Ørtenblad Lisbeth, Olsen Birthe Bruun, Vernal Ditte Lammers, Pedersen Pernille
DEFACTUM, Central Denmark Region, Aarhus, Denmark.
Department of Psychosis, Aarhus University Hospital, Aarhus, Denmark.
Soc Psychiatry Psychiatr Epidemiol. 2025 Jan 24. doi: 10.1007/s00127-025-02816-4.
Work holds significant value in the lives of most individuals, impacting various aspects such as identity, health, and the economy. However, young individuals with schizophrenia often encounter challenges in accessing and maintaining employment. Despite this, knowledge regarding their experiences with labor market is sparse. The study aimed to explore perspectives on labor market affiliation and vocational intervention in relation to quality of life and health among young people with schizophrenia.
A qualitative approach was employed, applying individual interviews as data collection method. Twelve patients with first episode of schizophrenia were recruited from two outpatient clinics. Thematic analysis was used, following an inductive process. A user panel was established to ensure quality and relevance of the study.
Three key themes were identified from the analysis: 1. "Work is simultaneously rewarding and demanding", highlighting the struggle to balance the benefits of employment with the difficulties of meeting labor market requirements; 2. "Mental health, stigma and work: A complex interplay", which concerned how work simultaneously contributes to stress and reduces psychiatric symptoms; 3. "Supported employment: Facilitating work-life balance", concerning how supported employment intervention facilitated a better work-life balance, enhancing overall quality of life, under specific conditions.
Young individuals with schizophrenia are highly motivated to work, yet encounter significant barriers to labour market participation, related both to their mental health condition and societal stigma. Supported employment programmes emerge as crucial in empowering individuals with schizophrenia to navigate the complexities of the labour market while managing their mental health effectively.
工作在大多数人的生活中具有重要价值，影响身份认同、健康和经济等各个方面。然而，患有精神分裂症的年轻人在获得和维持就业方面往往面临挑战。尽管如此，关于他们在劳动力市场经历的知识却很匮乏。本研究旨在探讨精神分裂症青年在劳动力市场归属和职业干预方面对生活质量和健康的看法。
采用定性研究方法，以个人访谈作为数据收集方法。从两家门诊诊所招募了12名首次发作精神分裂症的患者。采用归纳法进行主题分析。成立了一个用户小组以确保研究的质量和相关性。
分析确定了三个关键主题：1. “工作既有益又有要求”，强调在平衡就业好处与满足劳动力市场要求的困难方面的挣扎；2. “心理健康、污名与工作：复杂的相互作用”，涉及工作如何既造成压力又减轻精神症状；3. “支持性就业：促进工作与生活的平衡”，涉及支持性就业干预如何在特定条件下促进更好的工作与生活平衡，提高整体生活质量。
患有精神分裂症的年轻人工作积极性很高，但在劳动力市场参与方面遇到重大障碍，这与他们的心理健康状况和社会污名都有关。支持性就业计划对于帮助精神分裂症患者在有效管理心理健康的同时应对劳动力市场的复杂性至关重要。
