Employment among people with schizophrenia or bipolar disorder: A population‐based study using nationwide registers

Holm, Minna; Taipale, Heidi; Tanskanen, Antti; Tiihonen, Jari; Mitterdorfer‐Rutz, Ellenor

doi:10.1111/acps.13254

Cited by 52 publications

(57 citation statements)

References 37 publications

(59 reference statements)

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“…Additionally, the increased risk was observed in both sexes. Schizophrenia and psychoses as severe mental disorders have been associated with high rates of both unemployment and work disability ( Holm et al, 2021 ; Marwaha et al, 2007 ; Salkever et al, 2007 ). Targeted vocational interventions for them have been found effective in achieving higher work involvement ( Falkum et al, 2017 ; Tsang et al, 2010 ).…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Disability Pension among Young Adults Diagnosed with Attention-deficit Hyperactivity Disorder (ADHD) in Adulthood

et al. 2021

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Objective: To investigate risk factors of disability pension (DP) in young adults diagnosed with ADHD in Sweden. Method: In total, 9718 individuals diagnosed with incident ADHD in young adult age (19–29 years) 2006 to 2011, were identified through national registers. They were followed for 5 years and Cox regression models were applied to analyze the DP risk (overall and by sex), associated with socio-demographics, work-related factors, and comorbid disorders. Results: Twenty-one percent of all received DP. Being younger at diagnosis (hazard ratio [HR] = 1.54; 95%confidence interval [CI] 1.39–1.71); low educational level (HR = 1.97; 95%CI 1.60–2.43 for <10 years); work-related factors at baseline (no income from work [HR = 2.64; 95%CI 2.35–2.98] and sickness absence >90 days [HR = 2.48; 95%CI2.17–2.83]); and schizophrenia/psychoses (HR = 2.16; 95%CI 1.66–2.80), autism (HR = 1.87; 95%CI 1.42–2.46), anxiety (HR = 1.34; 95%CI 1.22–1.49) were significantly associated with an increased risk of DP. Similar risk patterns were found in men and women. Conclusion: Work-related factors and comorbid mental disorders need to be highlighted in early vocational rehabilitation for individuals with ADHD.

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Section: Discussionmentioning

confidence: 99%

Risk Factors for Disability Pension among Young Adults Diagnosed with Attention-deficit Hyperactivity Disorder (ADHD) in Adulthood

et al. 2021

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“…Of our participants, 34% had at least a tertiary education level compared to one local study in a less urbanized population that showed a much smaller tertiary education percentage (6%) ( 55 ). Our participants' education level is also higher when it is compared to those in a population-based study using nationwide registers, which occurred in one European country and in which only 12% had a tertiary educational level ( 56 ). Our patients' educational backgrounds are similar to those investigated in a study done at the same center on common medical illnesses, which revealed a slightly higher tertiary education level percentage (36%) ( 57 ).…”

Section: Discussionmentioning

confidence: 60%

Shared Decision-Making and Role Preference Among Patients With Schizophrenia in Malaysia: A Cross-Sectional Study

Ismail

Midin

2021

Front. Psychiatry

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Introduction: Shared decision-making (SDM) is recognized as a promising strategy for improving collaboration between clinicians and their patients in achieving recovery. In Malaysia, SDM among people with schizophrenia is still lacking both in practice and in research. This study aimed to determine the level of SDM and role preference and their associated factors among patients with schizophrenia in Malaysia.Methods: A cross-sectional study was conducted on 86 outpatient attendees with schizophrenia at a teaching hospital in Kuala Lumpur, Malaysia. The nine-item Shared Decision Making Questionnaire and Control Preference Scale were used to assess perceived SDM experience and role preference, respectively. Linear and logistic regression models were used to analyze the factors associated with SDM and role preference, respectively. Factors with a p <0.25 from the simple regression analyses were controlled as the covariates in the multiple regression analyses.Results: The study respondents were predominantly female, single, and unemployed, with a mean age of 44 years. Only 35% of the participants reported having high SDM experiences, even though the majority (56%) preferred autonomous role preference. Among the participants who preferred autonomous roles, only 40% experienced high SDM. High SDM was found to be significantly associated with being younger (B = −0.33, 95% CI = −0.67 to −0.003) and being non-clozapine users (B = 19.90, 95% CI = 9.39–30.41), while autonomous role preference was significantly associated with a lower level of insight [adjusted odds ratio (AOR) = 0.84, 95% CI = 0.72–0.99] and being on oral antipsychotic drugs only (AOR = 2.94, 95% CI = 1.10–7.82).Conclusion: The practice of SDM is still lacking in the treatment of patients with schizophrenia in Malaysia, even though many of them preferred to be involved in the decision-making pertaining to their treatment. This study indicates the need for clinicians to improve their patients' involvement in the treatment process. More research is needed on how SDM can be implemented in patients with schizophrenia, especially in Asian population settings.

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“…(n = 187) rate of unemployment in this study, and has been associated with younger age and higher educational attainment 29,31,32 , as well as less severe SMI symptoms 29,32 . All of these might help people to acquire good digital skills and this may be directly linked with this study's finding that employed participants were more likely to have Foundation Skills compared to those not in employment.…”

Section: Discussionmentioning

confidence: 68%

“…This could be a sampling issue in our study and might not be representative of the total SMI population. However, it may also be explained by the fact that employment is less common in people with SMI, [28][29][30] , as shown by the 75.1%…”

Section: Discussionmentioning

confidence: 99%

Measuring the digital divide among people with Severe Mental Ill Health using the Essential Digital Skills framework

Spanakis

Wadman

Walker

et al. 2021

Preprint

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Aims: Amidst the vast digitalisation of health and other services during the pandemic, people with no digital skills are at risk for digital exclusion. This risk might not abide by the end of the pandemic. This paper seeks to understand whether people with severe mental ill health (SMI) have the necessary digital skills to adapt to these changes and avoid digital exclusion. Methods: 249 adults with SMI across England completed a survey online or offline. They provided information on their digital skills based on the Essential Digital Skills (EDS) framework, sociodemographic information, and digital access. This is the first time the EDS is benchmarked in people with SMI. Results: 42.2% had no Foundation Skills and 46.2% lacked skills for daily life (lacking Foundation or Life Skills). 23.0% of those working lacked skills for professional life (lacking Foundation or Work Skills). The most commonly missing skills were handling passwords and using the device settings (Foundation Skills) and online problem solving (Skills for Life). People were interested in learning more about approximately half of the skills they did not have. People were more likely to lack Foundation Skills if they were older, not in employment, had a psychosis-spectrum disorder, or had no Internet access at home. Conclusion: A significant portion of people with SMI lacked Foundation Skills in this objective and benchmarked survey. This points to a high risk for digital exclusion and the need for focused policy and tailored health sector support, to ensure people retain access to key services and develop digital skills and confidence. To our knowledge this is the first time this has been described using the Essential Digital Skills (EDS) framework. Services, including the NHS, need to be aware and mitigate the risks.

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Employment among people with schizophrenia or bipolar disorder: A population‐based study using nationwide registers

Cited by 52 publications

References 37 publications

Risk Factors for Disability Pension among Young Adults Diagnosed with Attention-deficit Hyperactivity Disorder (ADHD) in Adulthood

Risk Factors for Disability Pension among Young Adults Diagnosed with Attention-deficit Hyperactivity Disorder (ADHD) in Adulthood

Shared Decision-Making and Role Preference Among Patients With Schizophrenia in Malaysia: A Cross-Sectional Study

Measuring the digital divide among people with Severe Mental Ill Health using the Essential Digital Skills framework

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