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基于努力的决策作为精神疾病中受支持就业结果的决定因素
Thanh P Le1, Michael F Green2, Jonathan K Wynn2
1Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, CA, United States of America; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States of America; Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, United States of America.
基于努力的决策任务,如气球任务,预测了对精神分裂症患者的个人安置和支持 (IPS) 服务的参与. 提高这些动机技能可能会提高求职成功率.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
背景情况:
- 精神分裂症显著影响就业和经济稳定.
- 个人安置和支持 (IPS) 改善了精神疾病患者的就业结果,但面临着参与挑战.
- 传统的动机评估可能无法完全捕捉影响IPS参与的因素.
研究的目的:
- 调查基于努力的决策 (EBDM) 任务绩效与IPS参与之间的关系.
- 确定EBDM表现是否解释了IPS参与度的差异,而不仅仅是基于面试的动机缺陷.
- 探索基于绩效的激励措施在支持就业中的有用性.
主要方法:
- 一个由47名患有精神疾病的个体组成的样本完成了基线面试基于动机的评估和三个EBDM任务 (身体和认知努力).
- IPS参与度以前四个月参加的会议数量来衡量.
- 使用回归分析来检查EBDM业绩对IPS参与的预测能力.
主要成果:
- 在EBDM任务上的表现,特别是气球任务,显著预测了IPS的参与.
- 除了基于面试的动机之外,EBDM业绩在IPS参与度的变异中占了额外的17%.
- 这两种激励措施所解释的总差异为24%.
结论:
- 基于努力的决策缺陷可能是限制参与支持就业的关键因素.
- 基于绩效的动机评估为治疗参与提供了有价值的见解.
- 针对EBDM技能可以提高IPS参与度,并改善精神分裂症患者的职业成果.
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