返回工作或不返回工作:通往精神障碍和返回的路径
Päivi Rissanen1, Sami Pirkola2,3, Turkka Näppilä4
1Faculty of Social Sciences (Unit of Health Sciences), Tampere University, Arvo Ylpön Katu 34, 33520, Tampere, Finland. paivi.rissanen@tuni.fi.
Journal of occupational rehabilitation
|August 11, 2025
概括
许多获得临时精神障碍养老金 (DP) 的个人仍然残疾或重新失业. 重返工作是有助于稳定的职业生涯,教育和康复,特别是对于需要教育支持的年轻人.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 社会科学 社会科学 社会科学
背景情况:
- 在欧洲,与心理健康相关的工作残疾人正在增加.
- 促进工作能力的努力取得了有限的成功.
- 了解精神疾病残疾后的职业发展轨迹至关重要.
研究的目的:
- 检查精神病残疾养老金 (DP) 之前和之后的职业地位变化.
- 确定影响重返工作或持续残疾的因素.
- 探索退休人员之间的社会经济和健康相关差异.
主要方法:
- 在芬兰 (2010-2012) 首次获得精神病学DP的18373名个人的分析.
- 序列分析以集群临时或永久DP之前和之后的职业状态.
- 多项式回归用于比较九个已识别的组中的因素.
主要成果:
- 确定了三个典型的临时养老金领取者群体:稳定工作,失业和混合状态.
- 74%的临时DP受益者仍然残疾,17%的受益者重新开始工作,8%的受益者失业.
- 促进重返工作的因素包括稳定的职业生涯,高等教育,心理治疗和康复. 患有严重疾病和教育程度较低的年轻人面临更高的长期残疾风险.
结论:
- 与失业,健康状况不佳,教育水平低和康复失败相关的不利周期存在于临时DP受益者中.
- 患有严重精神障碍的年轻人需要综合康复和教育支持.
- 需要有针对性的干预措施来提高劳动能力,减少这一群体的长期残疾.
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