The role of empowerment and quality of life in depression severity among unemployed people with affective disorders receiving mental healthcare
Abstract
PURPOSE: Sick leave and unemployment are highly prevalent among people with affective disorders. Their depression severity is disabling and inversely related to having employment. No evidence-based vocational rehabilitation exists for this target group. Knowledge is therefore needed to understand the psychosocial factors that affect depression severity in order to develop new rehabilitation interventions. This study examined relationships between depression severity and empowerment, working life aspirations, occupational engagement, and quality of life in unemployed people with affective disorders receiving mental healthcare. METHOD: In this cross-sectional study of 61 participants, instruments on psychosocial factors and questions on descriptive sociodemographic and clinical characteristics were administered. Descriptive, correlation, and regression statistics were applied. RESULTS: Correlation and regression analyses showed significant inverse relations between depression severity and empowerment and quality of life. The odds for more severe depression decreased with higher empowerment and quality of life. However, neither extent of engagement in daily life nor working life aspiration was related to depression severity. CONCLUSIONS: An empowerment approach and strategies, which support the quality of life, are needed in development of vocational rehabilitation interventions, and bridging of mental healthcare and vocational services. Implications for Rehabilitation Enhancing empowerment and quality life in the return to work process can decrease depression severity in unemployed people with affective disorder. There is a need to address work issues in addition to symptom reduction in primary and mental healthcare. Bridging the service and time gap between vocational rehabilitation and healthcare is recommended for mitigating long-term unemployment for people with affective disorders who want to work.
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A diagnosis of depression and/or anxiety is related to negative ratings of subjective well-being factors such as quality of life.
“Research indicates that a diagnosis of depression and/or anxiety is related to negative ratings of subjective well-being factors such as quality of life [29, 30].”
From Exploring mediators of the recovery process over time among mental health service users, using a mixed model regression analysis based on cluster RCT data (2020) · cites this paper as [29]
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References 60 · Cited by 37
- Authors
- Johanson, S., & Bejerholm, U.
- Affiliations
- Lund University (SE)
- Corresponding author
- Johanson, Suzanne
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2016-08-16
- Volume
- 39
- Issue
- 18
- Pages
- 1807-1813
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2511055556
- Cited by
- 37
- References
- 60
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 8 · 2020: 4 · 2019: 4 · 2018: 6 · 2017: 1 · 2016: 1
- FWCI
- 7.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Forskningsrådet om Hälsa, Arbetsliv och Välfärd (Reg. No. 2010-1772)
- REHSAM (Reg. No. 22010-014)
- County Council of Region Skåne
- Topics
- Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
- Social Sciences › Safety Research › Disability Education and Employment
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- depression severity, mood disorders, unemployment, empowerment, quality of life, occupational engagement, vocational rehabilitation, return to work, mental health services, psychosocial factors, service integration
- MeSH terms
- Adult, Cross-Sectional Studies, Depression, Female, Humans, Male, Middle Aged, Power, Psychological, Quality of Life, Rehabilitation, Vocational, Severity of Illness Index, Sweden, Unemployment, Logistic Models, Sick Leave, Mood Disorders, Return to Work
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