Porter Susann, Lexén Annika, Johanson Suzanne, Bejerholm Ulrika
Department of Health Sciences/Mental Health, Activity and Participation, Medical Faculty, Lund University, Lund, Sweden.
Department of Health Sciences/Mental Health and Mental Health Services Research, Medical Faculty, Lund University, Lund, Sweden.
Work. 2018;60(2):221-234. doi: 10.3233/WOR-182737.
Depression is among the major causes of disability with a negative impact on both daily life and work performance. Whilst depression is the primary cause of sick-leave and unemployment in today's workplace there is a lack of knowledge of the needs of individuals with depression regarding their return-to-work (RTW) process.
To explore which factors are of critical importance for people suffering from depression and who also are unemployed in their RTW-process and to explore the impact of two vocational approaches on the service users' experiences. The study included participants in two vocational rehabilitation approaches; Individual Enabling and Support (IES) and Traditional Vocational Rehabilitation (TVR).
Qualitative methods were applied to explore critical factors in the RTW-process. Individuals with affective disorders including depression and bipolar disorder were included.RESULTSThree themes emerged as critical factors; Experiencing hope and power, professionals' positive attitudes, beliefs and behaviours, and employing a holistic perspective and integrating health and vocational service.CONCLUSIONThis study has demonstrated critical factors for the return-to-work process as experienced by persons with depression. To experience hope and power, to meet professionals that believe "you can work", who use a person-centred and holistic service approach, are such factors necessary for gaining a real job. In particular, professionals in TVR need to embrace this understanding since their services were not experienced as including these elements.
抑郁症是导致残疾的主要原因之一，对日常生活和工作表现均有负面影响。虽然抑郁症是当今职场病假和失业的主要原因，但对于抑郁症患者在重返工作岗位（RTW）过程中的需求却缺乏了解。
探讨哪些因素对于患有抑郁症且失业的人在RTW过程中至关重要，并探讨两种职业方法对服务使用者体验的影响。该研究纳入了两种职业康复方法的参与者；个体赋能与支持（IES）和传统职业康复（TVR）。
采用定性方法探讨RTW过程中的关键因素。纳入患有情感障碍（包括抑郁症和双相情感障碍）的个体。
出现了三个关键因素主题；体验希望和力量、专业人员的积极态度、信念和行为，以及采用整体视角并整合健康和职业服务。
本研究揭示了抑郁症患者在重返工作岗位过程中的关键因素。体验希望和力量，遇到相信“你能工作”且采用以人为主的整体服务方法的专业人员，是获得一份真正工作所需的此类因素。特别是，TVR的专业人员需要接受这种理解，因为他们的服务未被体验为包含这些要素。
