Work-related Subjective Experiences, Work-related Self-efficacy and Vocational Status among Urban Residents with Schizophrenia or Schizoaffective Disorder

Waghorn, Geoffrey R. M. (2005). Work-related Subjective Experiences, Work-related Self-efficacy and Vocational Status among Urban Residents with Schizophrenia or Schizoaffective Disorder PhD Thesis, School of Medicine, University of Queensland.

       
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Author Waghorn, Geoffrey R. M.
Thesis Title Work-related Subjective Experiences, Work-related Self-efficacy and Vocational Status among Urban Residents with Schizophrenia or Schizoaffective Disorder
School, Centre or Institute School of Medicine
Institution University of Queensland
Publication date 2005
Thesis type PhD Thesis
Supervisor Dr. Robert King
Abstract/Summary Background: Subjective experiences perceived to impact on employment and self-efficacy for core activities required in psychiatric vocational rehabilitation, were identified as alternative sources to diagnostic information, potentially more suitable for routine use in psychiatric vocational rehabilitation. Aims: The main aim was to investigate the hypothesis that the relationship between work-related subjective experiences and vocational status is mediated by work-related self-efficacy, after controlling for the influences of other known demographic and clinical correlates of vocational status. Methods: A measure of subjective experiences perceived to impact on employment was developed in two pilot studies. This, and a second measure of work-related self-efficacy, were then used in a 12 month longitudinal investigation. The work-related self-efficacy construct consisted of self-efficacy for the core activities required throughout vocational rehabilitation. A measure of vocational status and socially-valued role functioning was also developed as a sensitive outcome variable. Baseline measures (n1 = 104) were repeated at 6 months (n2 = 94) and 12 months (n3 = 94). Results: All three measures had adequate preliminary psychometric properties and promising utility. Work-related subjective experiences and work-related self-efficacy were consistently associated with both current employment and vocational status after controlling for known correlates of vocational status. Work-related self-efficacy appeared to mediate the relationship between work-related subjective experiences and vocational status. Conclusions: Work-related subjective experiences and work-related self-efficacy have promising practical and theoretical implications for psychiatric vocational rehabilitation. Classifying socially-valued role functioning in vocational rehabilitation and community mental health care settings appears to help individuals set role priorities and personal role recovery goals, and can be used to monitor the progress of individuals or groups either within single role domains or across multiple socially-valued roles.

 
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Created: Fri, 21 Nov 2008, 14:26:23 EST