Level of functioning, perceived work ability, and work status among psychiatric patients with major mental disorders
Permalink
Citation
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 Clinicum 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
Disability Work status Psychiatric care BORDERLINE-PERSONALITY-DISORDER SCHIZOPHRENIA-SPECTRUM DISORDERS 10-YEAR FOLLOW-UP QUALITY-OF-LIFE BIPOLAR DISORDER DEPRESSIVE DISORDER SYSTEMATIC ANALYSIS GLOBAL BURDEN RISK-FACTORS DISABILITY 3124 Neurology and psychiatry |
| Peer reviewed: | Yes |
| Usage restriction: | openAccess |
| Self-archived version: | publishedVersion |
Files in this item
Total number of downloads: Loading...
| Files | Size | Format | View |
|---|---|---|---|
| 1_s2.0_S092493381732802X_main.pdf | 363.4Kb |
View/ |
This item appears in the following Collection(s)
-
Articles from TUHAT system
[53348]
Related items
Showing items related by title, author, creator and subject.
-
(2019)Muistisairauden neuropsykiatrisille oireille altistavat ja niitä laukaisevat tekijät, kuten tyydyttämättömät tarpeet ja stressitekijät, on tärkeää tunnistaa ja huomioida yksilöllisesti. Oireiden taustalla voi myös olla akuutti sekavuustila, somaattinen syy tai huonosti sopiva lääkitys. Yksilöllisesti räätälöidyt lääkkeettömät hoidot ovat tuloksellisia. Eniten näyttöä on hoitavalle henkilölle annetun ohjauksen ja tuen vaikutuksesta. Muistisairaan kohtaamisessa tavoitteena on arvostava ja luottamuksellinen suhde.
-
(2016)Background: Substantial literature exists on risk factors for suicidal behaviour. However, their comparative strength, independence and specificity for either suicidal ideation or suicide attempt(s) remain unclear. Methods: The Helsinki University Psychiatric Consortium (HUPC) Study surveyed 287 psychiatric care patients with ICD-10-DCR depressive or bipolar disorders about lifetime suicidal behaviour, developmental history and attachment style, personality and psychological traits, current and lifetime symptom profiles, and life events. Psychiatric records were used to confirm diagnosis and complement information on suicide attempts. Multinomial regression models predicting lifetime suicidal ideation and single or repeated suicide attempts were generated. Results: Overall, 21.6% patients had no lifetime suicidal behaviour, 33.8% had lifetime suicide ideation without attempts, and 17.1% had a single and 27.5% repeated suicide attempts. In univariate analyses, lifetime suicidal behaviour was associated with numerous factors. In multivariate models, suicidal ideation was independently predicted by younger age, severe depressive disorder, bipolar disorder type II/nos, hopelessness, and childhood physical abuse. Repeated suicide attempts were independently predicted by younger age, female sex, severe depressive disorder with or without psychotic symptoms, bipolar disorder type II/nos, alcohol use disorder, borderline personality disorder traits, and childhood physical abuse. Limitations: Cross-sectional and retrospective study design, utilization of clinical diagnoses, and relatively low response rate. Conclusions: Risk factors for suicidal ideation and attempts may diverge both qualitatively and in terms of dose response. When effects of risk factors from multiple domains are concurrently examined, proximal clinical characteristics remain the most robust. All risk factors cluster into the group of repeated attempters. (C) 2015 Elsevier B.V. All rights reserved.
-
(2020)Preterm birth research is poised to explore the mental health of adults born very preterm(VP;1970) included VP/VLBW individuals with controls born at term(≥37+0 weeks) or with normal birth weight(NBW; ≥2500g). Thirteen studies were included. Studies consistently showed an increased risk for psychotropic medication use for VP/VLBW adults in comparison to NBW/term controls, but whether VP/VLBW adults have an increased risk for mental health disorders or symptoms appearing in adulthood remains uncertain. The quality of the evidence was moderate (65.8%) to high (34.2%). Further research in larger samples is needed.