Back to Search
Start Over
Identifying improvable employment-related factors in schizophrenia patients
- Source :
- Psychiatry Research. 266:199-205
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Although many studies report various factors related to future employment of schizophrenia patients, few identify the treatable or improvable ones. The responses to the first year of treatment and daily antipsychotic drug doses may be the treatable and improvable factors. We surveyed 235 schizophrenia outpatients in three facilities, of whom 129 and 106 were employed and unemployed, respectively. Through face-to-face interviews and medical record reviews, we investigated symptomatic and social functioning responses to the first year of treatment using the Global Assessment of Psychopathology Scale (GAPS) and the Social and Occupational Functioning Assessment Scale (SOFAS). We investigated daily antipsychotic drug doses and other clinical assessments at the interview time. Finally, we used multivariable logistic regression analysis. SOFAS-measured improvements in the period 6 to 12 months after beginning treatment and daily antipsychotic drug doses equivalent to less than 600 mg of chlorpromazine were identified as an employment-related factor, but GAPS-measure improvements were not. Social functioning improvements in the period 6 to 12 months after beginning treatment and low-to-moderate daily antipsychotic drug doses were detected as employment-related factors, suggesting that early efforts to improve social functioning and optimize antipsychotic drug doses could lead to future employment for schizophrenia patients.
- Subjects :
- Adult
Employment
Male
medicine.medical_specialty
Chlorpromazine
Logistic regression
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Outpatients
medicine
Humans
Psychiatry
Biological Psychiatry
Social functioning
Related factors
business.industry
Medical record
Middle Aged
Assessment scale
medicine.disease
030227 psychiatry
Psychiatry and Mental health
Cross-Sectional Studies
Schizophrenia
Female
Schizophrenic Psychology
business
030217 neurology & neurosurgery
Antipsychotic Agents
medicine.drug
Psychopathology
Subjects
Details
- ISSN :
- 01651781
- Volume :
- 266
- Database :
- OpenAIRE
- Journal :
- Psychiatry Research
- Accession number :
- edsair.doi.dedup.....402d74fe6aebdad558a7f529e675a87c