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探索失业期间心理健康和应对的真实体验。

Exploring the lived experience of mental health and coping during unemployment.

机构信息

Black Dog Institute, Faculty of Medicine and Health, University of New South Wales, Hospital Rd, Randwick, NSW, 2031, Sydney, Australia.

出版信息

BMC Public Health. 2022 Dec 28;22(1):2451. doi: 10.1186/s12889-022-14858-3.

Abstract

BACKGROUND

Unemployment is known to involve various psychosocial challenges that can negatively impact mental health. However, the intricacies of how individuals experience these challenges and strive to cope within the context of varied sociocultural and individuating factors, remain comparatively understudied. The present qualitative study used an interpretative phenomenological approach to explore the lived experiences of mental health and coping during unemployment.

METHODS

Fifteen Australian adults who had recently experienced unemployment (for ≥3 months in the last 2 years), despite being available for and able to work, participated in semi-structured interviews from August to September 2021. Maximum variation sampling ensured participants represented diverse sociodemographic backgrounds. Interviews were audio-recorded, transcribed verbatim and analysed using reflexive thematic analysis within NVivo12 software.

RESULTS

Four major themes were identified: 1) disrupted identity and direction in life; 2) navigating conflicting views of contribution and progress; 3) knowing how to cope is not enough; and 4) unemployment as a catalyst for new understandings. Unemployment disrupted participants' sense of purpose, identity and visions for the future. It signified a perceived failure to meet societal standards of value based upon the economic functions of work, which participants struggled to reconcile with their own priorities for work that satisfied psychosocial needs. Participants were aware of effective coping strategies, although these had mixed positive and negative effects on mental health, or were difficult to mobilise during unemployment. The COVID-19 pandemic, while normalising unemployment to some degree, exacerbated future uncertainty and prevented engagement with known coping strategies (e.g., social interaction). However, unemployment could also instigate growth through re-defining markers of achievement, re-aligning goals with one's core values, and developing greater compassion.

CONCLUSIONS

Experiences of mental health and coping during unemployment share complex relationships both with each other and with broader personal and sociocultural contexts. Service providers may better meet the mental health needs of those experiencing unemployment by balancing the economic and psychosocial functions of work, understanding that coping is a wholistic issue that goes beyond knowledge of effective strategies, and being aware of the opportunities for self-development that unemployment can create.

摘要

背景

众所周知,失业涉及各种心理社会挑战,这些挑战可能对心理健康产生负面影响。然而,个体在不同的社会文化和个体因素背景下体验这些挑战并努力应对的复杂性,相对而言研究较少。本定性研究采用解释现象学方法探讨了失业期间心理健康和应对的生活体验。

方法

2021 年 8 月至 9 月,15 名澳大利亚成年人(在过去 2 年内失业时间≥3 个月,但有能力且能够工作)参加了半结构化访谈。最大差异抽样确保参与者代表了不同的社会人口统计学背景。访谈采用 NVivo12 软件进行了反思主题分析的录音、逐字转录和分析。

结果

确定了四个主要主题:1)生活中身份和方向的中断;2)应对贡献和进步的冲突观点;3)知道如何应对还不够;4)失业是新理解的催化剂。失业中断了参与者的目标感、身份认同和对未来的愿景。这意味着未能满足基于工作经济功能的社会价值观,参与者努力调和这些价值观与自己满足心理需求的工作优先事项。参与者了解有效的应对策略,尽管这些策略对心理健康有积极和消极的影响,或者在失业期间难以调动。新冠疫情在一定程度上使失业正常化,但加剧了未来的不确定性,并阻止了人们参与已知的应对策略(例如,社会互动)。然而,失业也可以通过重新定义成就的标志、将目标与核心价值观重新对齐以及培养更大的同情心来实现个人成长。

结论

失业期间心理健康和应对的体验彼此之间以及与更广泛的个人和社会文化背景之间存在复杂的关系。服务提供者可以通过平衡工作的经济和心理社会功能、理解应对是一个超越有效策略知识的整体性问题以及意识到失业可能带来的自我发展机会,更好地满足那些失业者的心理健康需求。

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