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

Published online by Cambridge University Press:  11 April 2011

Steven Marwaha ,
Sonia Johnson ,
Paul E. Bebbington ,
Matthias C. Angermeyer ,
Traolach S. Brugha ,
Jean-Michel Azorin ,
Reinhold Killian ,
Karina Hansen  and
Mondher Toumi
Steven Marwaha*
Affiliation:
Health Sciences Research Institute, Warwick Medical School and Research Department of Mental Health Sciences, University College London, London (United Kingdom)
Sonia Johnson
Affiliation:
Health Sciences Research Institute, Warwick Medical School and Research Department of Mental Health Sciences, University College London, London (United Kingdom)
Paul E. Bebbington
Affiliation:
Health Sciences Research Institute, Warwick Medical School and Research Department of Mental Health Sciences, University College London, London (United Kingdom)
Matthias C. Angermeyer
Affiliation:
Center for Public Mental Health, Gösing a.W. (Austria)
Traolach S. Brugha
Affiliation:
Department of Health Sciences, University of Leicester, Leicester (United Kingdom)
Jean-Michel Azorin
Affiliation:
SHU Psychiatrie Adultes, Hospital Sainte Marguerite, Marseille (France)
Reinhold Killian
Affiliation:
Klinik and Poliklinik für Psychiatrie, Universität Leipzig, Leipzig (Germany) and University of Ulm, Department of Psychiatry II, Günzburg (Germany)
Karina Hansen
Affiliation:
Global Outcomes, Risks & Market Access, Paris (France)
Mondher Toumi
Affiliation:
University Claude Bernard Lyon I, Decision Sciences & Health Policy, Villeurbanne Cedex (France)
*
Address fo correspondence: Dr. S. Marwaha, Health Sciences Research Institute, Warwick Medical School, University of Warwick, Coventry, CV4 7AL (United Kingdom). Fax: +44-(0)24-7652.8375, E-mail: S.Marwaha@warwick.ac.uk
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Summary

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.

Declaration of Interest: All authors declare there are no conflicts of interest. This study was funded by grants from Lundbeck A/S and from the German Federal Ministry of Education and Research.

Keywords

Schizophreniaemploymentepidemiologyvocational rehabilitation
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 18 , Issue 4 , December 2009 , pp. 344 - 351
Copyright
Copyright © Cambridge University Press 2010

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