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Employment and its relationship with functionality and quality of life in patients with schizophrenia: EGOFORS Study

Published online by Cambridge University Press:  15 April 2020

A. Üçok*
Affiliation:
Faculty of Medicine, Istanbul University, Department of Psychiatry, Millet Street, Capa, 34390Istanbul, Turkey
P. Gorwood
Affiliation:
Paris Descartes University and Sainte-Anne Hospital (CMME), Paris, France Inserm U894, Centre of Psychiatry and Neuroscience, Sainte-Anne Hospital, Paris, France
G. KaradayІ
Affiliation:
Faculty of Medicine, Istanbul University, Department of Psychiatry, Millet Street, Capa, 34390Istanbul, Turkey
*
*Corresponding author. Tel.: +90 212 4142000. E-mail address: [email protected]
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Abstract

The aim of this study is to investigate the relationship between work/study status and symptom severity, functionality and quality of life (QoL) in schizophrenia patients.

Methods

Two-hundred and ninety-five chronic schizophrenia patients from 11 centres were included in the study. Symptom severity was measured with Positive and Negative Syndrome Scale for schizophrenia. QoL and functionality was assessed with Global Assessment of Functioning Scale, Quality of Life Scale, Personal and Social Performance Scale, Psychosocial Remission in Schizophrenia Scale, Functional Recovery Scale in Schizophrenia, Performance-Based Skills Assessment-Brief Version and Subjective Well-being under Neuroleptics Scales.

Results

Two-third of the participants (n = 194) were unemployed. Forty (13.6%) of the participants were involved in full-time work/study, 29 (9.8%) people were involved in part-time work/study, 13 (4.4%) people were engaged in work/study below 50% of the time, but their job was classified as regular and independent. Those who work/study had lower symptoms, better functioning and higher levels of QoL. Also those who work/study full-time displayed better results on these measures than the participants involved in part-time work/study. Age, education, severity of negative symptoms, gender and duration of remission were found to be related to employment status in the logistic regression analysis.

Conclusions

Our findings suggest that work/study status is an important component of functionality.

Type
Original article
Copyright
Copyright © Elsevier Masson SAS 2012

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References

American Psychiatric Association (APA) Diagnostic and statistical manual of mental disorders (DSM-IV) 4th edn Washington DC: American Psychiatric Association; 1994.Google Scholar
Andreasen, et alRemission in schizophrenia: proposed criteria and rationale for consensus. Am J Psychiatry. 2005; 162: 441449.CrossRefGoogle ScholarPubMed
Barak, et alPsychosocial remission in schizophrenia; developing a clinician rated scale. Med Psychiatry. 2008; 7: 4647.Google Scholar
Chee, K.Y.Outcome study of first-episode schizophrenia in a developing country: quality of life and antipsychotics. Soc Psychiatry Psychiatr Epidemiol. 2009; 44: 143150.CrossRefGoogle Scholar
Dickerson, F.B., Stallings, C., Origoni, A., Boronow, J.J., Sullens, A., Yolken, R.Predictors of occupational status six months after hospitalisation in persons with a recent onset of psychosis. Psychiatry Res. 2008; 160: 278284.CrossRefGoogle Scholar
Evert, H., Harvey, C., Trauer, T., Herrman, H.The relationship between social networks and occupational and self-care functioning in people with psychosis. Soc Psychiatry Psychiatr Epidemiol. 2003; 38: 180188.Google ScholarPubMed
Goldberg, R.W., Lucksted, A., McNary, S., Gold, J.M., Dixon, L., Lehman, A.Correlates of long-term unemployment among inner-city adults with serious and persistent mental illness. Psychiatr Serv. 2001; 52: 101103.CrossRefGoogle ScholarPubMed
Heinrichs, et alThe Quality of Life Scale: an instrument for rating the schizophrenic deficit syndrome. Schizophr Bull. 1984; 10: 388396.CrossRefGoogle ScholarPubMed
Hofer, A., Rettenbacher, M.A., Widschwendter, C.G., Kemmler, G., Hummer, M., Fleischhacker, W.W.Correlates of subjective and functional outcomes in outpatient clinic attendees with schizophrenia and schizoaffective disorder. Eur Arch Psychiatry Clin Neurosci. 2006; 256: 246255.CrossRefGoogle ScholarPubMed
Kay, S.R., Fiszbein, A., Opler, L.A.The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987; 13: 261276.CrossRefGoogle Scholar
Lehman AF, Goldberg R, Dixon LB, McNary S, Postrado L, Hackman A et al. Improving employment outcomes for persons with severe mental illnesses. Arch Gen Psychiatry 2002;59:165–72.CrossRefGoogle Scholar
Llorca, P.M., Lançon, C., Lancrenon, S., Bayle, F.J., Caci, H., Rouillon, F.et al.The “Functional Remission of General Schizophrenia” (FROGS) Scale: development and validation of a new questionnaire. Schizophr Res. 2009; 113: 218225.CrossRefGoogle ScholarPubMed
Marwaha, S., Johnson, S.Schizophrenia and employment – a review. Soc Psychiatry Psychiatr Epidemiol. 2004; 39: 337349.CrossRefGoogle ScholarPubMed
Mausbach, et alDevelopment of a brief scale of everyday functioning in persons with serious mental illness. Schizophr Bull. 2007; 33: 13641372.CrossRefGoogle ScholarPubMed
McGurk, S.R., Mueser, K.T.Cognitive functioning and employment in severe mental illness. J Nerv Ment Dis. 2003; 191: 789798.CrossRefGoogle ScholarPubMed
Meyer, P.S., Bond, G.R., Tunis, S.L., McCoy, M.L.Comparison between the effects of atypical and traditional antipsychotics on work status for clients in a psychiatric rehabilitation program. J Clin Psychiatry. 2002; 63: 108116.CrossRefGoogle Scholar
Morosini, P.L., Magliano, L., Brambilla, L., Ugolini, S., Pioli, R.Development, reliability and acceptability of a new version of the DSM-IV Social and Occupational Functioning Assessment Scale (SOFAS) to assess routine social functioning. Acta Psychiatr Scand. 2000; 101: 323329.Google ScholarPubMed
Naber, et alA self-rating to measure subjective effects of neuroleptic drugs, relationships to objective psychopathology, quality of life, compliance and other clinical variables. Int Clin Psychopharmacol. 1995; 10: 133138.Google ScholarPubMed
Rüesch, P., Meyer, P.C., Graf, J., Hell, D.Employment situation of psychiatric in-patients with schizophrenic or affective disorders. Psychiatr Prax. 2002; 29: 6875[Article in German].CrossRefGoogle ScholarPubMed
Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., Leese, M. INDIGO Study Group Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet. 2009; 373: 408415.CrossRefGoogle ScholarPubMed
Turner, N., Browne, S., Clarke, M., Gervin, M., Larkin, C., Waddington, J.L.et al.Employment status amongst those with psychosis at first presentation. Soc Psychiatry Psychiatr Epidemiol. 2009; 44: 863869.CrossRefGoogle ScholarPubMed
Twamley, E.W., Jeste, D.V., Lehman, A.F.Vocational rehabilitation in schizophrenia and other psychotic disorders: a literature review and meta-analysis of randomized controlled trials. J Nerv Ment Dis. 2003; 191: 515523.CrossRefGoogle ScholarPubMed
Ucok, A., Polat, A., Cakir, S., Genc, A.One year outcome in first episode schizophrenia. Predictors of relapse. Eur Arch Psychiatry Clin Neurosci. 2006; 256: 3743.CrossRefGoogle Scholar
Ucok, A., Yazici, K., Mete, L., Kultur, S., Gogus, A.K., Erkoc, S.et al.Factors associated with dropout and non-compliance in patients with schizophrenia: results of a one-year follow-up. Clin Schizophr Rel Psychoses. 2007; 1: 17.Google Scholar
Waghorn, G., Chant, D., White, P., Whiteford, H.Delineating disability, labour force participation and employment restrictions among persons with psychosis. Acta Psychiatr Scand. 2004; 109: 279288.CrossRefGoogle ScholarPubMed
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