Allied Health & Human Performance Academic Unit, University of South Australia, Adelaide, Australia.
Caring Futures Institute, Flinders University, Bedford Park, SA, Australia.
Int J Soc Psychiatry. 2023 Dec;69(8):1845-1855. doi: 10.1177/00207640231189424. Epub 2023 Jul 27.
Employment is an important social determinant of health and is associated with positive health outcomes. However, individuals who have been diagnosed with borderline personality disorder (BPD) are significantly underrepresented in the workforce. Whilst there is an array of evidence based therapeutic interventions, there remains a gap in knowledge regarding the most effective ways to enhance employment outcomes for people with a diagnosis of BPD.
To explore employment interventions for people with BPD, map the available evidence and identify key concepts and knowledge gaps.
A scoping review was conducted to identify and map the relevant literature. Findings were summarised using a narrative approach. Consultation was provided by a reference group including peer support workers with lived experience of BPD and mental health clinicians.
Seven articles met the inclusion criteria, including non-randomised and case study/series designs and a randomised controlled trial protocol, with participant numbers generally low. All programmes combined a psychotherapeutic component with work related goals; however, there were notable differences in relation to the conceptual/theoretical approach of the psychotherapeutic component and delivery of the work-related components. Barriers and enablers to programme participation and success are explored.
This review provides important insights into the characteristics of vocational rehabilitation interventions for people diagnosed with BPD. The findings will inform the co-production of approaches to support people with BPD to engage in employment.
就业是健康的一个重要社会决定因素，与积极的健康结果有关。然而，被诊断患有边缘型人格障碍（BPD）的个体在劳动力中明显代表性不足。尽管有一系列基于证据的治疗干预措施，但关于最有效地提高 BPD 诊断患者的就业结果的方法，知识仍然存在差距。
探索针对 BPD 患者的就业干预措施，绘制现有证据图，并确定关键概念和知识空白。
进行了范围综述，以确定和绘制相关文献。使用叙述方法总结研究结果。参考小组提供了咨询服务，其中包括具有 BPD 和心理健康临床经验的同行支持工作者。
有 7 篇文章符合纳入标准，包括非随机和病例研究/系列设计以及随机对照试验方案，参与者人数普遍较少。所有方案都将心理治疗部分与与工作相关的目标结合在一起；然而，心理治疗部分的概念/理论方法和工作相关部分的实施存在显著差异。探讨了参与项目和成功的障碍和促进因素。
本综述提供了有关针对 BPD 患者的职业康复干预措施特征的重要见解。研究结果将为支持 BPD 患者参与就业的方法的共同制定提供信息。
