A prospective analysis of work in schizophrenia
A prospective analysis of work in schizophrenia
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DOI：
10.1093/oxfordjournals.schbul.a006874
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发表时间：
2001-01-01
影响因子：
6.6
通讯作者：
Mueser, PR
中科院分区：
文献类型：
--
作者：
Mueser, KT;Salyers, MP;Mueser, PR
本研究考察了精神分裂症患者在急性发作期治疗后竞争性就业的纵向过程，并从社会人口学和临床特征前瞻性地预测了大约2年后的工作。528名患者在基线时接受评估，313名患者在1年和2年后接受随访。评估包括社会人口学特征、病前功能、工作经历、症状、社会功能、最近找工作的努力以及对工作的兴趣。分析检查了从基线到随访期间竞争性工作的变化、工作经历的相关性、1年和2年随访评估时工作的预期预测以及竞争性工作的相关性。在1年和2年的随访中，竞争性就业分别从基线时的10%显著增加到23%和21%。在基线时，在没有竞争性工作的患者中，61%的人表示对工作感兴趣。在基线时没有竞争性工作但报告最近正在努力找工作的患者比其他没有工作的患者更有可能在随访中工作。在1年和2年的随访中，通过先前的工作经验、患者和母亲的教育水平、认知障碍和社会功能来预测工作。目前的工作状态也发现了类似的相关性。干预措施可能需要针对教育水平、认知障碍、社会能力和功能，以改善精神分裂症患者的竞争性就业结果。
This study examined the longitudinal course of competitive employment in patients with schizophrenia following treatment for an acute exacerbation, and prospectively predicts work approximately 2 years later from sociodemographic and clinical characteristics. A sample of 528 patients was assessed at baseline, and 313 were followed up 1 and 2 years later. Assessments included sociodemographic characteristics, premorbid functioning, work history, symptoms, social functioning, recent efforts to find work, and interest in work. Analyses examined changes in competitive work from baseline to the followups, the correlates of work history, the prospective prediction of work at the 1- and 2-year followup assessments, and correlates of competitive work. Competitive employment increased significantly from 10 percent at baseline to 23 percent and 21 percent at the 1- and 2-year followups, respectively. At baseline, among patients who were not competitively working, 61 percent reported interest in working. Patients who were not competitively employed at baseline but reported making recent efforts to find work were more likely to be working at the followups than other not employed patients. Work at the 1- and 2-year followups was predicted by prior work experience, patient and mother's educational level, cognitive impairment, and social functioning. Similar correlates of current work status were found. Interventions may need to target educational level, cognitive impairment, and social competence and functioning in order to improve the competitive employment outcomes of persons with schizophrenia.