Systematic review of beliefs, behaviours and influencing factors associated with disclosure of a mental health problem in the workplace.
Systematic review of beliefs, behaviours and influencing factors associated with disclosure of a mental health problem in the workplace.
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DOI：
10.1186/1471-244x-12-11
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发表时间：
2012-02-16
期刊：
影响因子：
4.4
通讯作者：
Thornicroft G
中科院分区：
文献类型：
--
作者：
Brohan E;Henderson C;Wheat K;Malcolm E;Clement S;Barley EA;Slade M;Thornicroft G
羞辱和歧视是有精神健康问题的个人寻找和保持工作的一个重要障碍。本文回顾了以下方面的证据：1）有心理健康问题的人的就业相关披露信念和行为; 2）与就业环境中心理健康问题披露相关的因素; 3）雇主是否不太可能雇用披露心理健康问题的申请人;以及4）影响雇主雇用有心理健康问题的求职者的信念和行为的因素。使用8个书目数据库对1990-2010年期间进行了系统评价。元民族志被用来提供一个主题的理解的披露，信仰和个人的心理健康问题的行为。检索得到8，971个条目，系统性地减少到48项纳入研究。16个定性，混合方法和7个定量研究包含的证据披露的信念和行为的人与精神健康问题，以及与这些信念和行为的因素。在元民族志中，产生了四个上级主题：1）歧视的期望和经历; 2）不披露的其他原因; 3）披露的原因;和4）披露维度。两项定性研究、一项混合研究和22项定量研究提供了数据，从雇主的角度解决了其余两个问题。通过从就业互动双方的个人角度提供证据，本文综述了披露心理健康问题对就业结果的影响。
Stigma and discrimination present an important barrier to finding and keeping work for individuals with a mental health problem. This paper reviews evidence on: 1) employment-related disclosure beliefs and behaviours of people with a mental health problem; 2) factors associated with the disclosure of a mental health problem in the employment setting; 3) whether employers are less likely to hire applicants who disclose a mental health problem; and 4) factors influencing employers' hiring beliefs and behaviours towards job applicants with a mental health problem. A systematic review was conducted for the period 1990-2010, using eight bibliographic databases. Meta-ethnography was used to provide a thematic understanding of the disclosure beliefs and behaviours of individuals with mental health problem. The searches yielded 8,971 items which was systematically reduced to 48 included studies. Sixteen qualitative, one mixed methods and seven quantitative studies were located containing evidence on the disclosure beliefs and behaviours of people with a mental health problem, and the factors associated with these beliefs and behaviours. In the meta-ethnography four super-ordinate themes were generated: 1) expectations and experiences of discrimination; 2) other reasons for non-disclosure; 3) reasons for disclosure; and 4) disclosure dimensions. Two qualitative, one mixed methods and 22 quantitative studies provided data to address the remaining two questions on the employers perspective. By presenting evidence from the perspective of individuals on both sides of the employment interaction, this review provides integrated perspective on the impact of disclosure of a mental health problem on employment outcomes.