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Relationship Between Employment Status and Unstable Periods in Outpatients with Bipolar Disorder: A Multicenter Treatment Survey for Bipolar Disorder in Psychiatric Outpatient Clinics (MUSUBI) Study
PURPOSE: To clarify the relationship between the length of unstable periods and employment status of patients with bipolar disorder. PATIENTS AND METHODS: Medical records of outpatients with bipolar disorder who visited 176 member clinics of the Japanese Association of Neuro-Psychiatric Clinics were...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9005072/ https://www.ncbi.nlm.nih.gov/pubmed/35422623 http://dx.doi.org/10.2147/NDT.S353460 |
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author | Ikenouchi, Atsuko Konno, Yusuke Fujino, Yoshihisa Adachi, Naoto Kubota, Yukihisa Azekawa, Takaharu Ueda, Hitoshi Edagawa, Koji Katsumoto, Eiichi Goto, Eiichiro Hongo, Seiji Kato, Masaki Tsuboi, Takashi Yasui-Furukori, Norio Nakagawa, Atsuo Kikuchi, Toshiaki Watanabe, Koichiro Yoshimura, Reiji |
author_facet | Ikenouchi, Atsuko Konno, Yusuke Fujino, Yoshihisa Adachi, Naoto Kubota, Yukihisa Azekawa, Takaharu Ueda, Hitoshi Edagawa, Koji Katsumoto, Eiichi Goto, Eiichiro Hongo, Seiji Kato, Masaki Tsuboi, Takashi Yasui-Furukori, Norio Nakagawa, Atsuo Kikuchi, Toshiaki Watanabe, Koichiro Yoshimura, Reiji |
author_sort | Ikenouchi, Atsuko |
collection | PubMed |
description | PURPOSE: To clarify the relationship between the length of unstable periods and employment status of patients with bipolar disorder. PATIENTS AND METHODS: Medical records of outpatients with bipolar disorder who visited 176 member clinics of the Japanese Association of Neuro-Psychiatric Clinics were investigated during September–October 2016, and details of their medical care and employment were surveyed using a questionnaire. The odds ratios (ORs) of length of unstable period and unemployment were analyzed with a logistic regression model. RESULTS: The study included 816 patients, of whom 707 were employed full-time (continuous employment) and 70 were unemployed (loss of employment). Univariate analysis showed that ORs were statistically significant for patients who were unstable for “almost all” of the year (OR = 10.4 [4.48–24.28] p < 0.001), but not for “few” unstable periods (OR = 1.06 [0.56–1.98] p = 0.849) and for “significant” unstable periods (OR = 1.65 [0.73–3.74] p = 0.231) were not significantly different. Multivariate analysis showed that ORs were statistically “significant” for patients who were unstable for “almost all” (OR = 12.1 [4.37–33.3] p < 0.001), but not for “few” unstable periods (OR = 1.07 [0.55–2.07] p = 0.846) and for “significant” unstable periods (OR = 1.62 [0.66–3.98] p = 0.290) did not differ significantly. CONCLUSION: Patients with bipolar disorder with a long unstable period were associated with a higher risk of unemployment. |
format | Online Article Text |
id | pubmed-9005072 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-90050722022-04-13 Relationship Between Employment Status and Unstable Periods in Outpatients with Bipolar Disorder: A Multicenter Treatment Survey for Bipolar Disorder in Psychiatric Outpatient Clinics (MUSUBI) Study Ikenouchi, Atsuko Konno, Yusuke Fujino, Yoshihisa Adachi, Naoto Kubota, Yukihisa Azekawa, Takaharu Ueda, Hitoshi Edagawa, Koji Katsumoto, Eiichi Goto, Eiichiro Hongo, Seiji Kato, Masaki Tsuboi, Takashi Yasui-Furukori, Norio Nakagawa, Atsuo Kikuchi, Toshiaki Watanabe, Koichiro Yoshimura, Reiji Neuropsychiatr Dis Treat Original Research PURPOSE: To clarify the relationship between the length of unstable periods and employment status of patients with bipolar disorder. PATIENTS AND METHODS: Medical records of outpatients with bipolar disorder who visited 176 member clinics of the Japanese Association of Neuro-Psychiatric Clinics were investigated during September–October 2016, and details of their medical care and employment were surveyed using a questionnaire. The odds ratios (ORs) of length of unstable period and unemployment were analyzed with a logistic regression model. RESULTS: The study included 816 patients, of whom 707 were employed full-time (continuous employment) and 70 were unemployed (loss of employment). Univariate analysis showed that ORs were statistically significant for patients who were unstable for “almost all” of the year (OR = 10.4 [4.48–24.28] p < 0.001), but not for “few” unstable periods (OR = 1.06 [0.56–1.98] p = 0.849) and for “significant” unstable periods (OR = 1.65 [0.73–3.74] p = 0.231) were not significantly different. Multivariate analysis showed that ORs were statistically “significant” for patients who were unstable for “almost all” (OR = 12.1 [4.37–33.3] p < 0.001), but not for “few” unstable periods (OR = 1.07 [0.55–2.07] p = 0.846) and for “significant” unstable periods (OR = 1.62 [0.66–3.98] p = 0.290) did not differ significantly. CONCLUSION: Patients with bipolar disorder with a long unstable period were associated with a higher risk of unemployment. Dove 2022-04-08 /pmc/articles/PMC9005072/ /pubmed/35422623 http://dx.doi.org/10.2147/NDT.S353460 Text en © 2022 Ikenouchi et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Ikenouchi, Atsuko Konno, Yusuke Fujino, Yoshihisa Adachi, Naoto Kubota, Yukihisa Azekawa, Takaharu Ueda, Hitoshi Edagawa, Koji Katsumoto, Eiichi Goto, Eiichiro Hongo, Seiji Kato, Masaki Tsuboi, Takashi Yasui-Furukori, Norio Nakagawa, Atsuo Kikuchi, Toshiaki Watanabe, Koichiro Yoshimura, Reiji Relationship Between Employment Status and Unstable Periods in Outpatients with Bipolar Disorder: A Multicenter Treatment Survey for Bipolar Disorder in Psychiatric Outpatient Clinics (MUSUBI) Study |
title | Relationship Between Employment Status and Unstable Periods in Outpatients with Bipolar Disorder: A Multicenter Treatment Survey for Bipolar Disorder in Psychiatric Outpatient Clinics (MUSUBI) Study |
title_full | Relationship Between Employment Status and Unstable Periods in Outpatients with Bipolar Disorder: A Multicenter Treatment Survey for Bipolar Disorder in Psychiatric Outpatient Clinics (MUSUBI) Study |
title_fullStr | Relationship Between Employment Status and Unstable Periods in Outpatients with Bipolar Disorder: A Multicenter Treatment Survey for Bipolar Disorder in Psychiatric Outpatient Clinics (MUSUBI) Study |
title_full_unstemmed | Relationship Between Employment Status and Unstable Periods in Outpatients with Bipolar Disorder: A Multicenter Treatment Survey for Bipolar Disorder in Psychiatric Outpatient Clinics (MUSUBI) Study |
title_short | Relationship Between Employment Status and Unstable Periods in Outpatients with Bipolar Disorder: A Multicenter Treatment Survey for Bipolar Disorder in Psychiatric Outpatient Clinics (MUSUBI) Study |
title_sort | relationship between employment status and unstable periods in outpatients with bipolar disorder: a multicenter treatment survey for bipolar disorder in psychiatric outpatient clinics (musubi) study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9005072/ https://www.ncbi.nlm.nih.gov/pubmed/35422623 http://dx.doi.org/10.2147/NDT.S353460 |
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