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精神卫生服务使用者弱势群体的工作经历、资源和信念。

Work experiences, resources, and beliefs among vulnerable subgroups of mental health care users.

机构信息

Department of Health Sciences, Lund University, Lund, Sweden.

Department of Psychology and Department of Health Sciences, Lund University, Lund, Sweden.

出版信息

Work. 2021;70(1):125-134. doi: 10.3233/WOR-213559.

DOI:10.3233/WOR-213559
PMID:34487010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8673540/
Abstract

BACKGROUND

People with mental illness may have difficulties related to work and employment, especially if they experience additional difficult life situations.

OBJECTIVE

To explore how subgroups with mental illness and additional adversities perceived their situation with respect to work and employment prospects.

METHODS

Three subgroups were included, exposed to an additional difficult life situation: i) psychosis interrupting their career development at young age (n = 46), ii) having a history of substance use disorder (SUD) (= 57) or iii) having recently immigrated (n = 39). They responded to questionnaires addressing sociodemographics, work-related factors, everyday activity, and well-being. A professional assessed their level of functioning and symptom severity.

RESULTS

The young people with psychosis had a low education level, little work experience, the poorest worker role resources, and a low level of functioning, but a high quality of life. The SUD group had the fewest work experiences, were the least satisfied with work experiences, and had the lowest activity level, but had the least severe psychiatric symptoms. The immigrant group had severe psychiatric symptoms, but high ratings on work experiences, work resources, and activity level.

CONCLUSIONS

Each group presented unique assets and limitations pertaining to work and employment, suggesting that they also needed unique support measures.

摘要

背景

患有精神疾病的人可能在工作和就业方面存在困难,尤其是在他们面临额外的困难生活情况时。

目的

探讨患有精神疾病和额外逆境的亚组人群如何看待他们在工作和就业前景方面的情况。

方法

纳入了三个亚组,他们面临额外的困难生活情况:i)精神疾病中断了他们年轻时的职业发展(n = 46);ii)有药物使用障碍史(n = 57);或 iii)最近移民(n = 39)。他们回答了关于社会人口统计学、与工作相关的因素、日常活动和幸福感的问卷。一名专业人员评估了他们的功能水平和症状严重程度。

结果

患有精神疾病的年轻人教育程度低,工作经验少,工作角色资源最差,功能水平低,但生活质量高。药物使用障碍组工作经验最少,对工作经验最不满意,活动水平最低,但精神症状最不严重。移民群体有严重的精神症状,但对工作经历、工作资源和活动水平的评价很高。

结论

每个群体在工作和就业方面都有独特的优势和限制,这表明他们还需要独特的支持措施。

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