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Abstract

Background:

Even among other mental disorders, a diagnosis of schizophrenia is associated with an abnormally low employment rate. However, those who can find employment report mental health improvements and diminishing symptoms.

Aims:

In this cross-sectional study, we analyzed a variety of sociodemographic factors between groups of schizophrenia-diagnosed employed and unemployed individuals to attempt to determine any causal relationships.

Methods:

A group of 52 employed and 48 unemployed individuals from the same outpatient hospital were surveyed. Patients were asked about their sociodemographic background and employment history, as well as subjected to a variety of tests to quantify critical aspects of their symptomatology. These included the Positive and Negative Syndrome Scale (PANSS), Social and Occupational Functioning Assessment Scale (SOFAS), and Personal and Social Performance Scale (PSP). The Calgary Depression Scale for Schizophrenia (CDSS) and Hamilton Anxiety Rating Scale (HAM-A) were administered to assess comorbid depression and anxiety. Lastly, the Simpson Angus Scale (SAS) measured any extrapyramidal side effects caused by the patients’ medications.

Results:

Initial analysis by the Student’s t-test and chi-square test revealed correlations between employment status and symptomatology, but upon performing logistic regression, peer support was found to be the only significant predictor of employment status (OR = 0.119, CI [0.40, 0.354], p = .001). Based on these results, the creation of peer support systems at work through fostering inclusive, well-informed, and destigmatized environments should be employers’ predominant focus.

Conclusion:

Future studies conducted longitudinally can strengthen the conclusions found and confirm the optimal manners in which to address the matter of aiding the integration of schizophrenic and similarly symptomatic individuals into the labor force.

Keywords

Schizophrenia employment peer support functional remission symptomatic remission social occupational environment

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References

Addington

Schissel

(1990). A depression rating scale for schizophrenics. Schizophrenia Research, 3(4), 247–251. https://doi.org/10.1016/0920-9964(90)90005-r

Ang

M. S.

Rekhi

Lee

(2020). Vocational profile and correlates of employment in people with schizophrenia: The role of avolition. Frontiers in Psychiatry, 11, 856. https://doi.org/10.3389/fpsyt.2020.00856

Cheng

Yen

(2021). The social support, mental health, psychiatric symptoms, and functioning of persons with schizophrenia participating in peer co-delivered vocational rehabilitation: A pilot study in Taiwan. BMC Psychiatry, 21(1), 268. https://doi.org/10.1186/s12888-021-03277-0

Commey

I. T.

Ninnoni

J. P. K.

Asamoah Ampofo

Miezah

(2023). Living with Schizophrenia: The role of interpersonal relationships. Discover Psychology, 3(1), 13. https://doi.org/10.1007/s44202-023-00071-9

Dahlan

Midin

Shah

S. A.

Jaafar

N. R. N.

Rahman

F. N. A.

Baharudin

Das

Sidi

(2014). Functional remission and employment among patients with schizophrenia in Malaysia. Comprehensive Psychiatry, 55, S46–S51. https://doi.org/10.1016/j.comppsych.2013.03.007

Dickson

Hedges

E. P.

S. Y.

Cullen

A. E.

MacCabe

J. H.

Kempton

M. J.

Downs

Laurens

K. R.

(2020). Academic achievement and schizophrenia: A systematic meta-analysis. Psychological Medicine, 50(12), 1949–1965. https://doi.org/10.1017/S0033291720002354

Engel

G. L.

(1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129–136. https://doi.org/10.1126/science.847460

Hamilton

(1959). The assessment of anxiety states by rating. The British Journal of Medical Psychology, 32(1), 50–55. https://doi.org/10.1111/j.2044-8341.1959.tb00467.x

Harrison

Hopper

Craig

Laska

Siegel

Wanderling

Dube

K. C.

Ganev

Giel

an der Heiden

Holmberg

S. K.

Janca

Lee

P. W.

León

C. A.

Malhotra

Marsella

A. J.

Nakane

Sartorius

Shen

Skoda

, . . . Wiersma

(2001). Recovery from psychotic illness: A 15- and 25-year international follow-up study. The British Journal of Psychiatry: The Journal of Mental Science, 178, 506–517. https://doi.org/10.1192/bjp.178.6.506

10.

Juckel

(2014). Personal and social performance scale. In Michalos

(ed) Encyclopedia of quality of life and well-being research (pp. 4719–4724). Springer. https://doi.org/10.1007/978-94-007-0753-5_2141

11.

Juneja

Kapoor

Pandey

(2022). Employment status of mental health patients in India. Biomedical Journal of Scientific & Technical Research, 46(3), 37402–37405. https://doi.org/10.26717/bjstr.2022.46.007346

12.

Kay

S. R.

Fiszbein

Opler

L. A.

(1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261–276. https://doi.org/10.1093/schbul/13.2.261

13.

Marwaha

Johnson

(2004). Schizophrenia and employment – A review. Social Psychiatry and Psychiatric Epidemiology, 39(5), 337–349. https://doi.org/10.1007/s00127-004-0762-4

14.

Nelson

R. E.

Kim

(2011). The impact of mental illness on the risk of employment termination. The Journal of Mental Health Policy and Economics, 14(1), 39–52.

15.

Nirmala

B. P.

Roy

Naik

Srikanth

(2020). Employability of people with mental illness and substance use problems: Field realities. Journal of Family Medicine and Primary Care, 9(7), 3405–3410. https://doi.org/10.4103/jfmpc.jfmpc_212_20

16.

Oosthuizen

Emsley

Niehaus

Koen

Chiliza

(2006). The relationships between depression and remission in first-episode psychosis. World Psychiatry, 5(3), 172–176. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1636125/

17.

Rangarajan

S. K.

Muliyala

K. P.

Jadhav

Philip

Angothu

Thirthalli

(2020). Reasonable accommodation at the workplace for professionals with severe mental illness: A qualitative study of needs. Indian Journal of Psychological Medicine, 42(5), 445–450. https://doi.org/10.1177/0253717620939771

18.

Rizvi

S. J.

Cyriac

Grima

Tan

Lin

Gallaugher

L. A.

McIntyre

R. S.

Kennedy

S. H.

(2015). Depression and employment status in primary and tertiary care settings. Canadian Journal of Psychiatry. Revue canadienne de psychiatrie, 60(1), 14–22. https://doi.org/10.1177/070674371506000105

19.

Rueda

Chambers

Wilson

Mustard

Rourke

S. B.

Bayoumi

Raboud

Lavis

(2012). Association of returning to work with better health in working-aged adults: A systematic review. American Journal of Public Health, 102(3), 541–556. https://doi.org/10.2105/AJPH.2011.300401

20.

Rybarczyk

(2011). Social and occupational functioning assessment scale (SOFAS). Encyclopedia of Clinical Neuropsychology, 63, 2313.

21.

Simpson

G. M.

Angus

J. W.

(1970). A rating scale for extrapyramidal side effects. Acta psychiatrica Scandinavica. Supplementum, 212, 11–19. https://doi.org/10.1111/j.1600-0447.1970.tb02066.x

22.

Strauss

J. S.

Carpenter

W. T.

Bartko

J. J.

(1974). Speculations on the processes that underlie schizophrenic symptoms and signs: III. Schizophrenia Bulletin, 1(11), 61–69. https://doi.org/10.1093/schbul/1.11.61

23.

Thomas

Muliyala

K. P.

Jayarajan

Angothu

Thirthalli

(2019). Vocational challenges in severe mental illness: A qualitative study in persons with professional degrees. Asian Journal of Psychiatry, 42, 48–54. https://doi.org/10.1016/j.ajp.2019.03.011

24.

Üçok

Gorwood

Karadayı

(2012). Employment and its relationship with functionality and quality of life in patients with schizophrenia: EGOFORS Study. European Psychiatry, 27(6), 422–425. https://doi.org/10.1016/j.eurpsy.2011.01.014

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