SOCIOECONOMIC MOBILITY AMONG PATIENTS WITH SCHIZOPHRENIA OR MAJOR AFFECTIVE-DISORDER - A 17-YEAR RETROSPECTIVE FOLLOW-UP
SOCIOECONOMIC MOBILITY AMONG PATIENTS WITH SCHIZOPHRENIA OR MAJOR AFFECTIVE-DISORDER - A 17-YEAR RETROSPECTIVE FOLLOW-UP
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DOI：
10.1192/bjp.166.6.759
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发表时间：
1995-06-01
影响因子：
10.5
通讯作者：
KESKIMAKI, I
中科院分区：
文献类型：
--
作者：
ARO, S;ARO, H;KESKIMAKI, I
背景对精神分裂症或重性情感障碍患者的社会流动性与普通人群进行比较。流动性进行了回顾性研究，从1970年至1987年。社会经济地位（SES）是根据人口普查中的职业（上层白领、下层白领、蓝领、企业家、农民、失业者）来定义的。1987-88年芬兰所有出院时年龄在30-60岁的患者（2901名男性和3620名女性）均纳入本研究。一般人群的SES结构用于比较。在精神分裂症患者中，有一个持续的下降趋势，通常是失业。男性的这一风险高于女性。在最年轻的年龄组中，父母的社会地位明显下降。1970年，在重度情感障碍患者中，SES的分布与一般人群相似。到1987年，再次出现了下降趋势，主要是失业，而不管最初的社会经济地位群体如何。职业类别的患者数量通常比预期低30-50%。精神分裂症患者有很高的社会退出风险。在严重情感障碍患者中，向下漂移要少得多。
Background. Social mobility among patients with schizophrenia or major affective disorder was compared with that among the general population.Method. Mobility was studied retrospectively from 1970 to 1987. Socio-economic status (SES) was defined by occupation as in the population census (upper white-collar, lower white-collar, blue-collar, entrepreneur, farmer, unemployed). All patients aged 30-60 years at discharge (2901 men and 3620 women) in 1987-88 in Finland were included in the study. The SES structure of the general population was used for comparisons.Results. Among patients with schizophrenia there was a constant downward drift, commonly to unemployment. This risk was higher among men than women. In the youngest age group a marked decline from the parents' social status was observed. Among patients with major affective disorder the distribution of SES in 1970 was similar to that of the general population. By 1987, a downward drift was again observed, mainly to unemployment regardless of the initial SES group. The number of patients in occupational categories were usually 30-50% lower than expected.Conclusions. Schizophrenic patients had a high risk of social drop-out. Among patients with major affective disorder the downward drift was much less.