A Qualitative Study of Career Exploration Among Young Adult Men With Psychosis and Co- occurring Substance Use Disorder
A Qualitative Study of Career Exploration Among Young Adult Men With Psychosis and Co- occurring Substance Use Disorder
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DOI：
10.1080/15504263.2014.962337
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发表时间：
2014-01-01
影响因子：
2.2
通讯作者：
Carpenter-Song, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Luciano, Alison;Carpenter-Song, Elizabeth A.
目的：本文探讨了职业探索和职业发展的意义和重要性，在综合治疗的背景下，年轻的成年人与早期精神病和物质使用障碍（即，共同发生的疾病）。研究方法：12名从综合治疗中心招募的患有共病的年轻成年男性（年龄18至35岁）完成了一系列的三个半结构化的深入定性访谈。逐字转录数据，并使用专题分析进行分析。有目的的抽样确保参与者代表了一系列药物滥用治疗阶段。结果：参与者的平均年龄为26岁（SD = 3），被确定为白色。三分之二的参与者（n = 8，67%）被诊断为精神分裂症谱系障碍，三人（25%）患有双相情感障碍，一人（8%）患有重度抑郁症;四人（33%）同时患有焦虑症。最常见的物质使用障碍涉及大麻（n = 8，67%）、可卡因（n = 5，42%）和酒精（n = 5，42%）。这些患有并发症的年轻成年男性将过去的工作描述为与未来目标不一致的令人沮丧和失去权力，而不是建立信心。大多数年轻的成年参与者开始通过面向未来的工作或学校实习积极发展自己的职业生涯。他们追求雄心勃勃的职业目标，尽管零星的就业和教育历史。治疗参与度和满意度似乎与职业发展前景有关。结论：将职业规划纳入社会心理治疗是为患有并发症的年轻人提供服务的提供者的一项关键任务。将职业规划纳入早期干预治疗计划是否会改善临床，功能或经济结果，是康复研究人员和临床医生调查的一个有前途的领域。
Objective: This article explores the meaning and importance of career exploration and career development in the context of integrated treatment for young adults with early psychosis and substance use disorders (i.e., co-occurring disorders). Methods: Twelve young adult men (aged 18 to 35years) with co-occurring disorders recruited from an integrated treatment center completed a series of three semi-structured in-depth qualitative interviews. Data were transcribed verbatim and analyzed using thematic analysis. Purposive sampling ensured participants represented a range of substance abuse treatment stages. Results: Participants had a mean age of 26 (SD = 3) and identified as White. Two-thirds of participants (n = 8, 67%) had diagnosed schizophrenia-spectrum disorders, three (25%) had bipolar disorder, and one (8%) had major depression; four (33%) also had a co-occurring anxiety disorder. The most common substance use disorders involved cannabis (n = 8, 67%), cocaine (n = 5, 42%), and alcohol (n = 5, 42%). These young adult men with co-occurring disorders described past jobs that did not align with future goals as frustrating and disempowering, rather than confidence-building. Most young adult participants began actively developing their careers in treatment through future-oriented work or school placements. They pursued ambitious career goals despite sporadic employment and education histories. Treatment engagement and satisfaction appeared to be linked with career advancement prospects. Conclusions: Integrating career planning into psychosocial treatment is a critical task for providers who serve young adults with co-occurring disorders. Whether integrating career planning within early intervention treatment planning will improve clinical, functional, or economic outcomes is a promising area of inquiry for rehabilitation researchers and clinicians.