Factors predicting employment status among persons with schizophrenia: A cross-sectional study from Chennai, India.

IF 2.5 4区医学 Q2 PSYCHIATRY

International Journal of Social Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-09-05 DOI:10.1177/00207640241280161

T Indhumathi, B Nisha, Jothilakshmi Durairaj, T C Ramesh Kumar, J Selva Savari Raj, Adith Swarup, Tejasvini Ponnambalam, Vijaya Raghavan

{"title":"Factors predicting employment status among persons with schizophrenia: A cross-sectional study from Chennai, India.","authors":"T Indhumathi, B Nisha, Jothilakshmi Durairaj, T C Ramesh Kumar, J Selva Savari Raj, Adith Swarup, Tejasvini Ponnambalam, Vijaya Raghavan","doi":"10.1177/00207640241280161","DOIUrl":null,"url":null,"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.","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"90-99"},"PeriodicalIF":2.5000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Social Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00207640241280161","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/5 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

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.

查看原文本刊更多论文

预测精神分裂症患者就业状况的因素：印度钦奈的一项横断面研究。

背景：即使在其他精神疾病中，精神分裂症的诊断也与异常低的就业率有关。目的：在这项横断面研究中，我们分析了被诊断为精神分裂症的就业群体和失业群体之间的各种社会人口因素，试图确定其中的因果关系：方法：我们对同一家门诊医院的 52 名就业者和 48 名失业者进行了调查。我们询问了患者的社会人口背景和就业史，并对他们进行了各种测试，以量化其症状的关键方面。这些测试包括阳性和阴性综合征量表（PANSS）、社会和职业功能评估量表（SOFAS）以及个人和社会表现量表（PSP）。卡尔加里精神分裂症抑郁量表（CDSS）和汉密尔顿焦虑评定量表（HAM-A）用于评估合并抑郁和焦虑。最后，辛普森-安格斯量表（SAS）测量了患者服药引起的锥体外系副作用：通过学生 t 检验和卡方检验进行的初步分析表明，就业状况与症状之间存在相关性，但在进行逻辑回归时，发现同伴支持是就业状况的唯一显著预测因素（OR = 0.119，CI [0.40，0.354]，p = .001）。基于这些结果，雇主应重点关注通过营造包容、知情和去污名化的环境，在工作中建立同伴支持系统：未来的纵向研究可以强化上述结论，并确认帮助精神分裂症患者和类似症状患者融入劳动力队伍的最佳方式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Social Psychiatry PSYCHIATRY-

CiteScore

12.30

自引率

1.30%

发文量

120

期刊介绍： The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.