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支持性决策:积极心理学对康复和就业评估与干预的启示。

Supported Decision-Making: Implications from Positive Psychology for Assessment and Intervention in Rehabilitation and Employment.

机构信息

Department of Special Education, University of Kansas, Joseph R. Pearson Hall, 1122 West Campus Road, Rm. 517, Lawrence, KS, 66045, USA.

Burton Blatt Institute, Syracuse University, Syracuse, NY, USA.

出版信息

J Occup Rehabil. 2017 Dec;27(4):498-506. doi: 10.1007/s10926-017-9740-z.

DOI:10.1007/s10926-017-9740-z
PMID:29119422
Abstract

Purpose This article reviews existing literature on positive psychology, supported decision-making (SDM), employment, and disability. It examines interventions and assessments that have been empirically evaluated for the enhancement of decision-making and overall well-being of people with disabilities. Additionally, conceptual themes present in the literature were explored. Methods A systematic review was conducted across two databases (ERIC and PsychINFO) using various combination of keywords of 'disabilit*', work rehabilitation and employment terms, positive psychology terms, and SDM components. Seven database searches were conducted with diverse combinations of keywords, which identified 1425 results in total to be screened for relevance using their titles and abstracts. Database search was supplemented with hand searches of oft-cited journals, ancestral search, and supplemental search from grey literature. Results Only four studies were identified in the literature targeting SDM and positive psychology related constructs in the employment and job development context. Results across the studies indicated small to moderate impacts of the assessment and interventions on decision-making and engagement outcomes. Conceptually there are thematic areas of potential overlap, although they are limited in the explicit integration of theory in supported decision-making, positive psychology, disability, and employment. Conclusion Results suggest a need for additional scholarship in this area that focuses on theory development and integration as well as empirical work. Such work should examine the potential utility of considering positive psychological interventions when planning for SDM in the context of career development activities to enhance positive outcomes related to decision-making, self-determination, and other positive psychological constructs.

摘要

目的 本文回顾了积极心理学、支持性决策(SDM)、就业和残疾领域的现有文献。它考察了为增强残疾人的决策能力和整体幸福感而经过实证评估的干预措施和评估方法。此外,还探讨了文献中存在的概念主题。

方法 本文在两个数据库(ERIC 和 PsychINFO)中进行了系统回顾,使用了“残疾*”、工作康复和就业术语、积极心理学术语和 SDM 组件的各种关键词组合。共进行了七次数据库搜索,使用了不同的关键词组合,总共确定了 1425 个结果,然后根据标题和摘要筛选相关性。数据库搜索还辅以常被引用期刊的手工搜索、追溯搜索和灰色文献的补充搜索。

结果 在文献中,只有四项研究针对支持性决策和积极心理学相关构念在就业和工作发展背景下进行了研究。研究结果表明,评估和干预措施对决策和参与结果的影响较小到中等。从概念上讲,虽然它们在支持性决策、积极心理学、残疾和就业方面的理论整合方面存在主题领域的潜在重叠,但在理论方面存在局限性。

结论 结果表明,需要在这一领域开展更多的学术研究,重点是理论发展和整合以及实证工作。此类工作应研究在职业发展活动中考虑积极心理干预措施对支持性决策的潜在效用,以增强与决策、自我决定和其他积极心理构念相关的积极结果。

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本文引用的文献

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Barriers to Employment for Transition-age Youth with Developmental and Psychiatric Disabilities.发育障碍和精神疾病的转型期青年的就业障碍。
Adm Policy Ment Health. 2017 May;44(3):354-358. doi: 10.1007/s10488-016-0773-y.
2
People with multiple disabilities learn to engage in occupation and work activities with the support of technology-aided programs.多重残疾人士在技术辅助项目的支持下学习参与职业和工作活动。
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Employee decision-making about disclosure of a mental disorder at work.
支持职业康复专业人员提供量身定制的护理以惠及长期工作残疾受益人的决策辅助工具:一项可行性研究。
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员工关于在工作中披露精神障碍的决策。
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4
The struggle for web eQuality by persons with cognitive disabilities.认知障碍人士争取网络平等。
Behav Sci Law. 2014 Jan-Feb;32(1):4-32. doi: 10.1002/bsl.2101. Epub 2014 Feb 10.
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"I have a good life": the meaning of well-being from the perspective of young adults with Down syndrome.“我拥有美好的生活”:唐氏综合征青年视角下的幸福含义
Disabil Rehabil. 2014;36(15):1290-8. doi: 10.3109/09638288.2013.854843. Epub 2013 Nov 28.
7
Decision aid on disclosure of mental health status to an employer: feasibility and outcomes of a randomised controlled trial.向雇主披露心理健康状况的决策辅助:一项随机对照试验的可行性和结果。
Br J Psychiatry. 2013 Nov;203(5):350-7. doi: 10.1192/bjp.bp.113.128470. Epub 2013 Sep 26.
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Evidence on the occupational segregation of older people with disabilities in Europe.欧洲残疾老年人职业隔离的证据。
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A conceptual definition of vocational rehabilitation based on the ICF: building a shared global model.基于国际功能、残疾和健康分类(ICF)的职业康复概念定义:建立一个共享的全球模型。
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