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A long-term follow-up study of labor market marginalization in psychiatric patients with and without personality disorder

BACKGROUND: Personality disorders (PDs) in adulthood are considered stable over time and are likely to have lasting psychosocial impact on the affected individual, including in areas like vocational functioning. The aim of this study was to study labor market marginalization (LMM) and receipt of soc...

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Autores principales: Spangenberg, Hanna, Ramklint, Mia, Ramirez, Adriana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Open Academia 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10392854/
https://www.ncbi.nlm.nih.gov/pubmed/37533817
http://dx.doi.org/10.48101/ujms.v128.9014
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author Spangenberg, Hanna
Ramklint, Mia
Ramirez, Adriana
author_facet Spangenberg, Hanna
Ramklint, Mia
Ramirez, Adriana
author_sort Spangenberg, Hanna
collection PubMed
description BACKGROUND: Personality disorders (PDs) in adulthood are considered stable over time and are likely to have lasting psychosocial impact on the affected individual, including in areas like vocational functioning. The aim of this study was to study labor market marginalization (LMM) and receipt of social welfare benefits during 13 years from age 18 to 25 years in a sample of former psychiatric patients with and without PD. METHODS: This study followed-up 186 former psychiatric patients who were thoroughly assessed in 2002–2004, including for PD, and compared them with controls. Participants were divided into three groups: former patients with PD, without PD, and a matched control group from the general population. Register data on employment, sick leave absence, disability pensioning, education, days of psychiatric care, income, and receipt of social welfare benefits in 2003–2016 were collected. RESULTS: Former patients had more days of unemployment, sick leave absence, and disability pensioning and received more social welfare benefits than controls during the study period. Differences between patients with and without PD were smaller than expected, but significant as regards receipt of social welfare benefits. PD also had an effect on income at age 30 years. CONCLUSIONS: Early onset of psychiatric disorders impairs vocational functioning up to 13 years after diagnosis, and most in those with PD.
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spelling pubmed-103928542023-08-02 A long-term follow-up study of labor market marginalization in psychiatric patients with and without personality disorder Spangenberg, Hanna Ramklint, Mia Ramirez, Adriana Ups J Med Sci Original Research Article BACKGROUND: Personality disorders (PDs) in adulthood are considered stable over time and are likely to have lasting psychosocial impact on the affected individual, including in areas like vocational functioning. The aim of this study was to study labor market marginalization (LMM) and receipt of social welfare benefits during 13 years from age 18 to 25 years in a sample of former psychiatric patients with and without PD. METHODS: This study followed-up 186 former psychiatric patients who were thoroughly assessed in 2002–2004, including for PD, and compared them with controls. Participants were divided into three groups: former patients with PD, without PD, and a matched control group from the general population. Register data on employment, sick leave absence, disability pensioning, education, days of psychiatric care, income, and receipt of social welfare benefits in 2003–2016 were collected. RESULTS: Former patients had more days of unemployment, sick leave absence, and disability pensioning and received more social welfare benefits than controls during the study period. Differences between patients with and without PD were smaller than expected, but significant as regards receipt of social welfare benefits. PD also had an effect on income at age 30 years. CONCLUSIONS: Early onset of psychiatric disorders impairs vocational functioning up to 13 years after diagnosis, and most in those with PD. Open Academia 2023-07-31 /pmc/articles/PMC10392854/ /pubmed/37533817 http://dx.doi.org/10.48101/ujms.v128.9014 Text en © 2023 The Author(s). Published by Upsala Medical Society. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research Article
Spangenberg, Hanna
Ramklint, Mia
Ramirez, Adriana
A long-term follow-up study of labor market marginalization in psychiatric patients with and without personality disorder
title A long-term follow-up study of labor market marginalization in psychiatric patients with and without personality disorder
title_full A long-term follow-up study of labor market marginalization in psychiatric patients with and without personality disorder
title_fullStr A long-term follow-up study of labor market marginalization in psychiatric patients with and without personality disorder
title_full_unstemmed A long-term follow-up study of labor market marginalization in psychiatric patients with and without personality disorder
title_short A long-term follow-up study of labor market marginalization in psychiatric patients with and without personality disorder
title_sort long-term follow-up study of labor market marginalization in psychiatric patients with and without personality disorder
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10392854/
https://www.ncbi.nlm.nih.gov/pubmed/37533817
http://dx.doi.org/10.48101/ujms.v128.9014
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