severe mental disorders is difficult because of limited access to supportive and nondiscriminatory workplaces. Social enterprise represents an effective model for supporting people with severe mental disorders to integrate the labor market. In the social enterprise workplace, social support yields better perceptions of work productivity through lower levels of internalized stigma and higher confidence in facing job-related problems.

摘要

目的

与其他残疾群体相比,患有严重精神疾病的人面临着最大的耻辱感和就业机会障碍。本研究通过考虑自我耻辱感和工作任期自我效能感的中介作用,有助于理解在社会企业工作的严重精神疾病患者的工作场所社会支持与工作效率之间的关系。

方法

共有170名受雇于社会企业的严重精神障碍患者在第一阶段(基线)和第二阶段(6个月随访)填写了评估个人和工作相关变量的问卷。采用过程建模来检验序列中介作用。

结果

在社会企业工作场所,社会支持通过降低内化耻辱感水平和提高面对工作相关问题的信心,产生对工作效率的更好认知。在检验序列多重中介作用时,高工作场所社会支持通过低内化耻辱感和高工作任期自我效能感对工作效率的特定间接效应显著,点估计值为1.01(95%CI = 0.42,2.28)。

结论

在这一领域的持续研究可为开放劳动力市场中的组织提供指导,以应对严重精神疾病患者工作融合所带来的挑战。对康复的启示:由于难以进入支持性和非歧视性的工作场所,严重精神障碍患者的工作融合存在困难。社会企业是支持严重精神障碍患者融入劳动力市场的有效模式。在社会企业工作场所,社会支持通过降低内化耻辱感水平和提高面对工作相关问题的信心,产生对工作效率的更好认知。

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