Abstract
Vocational activity holds many benefits for people with severe mental illness. The purpose of the present study is to explore potential benefits of vocational activity on self-esteem and benefits as described by employment specialists. Data from 148 adults with schizophrenia spectrum disorders participating in a comprehensive vocational rehabilitation program was collected as part of the Job Management Program (JUMP) study. Assessments were conducted at inclusion, post intervention (10 months) and 2 years after inclusion. Multiple regressions and mixed between-within subjects analysis of variance were applied to assess potential effects of vocational activity on self-esteem as measured by the Rosenberg Self-Esteem Scale. One hundred and twenty-one reports submitted by the employment specialists post intervention were assessed through a qualitative approach based on thematic analysis. Statistical analyses indicate that vocational activity might be beneficial for self-esteem. Qualitative analysis indicate that vocational activity may provide opportunities for experiencing capability, achievement, and positive social interaction, and be beneficial for well-being, self-confidence, and self-esteem. Vocational activity may be beneficial for well-being and self-esteem among people with schizophrenia spectrum disorders. Statistical analysis indicate that vocational activity may have a positive effect on self-esteem, and there was a non-significant trend indicating that competitive employment may be particularly favourable. However, more research is needed regarding potential differences in effect between types of vocational activity.