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DSM-IV-TR Axes-I and II mental disorders in a representative and referred sample of unemployed youths – Results from a psychiatric liaison service in a job centre

Published online by Cambridge University Press:  15 April 2020

V. Reissner ,
B. Mühe ,
S. Wellenbrock ,
O. Kuhnigk ,
B. Kis ,
H. Dietrich  and
J. Hebebrand
V. Reissner*
Affiliation:
University of Duisburg-Essen, Department of Child and Adolescent Psychiatry and Psychotherapy, Wickenburgstr. 21, 45147Essen, Germany
B. Mühe
Affiliation:
University of Duisburg-Essen, Department of Child and Adolescent Psychiatry and Psychotherapy, Wickenburgstr. 21, 45147Essen, Germany
S. Wellenbrock
Affiliation:
University of Duisburg-Essen, Department of Child and Adolescent Psychiatry and Psychotherapy, Wickenburgstr. 21, 45147Essen, Germany
O. Kuhnigk
Affiliation:
University of Hamburg, Clinic and Polyclinic for Psychiatry and Psychotherapy, Martinistr. 52, 20246Hamburg, Germany
B. Kis
Affiliation:
University of Duisburg-Essen, Department of Psychiatry and Psychotherapy, Virchowstr. 174, 45147Essen, Germany
H. Dietrich
Affiliation:
Institute for Employment Research, Regensburger Str. 104, 90478Nürnberg, Germany
J. Hebebrand
Affiliation:
University of Duisburg-Essen, Department of Child and Adolescent Psychiatry and Psychotherapy, Wickenburgstr. 21, 45147Essen, Germany
*
*Corresponding author. Tel.: +49 201 8707 466. E-mail address: [email protected] (V. Reissner).
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Abstract

Objectives:

Increased levels of anxiety, depression and alcohol abuse are associated with unemployment. This study compares both DSM-IV-TR Axis-I and Axis-II mental disorders between a representative and a referred sample of unemployed youths aged 16.0 to 24.9.

Methods:

One hundred subjects were randomly recruited on the premises of the vocational services centre in the urban region of Essen, Germany (representative sample, RS). One hundred and sixty-five subjects constituting the ‘clinical sample’ (CS) were preselected and referred by case managers to the on-site psychiatric liaison service. Structured Clinical Interviews for DSM-IV (SCID-I and -II), measures of psychopathology and health service utilization were administered.

Results:

Ninety-eight percent and 43% of CS and RS subjects fulfilled DSM-IV criteria for mental disorders. Mood-, anxiety- and substance-related disorders were the most common Axis-I disorders in both samples. Personality disorders were diagnosed significantly more frequently in the CS. Despite the more severe psychopathology in subjects with mental disorders from the CS compared to the RS, no differences were found for recent mental health service utilisation.

Conclusion:

Because the sample of unemployed youths referred by case managers was significantly more disturbed in psychiatric terms, such a pre-selection is deemed useful in conjunction with a psychiatric liaison service on the premise of a job centre.

Keywords

Youth unemploymentMental healthPersonality disorderHealth service utilisation
Type
Original articles
Information
European Psychiatry , Volume 29 , Issue 4 , May 2014 , pp. 239 - 245
Copyright
Copyright © European Psychiatric Association 2014

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References

Andrade, L., Caraveo-Anduaga, J.J., Berglund, P., Bijl, R.V., Kessler, R.C., Demler, O.et al.Cross-national comparisons of the prevalences and correlates of mental disorders. WHO International Consortium in Psychiatric Epidemiology. Bull World Health Organ 2000;78:413–426.Google Scholar
Beck, A.T., Steer, R.A., Garbin, M.G.Psychometric properties of the Beck Depression Inventory: 25 years of evaluation. Clin Psychol Rev 1988;8:77–100.CrossRefGoogle Scholar
Benavides, F.G., Garcia, A.M., Sez-Lloret, I., Librero, J.Unemployment and health in Spain: the influence of socio-economic environment. Eur J Public Health 1994;4:103–107.CrossRefGoogle Scholar
Bouchard, S., Sabourin, S.Borderline personality disorder and couple dysfunctions. Curr Psychiatry Rep 2009;11:55–62.CrossRefGoogle ScholarPubMed
Bouchard, S., Sabourin, S., Lussier, Y., Villeneuve, E.Relationship quality and stability in couples when one partner suffers from borderline personality disorder. J Marital Fam Ther 2009;35:446–455.CrossRefGoogle ScholarPubMed
Brenner, G., Koch, H., Kerek-Bodden, H., Heuer, J., Lang, A.Diagnoses as the subject of health service research to analyse the morbidity of outpatients. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2007;50:1021–1027.CrossRefGoogle ScholarPubMed
Chisholm, D., Knapp, M.R., Knudsen, H.C., Amaddeo, F., Gaite, L., van Wijngaarden, B.Client Socio-Demographic and Service Receipt Inventory-European Version: development of an instrument for international research. EPSILON Study 5. European Psychiatric Services: inputs linked to outcome domains and needs. Br J Psychiatry Suppl 2000;39:s28–s33.CrossRefGoogle Scholar
Claussen, B.Alcohol disorders and re-employment in a 5-year follow-up of long-term unemployed. Addiction 1999;94:133–138.CrossRefGoogle Scholar
Coid, J.Epidemiology, public health and the problem of personality disorder. Br J Psychiatry Suppl 2003;44:S3–S10.CrossRefGoogle ScholarPubMed
Cook, J.A., Lehman, A.F., Drake, R., McFarlane, W.R., Gold, P.B., Leff, H.S.et al.Integration of psychiatric and vocational services: a multisite randomized, controlled trial of supported employment. Am J Psychiatry 2005;162:1948–1956.CrossRefGoogle ScholarPubMed
Derogatis, L.R., Rickels, K., Rock, A.F.The SCL-90 and the MMPI: a step in the validation of a new self-report scale. Br J Psychiatry 1976;128:280–289.CrossRefGoogle ScholarPubMed
Downey, J.L., Christensen, L.Belief persistence in impression formation. North Am J Psychol 2006;8:481–490.Google Scholar
Endicott, J., Spitzer, R.L., Fleiss, J.L., Cohen, J.The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry 1976;33:766–771.CrossRefGoogle ScholarPubMed
Fergusson, D.M., Boden, J.M., Horwood, L.J.Recurrence of major depression in adolescence and early adulthood, and later mental health, educational and economic outcomes. Br J Psychiatry 2007;191:335–342.CrossRefGoogle ScholarPubMed
Fergusson, D.M., Horwood, L.J., Lynskey, M.T.The effects of unemployment on psychiatric illness during young adulthood. Psychol Med 1997;27:371–381.CrossRefGoogle ScholarPubMed
Fergusson, D.M., Horwood, L.J., Woodward, L.J.Unemployment and psychosocial adjustment in young adults: causation or selection. Soc Sci Med 2001;53:305–320.CrossRefGoogle ScholarPubMed
Furnham, A., Daoud, Y., Swami, V.How to spot a psychopath. Lay theories of psychopathy. Soc Psychiatry Psychiatr Epidemiol 2009;44:464–472.CrossRefGoogle ScholarPubMed
Furnham, A., Winceslaus, J.Psychiatric literacy and the personality disorders. Psychopathology 2012;45:29–41.CrossRefGoogle ScholarPubMed
German Institute for Economic Research. The German Socio-Economic Panel Study (SOEP) Questionnaire. www.diw.de: German Institute for Economic Research; 2007.Google Scholar
Hoffmann, H., Jackel, D., Glauser, S., Kupper, Z.A randomised controlled trial of the efficacy of supported employment. Acta Psychiatr Scand 2012;125:157–167.CrossRefGoogle ScholarPubMed
Jacobi, F., Wittchen, H.U., Holting, C., Hofler, M., Pfister, H., Muller, N.et al.Prevalence, co-morbidity and correlates of mental disorders in the general population: results from the German Health Interview and Examination Survey (GHS). Psychol Med 2004;34:597–611.CrossRefGoogle Scholar
Jorm, A.F., Griffiths, K.M.The public's stigmatizing attitudes towards people with mental disorders: how important are biomedical conceptualizations. Acta Psychiatr Scand 2008;118:315–321.CrossRefGoogle ScholarPubMed
Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Rodgers, B., Pollitt, P.Mental health literacy: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust 1997;166:182–186.CrossRefGoogle ScholarPubMed
Jorm, A.F., Mackinnon, A., Christensen, H., Griffiths, K.M.Structure of beliefs about the helpfulness of interventions for depression and schizophrenia. Results from a national survey of the Australian public. Soc Psychiatry Psychiatr Epidemiol 2005;40:877–883.CrossRefGoogle ScholarPubMed
Kessler, R.C., Avenevoli, S., Costello, E.J., Georgiades, K., Green, J.G., Gruber, M.J.et al.Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry 2012;69:381–389.Google ScholarPubMed
Kieselbach, T.Long-term unemployment among young people: the risk of social exclusion. Am J Community Psychol 2003;32:69–76.CrossRefGoogle ScholarPubMed
Linden, M.Minimal emotional dysfunctions (MED) in personality disorders. Eur Psychiatry 2006;21:325–332.CrossRefGoogle Scholar
McKee-Ryan, F., Song, Z., Wanberg, C.R., Kinicki, A.J.Psychological and physical well-being during unemployment: a meta-analytic study. J Appl Psychol 2005;90:53–76.CrossRefGoogle ScholarPubMed
Reissner, V., Rosien, M., Jochheim, K., Kuhnigk, O., Dietrich, H., Hollederer, A.et al.Psychiatric disorders and health service utilization in unemployed youth. J Public Health 2011;19:13–20.CrossRefGoogle Scholar
Sibitz, I., Amering, M., Unger, A., Seyringer, M.E., Bachmann, A., Schrank, B.et al.The impact of the social network, stigma and empowerment on the quality of life in patients with schizophrenia. Eur Psychiatry 2011;26:28–33.CrossRefGoogle ScholarPubMed
Soderberg, P., Tungstrom, S., Armelius, B.A.Reliability of global assessment of functioning ratings made by clinical psychiatric staff. Psychiatr Serv 2005;56:434–438.Google ScholarPubMed
Ucok, A., Gorwood, P., Karadayi, G.Employment and its relationship with functionality and quality of life in patients with schizophrenia: EGOFORS Study. Eur Psychiatry 2012;27:422–425.CrossRefGoogle ScholarPubMed
Whooley, M.A., Kiefe, C.I., Chesney, M.A., Markovitz, J.H., Matthews, K., Hulley, S.B.Depressive symptoms, unemployment, and loss of income: the CARDIA Study. Arch Intern Med 2002;162:2614–2620.CrossRefGoogle ScholarPubMed
Williams, J.B., Gibbon, M., First, M.B., Spitzer, R.L., Davies, M., Borus, J.et al.The Structured Clinical Interview for DSM-III-R (SCID). II. Multisite test-retest reliability. Arch Gen Psychiatry 1992;49:630–636.CrossRefGoogle ScholarPubMed
Willis, J., Todorov, A.First impressions: making up your mind after a 100-ms exposure to a face. Psychol Sci 2006;17:592–598.CrossRefGoogle ScholarPubMed
Wright, A., Jorm, A.F., Harris, M.G., McGorry, P.D.What's in a name? Is accurate recognition and labelling of mental disorders by young people associated with better help-seeking and treatment preferences. Soc Psychiatry Psychiatr Epidemiol 2007;42:244–250.CrossRefGoogle Scholar
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