Level of functioning, perceived work ability, and work status among psychiatric patients with major mental disorders

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Karpov , B , Joffe , G , Aaltonen , K , Suvisaari , J , Baryshnikov , I , Naatanen , P , Koivisto , M , Melartin , T , Oksanen , J , Suominen , K , Heikkinen , M & Isometsa , E 2017 , ' Level of functioning, perceived work ability, and work status among psychiatric patients with major mental disorders ' , European Psychiatry , vol. 44 , pp. 83-89 . https://doi.org/10.1016/j.eurpsy.2017.03.010

Title: Level of functioning, perceived work ability, and work status among psychiatric patients with major mental disorders
Author: Karpov, B.; Joffe, G.; Aaltonen, K.; Suvisaari, J.; Baryshnikov, I.; Naatanen, P.; Koivisto, M.; Melartin, T.; Oksanen, J.; Suominen, K.; Heikkinen, M.; Isometsa, E.
Contributor organization: Department of Psychiatry
University of Helsinki
HUS Psychiatry
Date: 2017-07
Language: eng
Number of pages: 7
Belongs to series: European Psychiatry
ISSN: 0924-9338
DOI: https://doi.org/10.1016/j.eurpsy.2017.03.010
URI: http://hdl.handle.net/10138/297915
Abstract: Background: Major mental disorders are highly disabling conditions that result in substantial socioeconomic burden. Subjective and objective measures of functioning or ability to work, their concordance, or risk factors for them may differ between disorders. Methods: Self-reported level of functioning, perceived work ability, and current work status were evaluated among psychiatric care patients with schizophrenia or schizoaffective disorder (SSA, n = 113), bipolar disorder (BD, n = 99), or depressive disorder (DD, n = 188) within the Helsinki University Psychiatric Consortium Study. Correlates of functional impairment, subjective work disability, and occupational status were investigated using regression analysis. Results: DD patients reported the highest and SSA patients the lowest perceived functional impairment. Depressive symptoms in all diagnostic groups and anxiety in SSA and BD groups were significantly associated with disability. Only 5.3% of SSA patients versus 29.3% or 33.0% of BD or DD patients, respectively, were currently working. About half of all patients reported subjective work disability. Objective work status and perceived disability correlated strongly among BD and DD patients, but not among SSA patients. Work status was associated with number of hospitalizations, and perceived work disability with current depressive symptoms. Conclusions: Psychiatric care patients commonly end up outside the labour force. However, while among patients with mood disorders objective and subjective indicators of ability to work are largely concordant, among those with schizophrenia or schizoaffective disorder they are commonly contradictory. Among all groups, perceived functional impairment and work disability are coloured by current depressive symptoms, but objective work status reflects illness course, particularly preceding psychiatric hospitalizations. (C) 2017 Elsevier Masson SAS. All rights reserved.
Subject: Functional impairment
Work status
Psychiatric care
3124 Neurology and psychiatry
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: publishedVersion

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