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MEANING OF WORK FOR YOUNG ADULTS WITH SCHIZOPHRENIA

工作对于患有精神分裂症的年轻人的意义

基本信息

批准号：
6012469
负责人：
DEBORAH Irene Gioia
金额：
$ 2.28万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-08-01 至 2000-07-31
项目状态：
已结题

项目摘要

Vocational rehabilitation and supported employment services for young adults with schizophrenia have not produced encouraging rates of employment. Labor force participation has been fixed at less than 25% despite rehabilitation services and passage of the Americans with Disabilities Act (1990). Prior studies indicate that medication, psychosocial services, employment policies, family and social support, and employment history contribute to work re-entry but rates of competitive employment still remain low. Large sample studies have not fully aided understanding of the complex phenomenon of return to work; therefore this study will analyze individual themes from a small working competitively. Additional cross-sectional data of symptom and subject variables will also be analyzed Factors that explain what enables return to the workplace are not well defined. Rather than focus on prior employment as a single predictor of work re-entry, this combined qualitative and quantitative study will focus on multiple antecedents of workplace success. Understanding the domains of work (i.e. motivation for work, internal and external resources) from an individual point of view will contribute knowledge about beliefs, values, and capacity for work, contributions of rehabilitation services, and utilization of workspace supports. Qualitative inquiry, as the principal methodology of the study, is uniquely suited to answer this research question. Twenty medically stabilized young adults with a range of pre-morbid work history who are currently working competitively or seeking work will be interviewed over three 1 1/2 hour sessions. The narrative description of work obtained through semi-structured interviews will comprise a text based data bank within which rigorous analysis can occur utilized grounded theory principals which will attest to the adequacy, trustworthiness, and appropriateness of the data to the emerging theory. Important implications for the study include bridging the unique perspective of the individual with the existing knowledge of design and delivery of vocational rehabilitation services, including case management, which have not been captured by prior studies. Emergent interview themes focused on the domains of motivation, which have not even captured by prior studies. Emergent interview themes focused on the domains of motivation, pre-morbid work experience, effects of symptoms on work functioning, internal and external resources, work accommodations, quality of life, and workplace supports will contribute to understanding the heterogeneity of work outcome for this population and guide future research.

为精神分裂症青年提供的职业康复和就业支助服务并没有产生令人鼓舞的就业率。尽管提供康复服务并通过了《美国残疾人法》（1990年），但劳动力参与率一直固定在25%以下。先前的研究表明，药物治疗、心理社会服务、就业政策、家庭和社会支持以及就业历史有助于重返工作岗位，但竞争性就业的比率仍然很低。大样本研究并不能完全帮助理解重返工作岗位的复杂现象；因此，本研究将分析个别主题从一个小的工作竞争。还将分析症状和受试者变量的其他横截面数据，解释导致重返工作场所的因素尚未得到很好的定义。这项定性和定量结合的研究将重点放在职场成功的多个先决条件上，而不是把以前的工作作为重新就业的单一预测因素。从个人角度理解工作领域（即工作动机，内部和外部资源）将有助于了解信念，价值观和工作能力，康复服务的贡献以及工作空间支持的利用。定性调查，作为研究的主要方法，是唯一适合回答这个研究问题。20名医学上稳定的年轻人，他们有一系列病态前的工作经历，目前正在竞争激烈的工作或正在寻找工作，他们将接受三个一个半小时的面试。通过半结构化访谈获得的工作叙述性描述将包括一个基于文本的数据库，在这个数据库中，可以利用基于理论的原则进行严格的分析，这些原则将证明数据对新兴理论的充分性、可信度和适当性。这项研究的重要意义包括将个人的独特视角与现有的职业康复服务的设计和提供知识（包括案例管理）联系起来，这是以前的研究没有涉及到的。紧急访谈主题关注的是动机领域，这是之前的研究都没有涉及到的。紧急访谈主题集中在动机、病前工作经验、症状对工作功能的影响、内部和外部资源、工作住宿、生活质量和工作场所支持等领域，将有助于理解这一人群工作结果的异质性，并指导未来的研究。