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Assistance Publique des hôpitaux de Marseille-Service de Médecine et Santé au Travail-264 rue Saint Pierre, Marseille, France.
Assistance Publique des hôpitaux de Marseille-Service de Psychiatrie-270 boulevard Sainte Marguerite, Marseille, France.
Scand J Psychol. 2023 Apr;64(2):171-178. doi: 10.1111/sjop.12876. Epub 2022 Oct 28.
At least half of people with bipolar disorder, whose global prevalence is greater than 1% of the general population, do not have a stable occupation. The objective of this study is to identify the factors perceived by bipolar people as having an impact on retention in employment. Semi-directed individual interviews were offered to subjects with bipolar disorder, of working age, who had been seen by three different hospital departments in the south of France. These people had to be medically stable and have at least one occupational experience. Each interview was recorded and transcribed manually and then analyzed according to a thematic classification of verbatims. Nineteen people participated in the interviews. Three major themes identified were classified into intrinsic (working routine and working environment) and extrinsic (external aids) factors for the bipolar person. The majority believe that working regular hours is a balancing factor. For everyone, night work and stress factors can lead to relapses. All stressed the need to destigmatize the disease. Most believe that it is necessary to develop employment support organizations specific to mental illnesses. This research helps to inform people with bipolar disorder about the occupational factors that help balance their condition. Personalized multidisciplinary care pathways involving occupational medicine must be developed in order to promote the balance of the disease and job retention.
双相情感障碍在全球的患病率超过总人口的1%，至少半数患者没有稳定的职业。本研究的目的是确定双相情感障碍患者认为对维持就业有影响的因素。对法国南部三个不同医院科室诊治过的、处于工作年龄的双相情感障碍患者进行了半定向个人访谈。这些患者必须病情稳定且至少有一次职业经历。每次访谈都进行了录音并手动转录，然后根据逐字记录的主题分类进行分析。19人参与了访谈。确定的三个主要主题分为双相情感障碍患者的内在因素（工作常规和工作环境）和外在因素（外部援助）。大多数人认为规律的工作时间是一个平衡因素。对每个人来说，夜班和压力因素都可能导致病情复发。所有人都强调需要消除对这种疾病的污名化。大多数人认为有必要建立专门针对精神疾病的就业支持组织。这项研究有助于让双相情感障碍患者了解有助于平衡其病情的职业因素。必须制定涉及职业医学的个性化多学科护理途径，以促进病情的平衡和保住工作。
