Predictors of employment status change over 2 years in people with schizophrenia living in Europe
Abstract
SUMMARY: Aim– To examine the associations of job acquisition and loss in a representative, prospective community sample of people with schizophrenia living in the UK, France and Germany.Method– A representative sample of twelve hundred and eight people with schizophrenia were recruited from selected secondary mental health services in the U.K, France and Germany and followed up for 2 years. Information on demographic details, psychotic symptoms and work status was collected.Results– The odds of getting jobs were increased by being resident in Marseille, Leipzig, Hemer and Heilbronn and by a higher regional general population employment rate. The odds were reduced by living in Lyon, a later illness onset, a longer length of illness, a continuous illness course and more severe negative psychotic symptoms. Previous vocational training reduced the odds of losing employment, whilst living in Lyon or Leipzig, harmful use of alcohol and more positive psychotic symptoms at baseline all increased the odds.Conclusions– In addition to illness related factors, area of residence and local labour market conditions appear to be important in explaining employment status change in people with schizophrenia. Declaration of Interest: All authors declare there are no conflicts of interest. This study was funded by grants from Lundbeck A/S and from the German Federal Ministry of Education and Research.
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Some studies have found active positive symptoms are associated with failure to attain employment or loss of employment.
“Some studies have found active, positive symptoms are associated with failure to attain employment [22, 23] or loss of employment [24]; while others, including a meta-analysis [15], have found no association.”
From An enhanced individual placement and support (iPS) intervention based on the model of human occupation (MOHO); a prospective cohort study (2020) · cites this paper as [24]
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Self-citation
- Authors
- Marwaha, S., Johnson, S., Bebbington, P. E., Angermeyer, M. C., Brugha, T. S., Azorin, J.-M., Killian, R., Hansen, K., & Toumi, M.
- Affiliations
- University College London (GB)
- University of Leicester (GB)
- Hôpital Sainte-Marguerite (FR)
- Lyon 1 Université (FR)
- Corresponding author
- Marwaha, Steven
- Venue
- Epidemiology and Psychiatric Sciences
- Publisher
- Cambridge University Press (CUP)
- Published
- 2009-12
- Volume
- 18
- Issue
- 4
- Pages
- 344-351
- ISSN
- 2045-7960 (ISSN-L)
- 2045-7979
- OpenAlex
- W1948894535
- Cited by
- 31
- References
- 47
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 4 · 2019: 3 · 2018: 2 · 2016: 3 · 2015: 2 · 2013: 2 · 2012: 2
- FWCI
- 1.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Epidemiology and Psychiatric Sciences (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
- Social Sciences › Safety Research › Disability Education and Employment
- Keywords
- schizophrenia, employment status, job acquisition, job loss, vocational education, labor market conditions, place of residence, disease onset, length of illness, negative psychotic symptoms, positive psychotic symptoms, alcohol consumption, community mental health services
- MeSH terms
- Employment, France, Germany, United Kingdom, Humans, Schizophrenia, Time Factors
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