对双相情感障碍I型患者职业康复过程的策略:一种定性研究
J Koene1,2, E Maassen3, N van Lang4
1University of Applied Sciences Leiden, Leiden, The Netherlands. koene.j@hsleiden.nl.
International journal of bipolar disorders
|March 20, 2025
概括
患有双相情感障碍 (BD) 的人使用组织工作,自我调节和支持职业恢复策略. 最有效的策略取决于复苏是经过事件后的还是长期的过程.
科学领域:
- 精神病学是一个精神病学.
- 职业疗法 职业疗法 职业疗法
- 心理学 心理学 心理学
背景情况:
- 对于患有双相情感障碍 (BD) 的人来说,就业是一个重大挑战,其特点是高失业率和工作场所困难.
- 职业恢复对于整体的BD恢复至关重要,但该领域的定性研究是有限的.
- 了解BD中职业功能自我调节策略至关重要.
研究的目的:
- 探索双相I型精神障碍 (BD-I) 患者和同行支持工作者在职业运作中使用的自我调节策略.
- 为患有BD-I的个人开发职业恢复策略的概念模型.
- 了解BD-I患者的职业康复过程.
主要方法:
- 采用构造主义基础理论原则的定性研究.
- 采访了21名患有BD-I的患者和15名同行支持工作者.
- 通过开放式,轴向式和选择性编码进行数据分析.
主要成果:
- 确定了三个主要的战略主题:组织工作,自我监管行动和寻求支持.
- 开发了一个概念模型,说明了基于恢复阶段 (急性发作与长期恢复) 的策略使用.
- 发现战略的有效性取决于恢复过程的类型.
结论:
- 患有BD-I的个人经历了两种形式的与工作相关的恢复:急性事件后和作为持续的生活过程.
- 三种不同的策略类型有助于为患有BD-I的个人建立合适的就业机会.
- 选择有利的策略可能取决于具体的复苏轨迹.
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