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The Factors Affecting the Relationship between Remission Status and Employment in Chronic Schizophrenia Patients

OBJECTIVE: Symptomatic remission have substantial effects in long-term schizophrenia outcome, but exact determinants of the employment. In this study, the relationship between employment and symptomatic remission in chronic schizophrenia patients and other factors related to employment were investig...

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Autores principales: Erim, Burcu Rahşan, Boztaş, Hamid, Yıldız, Mustafa, Uygun, Ersin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neuropsychiatric Association 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6877458/
https://www.ncbi.nlm.nih.gov/pubmed/31684714
http://dx.doi.org/10.30773/pi.2019.0087
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author Erim, Burcu Rahşan
Boztaş, Hamid
Yıldız, Mustafa
Uygun, Ersin
author_facet Erim, Burcu Rahşan
Boztaş, Hamid
Yıldız, Mustafa
Uygun, Ersin
author_sort Erim, Burcu Rahşan
collection PubMed
description OBJECTIVE: Symptomatic remission have substantial effects in long-term schizophrenia outcome, but exact determinants of the employment. In this study, the relationship between employment and symptomatic remission in chronic schizophrenia patients and other factors related to employment were investigated. METHODS: 100 patients interviewed were evaluated by the Positive and Negative Syndrome Scale (PANSS), Functional Recovery Scale in Schizophrenia (FROGS), Global Assessment of Functioning (GAF), Quality of Life Scale (QoL) and Subjective Recovery Assessment Scale (SubRAS). Sociodemographic variables, clinical features, antipsychotic dose and past working history obtained from patient interviews were investigated. RESULTS: The patients of 40% who participate in the study were symptomatic remission, but only 53.5% of these patients weren’t employed. Young age, especially, -regardless of the onset of illness- working a job in the past, low and moderate use CPED (equivalent doses according to chlorpromazine), shorter disease duration, symptomatic remission was found to be closely related to employment. While QoL, FROGS, GAF, and SubRAS total scores of employment group were higher than the unemployment group, PANSS total scores in the unemployment group were higher than that of the employment group. There was a high correlation between the scales and employment status. CONCLUSION: Employment status was closely related with the remission status. This study supports that symptomatic remission alone is not decisive for employment. It was found that younger age, past working history (before or after the disease), low and intermediate CPED antipsychotic use and shorter duration of disease were closely related to employment with symptomatic remission.
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spelling pubmed-68774582019-12-04 The Factors Affecting the Relationship between Remission Status and Employment in Chronic Schizophrenia Patients Erim, Burcu Rahşan Boztaş, Hamid Yıldız, Mustafa Uygun, Ersin Psychiatry Investig Original Article OBJECTIVE: Symptomatic remission have substantial effects in long-term schizophrenia outcome, but exact determinants of the employment. In this study, the relationship between employment and symptomatic remission in chronic schizophrenia patients and other factors related to employment were investigated. METHODS: 100 patients interviewed were evaluated by the Positive and Negative Syndrome Scale (PANSS), Functional Recovery Scale in Schizophrenia (FROGS), Global Assessment of Functioning (GAF), Quality of Life Scale (QoL) and Subjective Recovery Assessment Scale (SubRAS). Sociodemographic variables, clinical features, antipsychotic dose and past working history obtained from patient interviews were investigated. RESULTS: The patients of 40% who participate in the study were symptomatic remission, but only 53.5% of these patients weren’t employed. Young age, especially, -regardless of the onset of illness- working a job in the past, low and moderate use CPED (equivalent doses according to chlorpromazine), shorter disease duration, symptomatic remission was found to be closely related to employment. While QoL, FROGS, GAF, and SubRAS total scores of employment group were higher than the unemployment group, PANSS total scores in the unemployment group were higher than that of the employment group. There was a high correlation between the scales and employment status. CONCLUSION: Employment status was closely related with the remission status. This study supports that symptomatic remission alone is not decisive for employment. It was found that younger age, past working history (before or after the disease), low and intermediate CPED antipsychotic use and shorter duration of disease were closely related to employment with symptomatic remission. Korean Neuropsychiatric Association 2019-11 2019-11-06 /pmc/articles/PMC6877458/ /pubmed/31684714 http://dx.doi.org/10.30773/pi.2019.0087 Text en Copyright © 2019 Korean Neuropsychiatric Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Erim, Burcu Rahşan
Boztaş, Hamid
Yıldız, Mustafa
Uygun, Ersin
The Factors Affecting the Relationship between Remission Status and Employment in Chronic Schizophrenia Patients
title The Factors Affecting the Relationship between Remission Status and Employment in Chronic Schizophrenia Patients
title_full The Factors Affecting the Relationship between Remission Status and Employment in Chronic Schizophrenia Patients
title_fullStr The Factors Affecting the Relationship between Remission Status and Employment in Chronic Schizophrenia Patients
title_full_unstemmed The Factors Affecting the Relationship between Remission Status and Employment in Chronic Schizophrenia Patients
title_short The Factors Affecting the Relationship between Remission Status and Employment in Chronic Schizophrenia Patients
title_sort factors affecting the relationship between remission status and employment in chronic schizophrenia patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6877458/
https://www.ncbi.nlm.nih.gov/pubmed/31684714
http://dx.doi.org/10.30773/pi.2019.0087
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