Vocational Profile and Correlates of Employment in People With Schizophrenia: The Role of Avolition

Ang, Mei San; Rekhi, Gurpreet; Lee, Jimmy

doi:10.3389/fpsyt.2020.00856

Cited by 10 publications

(11 citation statements)

References 70 publications

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“…Strauss et al ( 51 ) reported that patients with AA symptoms were less likely to be gainfully employed and less likely to complete high-quality work than patients with DE symptoms. In line with our result, Ang et al ( 56 ) showed that AA, not DE, was significantly associated with employment status, but the impact of neurocognition or functional capacity was not considered in their study.…”

Section: Discussionsupporting

confidence: 87%

Predicting Real-World Functioning in Schizophrenia: The Relative Contributions of Neurocognition, Functional Capacity, and Negative Symptoms

et al. 2021

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Neurocognition and functional capacity are commonly reported predictors of real-world functioning in schizophrenia. However, the additional impact of negative symptoms, specifically its subdomains, i.e., diminished expression (DE) and avolition-apathy (AA), on real-world functioning remains unclear. The current study assessed 58 individuals with schizophrenia. Neurocognition was assessed with the Brief Assessment of Cognition in Schizophrenia, functional capacity with the UCSD Performance-based Skills Assessment (UPSA-B), and negative symptoms with the Negative Symptom Assessment-16. Real-world functioning was assessed with the Multnomah Community Ability Scale (MCAS) with employment status as an additional objective outcome. Hierarchical regressions and sequential logistic regressions were used to examine the associations between the variables of interest. The results show that global negative symptoms contribute substantial additional variance in predicting MCAS and employment status above and beyond the variance accounted for by neurocognition and functional capacity. In addition, both AA and DE predict the MCAS after controlling for cognition and functional capacity. Only AA accounts for additional variance in employment status beyond that by UPSA-B. In summary, negative symptoms contribute substantial additional variance in predicting both real-world functioning and employment outcomes after accounting for neurocognition and functional capacity. Our findings emphasize both DE and AA as important treatment targets in functional recovery for people with schizophrenia.

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Section: Discussionsupporting

confidence: 87%

Predicting Real-World Functioning in Schizophrenia: The Relative Contributions of Neurocognition, Functional Capacity, and Negative Symptoms

et al. 2021

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“…A study of SE programs in unemployed individuals showed that the presence of a comorbid physical condition was predictive of lower rates of competitive employment, fewer hours worked, and lower wages earned over the 2-year follow-up period [ 39 ]. A negative association between somatic comorbidity and employment was also observed in other studies [ 40 , 41 ]. Other predictors are also discussed in connection with employment in patients with SMI.…”

Section: Discussionsupporting

confidence: 84%

Employment status and desire for work in severe mental illness: results from an observational, cross-sectional study

Gühne

Pabst

Löbner

et al. 2021

Soc Psychiatry Psychiatr Epidemiol

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Purpose People with a severe mental illness (SMI) are at particular risk of occupational exclusion. Among the approaches to occupational rehabilitation, supported employment (SE) has been proven to be the most effective. A requirement to enter SE-programs is that individuals must want to seek competitive employment. The aim of this work is to investigate the relationship between serious mental illness and the desire to work including potential predictors. Methods This is a cross-sectional observational study of patients with SMI aged 18–65 years (n = 397). Patients were interviewed by trained staff using standardised instruments. The relationship between potential predictors and a strong preference for employment were analysed using a hierarchic binary logistic regression model. Results Only about one-quarter (27.9%) of SMI patients is in competitive employment. Another quarter is unemployed (25.9%). Results show that the desire for competitive employment is strong among more than half of the SMI patients. Among the unemployed, two-thirds express a strong desire for work. These individuals are an ideal target group for SE interventions. Comorbid chronic physical illness, diagnosis, and the subjectively judged ability to work are associated with the desire for work. Conclusion Our data confirm a substantial exclusion of individuals with SMI from the workforce. In general, care needs for workplace interventions are not being met and leave much room for improvement. In addition to employment status, the desire for work should be routinely assessed. Study registration The study was registered in the German Clinical Trials Register (DRKS) (https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00015801) and under the WHO-Platform “International Clinical Trials Registry Platform” (ICTRP) (https://apps.who.int/trialsearch/Trial2.aspx?TrialID=DRKS00015801) under the registration number DRKS00015801 before the start of recruitment (Registration date: 21.02.2019).

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“…This is evident in the study of Ang M (2020), which stated that people with positive symptoms had a lower chance of finding work. (67) In those who resided in city had high level of positive symptoms than the village residents. In a similar way, Padhy S (2014) The study liked urban living with psychosis because living in an urban location causes greater stress and increases the risk of psychosis.…”

Section: Discussionmentioning

confidence: 94%

Relation between self empowerment and social functioning among patients with schizophrenia

Tahoun

Elsherif

Badawy

et al. 2022

Tanta Scientific Nursing Journal

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Self-empowerment in schizophrenia may be associated with symptoms and social functioning. It is possible that being disempowered may adversely affect one's level of functioning and that improvements in self-empowerment were associated with overall severity of symptoms and improvement of social functioning. Aim of the study: to determine the relation between selfempowerment and social function among patients with schizophrenia. Subject: A convenient sample of 130 patients with schizophrenia from both inpatient and outpatient services of Neuropsychiatric Department of Tanta University Hospital. Study design: A descriptive correlation research design was utilized. Study tools: four tools were used: Tool 1 is Structured interview, Tool 2 is " Positive and negative syndrome scales, Tool 3 is The Empowerment Scale, and Tool 4 is Social Function Scale. Results: This study revealed that more than half of the studied patients had low sense of self-empowerment, one third of patients had moderate sense of self-empowerment, and the minority had high sense of self-empowerment. Conclusions: it can be concluded that, there was a highly positive statistical significant correlation between total self-empowerment level and total social functioning level, while there was highly negative statistical significant correlation between total self-empowerment level and total Positive & negative syndrome level, and there was a highly negative statistical significant correlation between social functioning level and total positive & negative syndrome level. Recommendations: Further research on developing programs that are needed for a better understanding of relations between schizophrenia, empowerment and social functioning to improve social functions and self-empowerment levels of patients with schizophrenia.

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Vocational Profile and Correlates of Employment in People With Schizophrenia: The Role of Avolition

Cited by 10 publications

References 70 publications

Predicting Real-World Functioning in Schizophrenia: The Relative Contributions of Neurocognition, Functional Capacity, and Negative Symptoms

Predicting Real-World Functioning in Schizophrenia: The Relative Contributions of Neurocognition, Functional Capacity, and Negative Symptoms

Employment status and desire for work in severe mental illness: results from an observational, cross-sectional study

Relation between self empowerment and social functioning among patients with schizophrenia

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