The meaning and importance of employment to people in recovery from serious mental illness: Results of a qualitative study
The meaning and importance of employment to people in recovery from serious mental illness: Results of a qualitative study
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DOI：
10.2975/32.1.2008.59.62
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发表时间：
2008-06-01
影响因子：
1.9
通讯作者：
Rogers, E. Sally
中科院分区：
文献类型：
--
作者：
Dunn, Erin C.;Wewiorski, Nancy J.;Rogers, E. Sally
目的：鉴于精神障碍患者的失业率和就业不足率很高，只有少数研究调查了工作在严重精神疾病康复期间取得职业成功的人的生活中所起的作用。本研究试图通过确定个体如何看待工作及其对康复的影响来补充现有文献。方法：我们有目的地招募中到高级康复水平的自我参照参与者，并对23名个体进行的半结构化访谈进行定性分析，以确定在严重精神疾病康复的背景下与工作相关的主题。结果：参与者描述了与有偿工作相关的无数积极好处，概念上涉及两个主要领域：工作具有个人意义和工作促进恢复。与会者讨论了工作如何培养自豪感和自尊心，提供经济利益，为精神症状提供应对策略，并最终促进康复进程。参与者还讨论了作为帮助者和消费者提供者工作的重要性和好处。结论：总体而言，个人报告称，就业在他们从精神疾病中恢复的过程中提供了显著的好处，工作在他们的生活和身份认同中发挥了核心作用。在为严重精神疾病患者制定就业或其他以康复为导向的计划时，应考虑这项研究的主题。
Objective: Given the high rates of unemployment and underemployment among individuals with psychiatric disabilities, only a small number of studies have investigated the role work has in the lives of people who have been successful vocationally during their recovery from serious mental illness. This study sought to add to existing literature by determining how individuals perceive work and its effect on their recovery.Methods: We purposefully recruited self-referred participants at moderate to advanced levels of recovery and qualitatively analyzed semi-structured interviews conducted with 23 individuals to identify themes related to work in the context of recovery from serious mental illness.Results: Participants described myriad positive benefits associated with paid employment, which conceptually fell across two main domains: work has personal meaning and work promotes recovery. Participants discussed the ways in which work fostered pride and self-esteem, offered financial benefits, provided coping strategies for psychiatric symptoms, and ultimately facilitated the process of recovery. Participants also discussed the importance and benefits associated with working in a helper-role and as consumer providers.Conclusions: Overall, individuals reported that employment conferred significant benefits in their process of recovery from mental illness and that work played a central role in their lives and identities. The themes from this study should be considered when developing employment or other recovery-oriented programs for people with serious mental illness.