Factors of Engagement in Employment or Education Following a First Episode of Psychosis: A Systematic Review and Narrative Synthesis

IF 3.3 3区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

International Journal of Psychology Pub Date : 2025-01-20 DOI:10.1002/ijop.70007

Michael Kavanagh, Andrew Moore, Catherine Fassbender

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引用次数: 0

Abstract

Despite 75% of people who experience a first episode of psychosis (FEP) reaching clinical remission, this population continue to face lower rates of vocational recovery. This review aimed to identify the factors which help and hinder individuals' employment and post-secondary education engagement post-FEP. Three electronic databases (Psych INFO, Medline and Social Science Database) were searched up to 21st August 2023. Primary research on employment/education status or engagement within FEP populations ages 18–40 were included. A narrative synthesis was applied to the findings. Of the 10,575 articles screened, 18 were included in the final review. Younger age, non-affective psychotic diagnoses and stigma were identified as common barriers to engagement. Ceasing substance use and having family/financial support were reported as facilitators. Conflicting findings were reported as to the impact of positive and negative symptoms. The range of factors emerging from this review highlight several potential barriers and facilitators for individuals seeking employment or further education opportunities post-FEP. This underlines the need for further research into how and why they influence employment and educational outcomes, with a view to improving treatment outcomes by incorporating these factors into care planning.

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精神病首次发作后就业或教育投入的因素：系统回顾和叙事综合。

尽管75%经历过首次精神病发作（FEP）的人达到临床缓解，但这一人群继续面临较低的职业康复率。本综述的目的是找出有助于和阻碍个人就业和高等教育参与的因素。检索截止到2023年8月21日的三个电子数据库（Psych INFO、Medline和Social Science Database）。包括对18-40岁FEP人口的就业/教育状况或参与情况的初步研究。对调查结果进行了叙述综合。在筛选的10,575篇文章中，有18篇被纳入最终审查。年龄较小，非情感性精神病诊断和耻辱被认为是参与的常见障碍。据报告，停止药物使用和获得家庭/经济支持是促进因素。关于阳性和阴性症状的影响，报告的结果相互矛盾。本次审查中出现的一系列因素突出了个人在fep后寻求就业或进一步教育机会的几个潜在障碍和促进因素。这强调需要进一步研究这些因素如何以及为什么影响就业和教育成果，以期通过将这些因素纳入护理规划来改善治疗结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.40

自引率

0.00%

发文量

期刊介绍： The International Journal of Psychology (IJP) is the journal of the International Union of Psychological Science (IUPsyS) and is published under the auspices of the Union. IJP seeks to support the IUPsyS in fostering the development of international psychological science. It aims to strengthen the dialog within psychology around the world and to facilitate communication among different areas of psychology and among psychologists from different cultural backgrounds. IJP is the outlet for empirical basic and applied studies and for reviews that either (a) incorporate perspectives from different areas or domains within psychology or across different disciplines, (b) test the culture-dependent validity of psychological theories, or (c) integrate literature from different regions in the world.