Orygen; Centre for Youth Mental Health, University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia.
Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia.
Psychiatr Q. 2021 Dec;92(4):1565-1579. doi: 10.1007/s11126-021-09931-w. Epub 2021 Jun 7.
People with Bipolar Disorder (BD) consistently report a desire for employment; however, this is not reflected in employment figures. Individuals' perceptions of barriers to employment, along with endorsement of facilitators to employment remain under-investigated. We aimed to address this limitation by: (i) first examining differences in employed versus unemployed individuals (demographic, clinical, functioning); then (ii) identifying barriers and/or facilitators to employment, perception of same, and subsequent impact on employment. We assessed demographics, functioning, and illness-related characteristics in 35 participants with BD (19 employed, 16 unemployed). Participants were asked to indicate perception of common barriers and facilitators to employment. Groups did not differ regarding demographic or clinical variables. High levels of absenteeism, termination of last role and commonly perceived barriers were attributed to mental ill-health. 93.3% of unemployed participants reportedly desired employment, and more perceived barriers were observed in the unemployed group. Identified facilitators included increased support and flexible work strategies. A comprehensive understanding of perceptions of limiting and helpful factors related to employment for people with BD was obtained. These findings have implications for service provision, encouraging targeted discussion, and tailored treatment approaches to individual's unique perceptions of factors related to employment.
双相情感障碍患者（BD）一致表示希望就业；然而，这并未反映在就业数据中。个体对就业障碍的看法，以及对就业促进因素的认可，仍未得到充分研究。我们旨在通过以下方法解决这一局限性：（i）首先检查就业与失业个体（人口统计学、临床、功能）之间的差异；然后（ii）确定就业障碍和/或促进因素、对其的看法，以及对就业的后续影响。我们评估了 35 名双相情感障碍患者（19 名就业，16 名失业）的人口统计学、功能和与疾病相关的特征。要求参与者表明对常见就业障碍和促进因素的看法。两组在人口统计学或临床变量方面没有差异。较高的缺勤率、上一份工作的终止以及普遍认为的障碍归因于心理健康不佳。93.3%的失业参与者表示希望就业，失业组观察到更多的障碍。确定的促进因素包括增加支持和灵活的工作策略。全面了解了双相情感障碍患者对与就业相关的限制因素和有益因素的看法。这些发现对服务提供具有重要意义，鼓励针对个体对与就业相关因素的独特看法进行有针对性的讨论和个性化治疗方法。
