Predictors of employment status change over 2 years in people with schizophrenia living in Europe

Research output: Contribution to journalArticle

Authors

  • Sonia Johnson
  • Paul E. Bebbington
  • Matthias C. Angermeyer
  • Traolach S. Brugha
  • Jean Michel Azorin
  • Reinhold Killian
  • Karina Hansen
  • Mondher Toumi

Colleges, School and Institutes

External organisations

  • Department of Mental Health Sciences
  • UCL
  • Center for Public Mental Health
  • University of Leicester
  • Hospital Sainte Marguerite
  • Leipzig Research Center for Early Child Development
  • Universität Ulm
  • Global Outcomes
  • Université Claude Bernard

Abstract

Aim - To examine the associations of job acquisition and loss in a representative, prospective community sample of people with, schizophrenia living in the UK, France and Germany. Method -A representative sample of twelve hundred and eight people with schizophrenia, were recruited from selected secondary mental health services in the U. K, France and Germany and followed up for 2 years. Information on demographic details, psychotic symptoms and work status was collected. Results The odds of getting jobs were increased by being resident in Marseille, Leipzig, Hemer and Heilbronn and by a higher regional general, population employment rate. The odds were reduced by living in. Lyon, a later illness onset, a longer length of illness, a continuous illness course and more severe negative psychotic symptoms. Previous vocational training reduced the odds of losing employment, whilst living in Lyon or Leipzig, harmful use of alcohol and more positive psychotic symptoms at baseline all increased the odds. Conclusions - In addition to illness related factors, area of residence and local labour market conditions appear to be important in explaining employment status change in people with schizophrenia.

Details

Original languageEnglish
Pages (from-to)344-351
Number of pages8
JournalEpidemiologia e Psichiatria Sociale
Volume18
Issue number4
Publication statusPublished - 1 Jan 2009

Keywords

  • Employment, Epidemiology, Schizophrenia, Vocational rehabilitation