Unemployment among patients with newly diagnosed first-episode psychosis: prevalence and clinical correlates in a US sample

Ramsay, Claire E.; Stewart, Tarianna; Compton, Michael T.

doi:10.1007/s00127-011-0386-4

Cited by 57 publications

(51 citation statements)

References 31 publications

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“…Thus, the independence-competence factor was significantly higher in participants with jobs compared to those who were unemployed. Our results therefore tie in with those stating that measurements of social functioning are stronger in this respect than those which assess symptomatology exclusively (Giugiario et al, 2012;Kilian et al, 2012;McGurk & Mueser, 2004;Ramsay, Stewart & Compton, 2012).…”

Section: Discussionsupporting

confidence: 89%

“…It is essential to design effective educational programs to compensate for their lack of academic experience. In turn, the fact that the variable "sex" (woman) enters the equation which predicts ordinary employment must be related to the lower neuropsychological deficit, better progression and less negative symptomatology which seems to affect women with schizophrenia (Gogos et al, 2010;Ramsay et al, 2012), it may also be related to the specific employment opportunities found in Andalusia. Similar correlates between sex (being women), high educational level and competitive employment have been found in previous studies (Waghorn, Saha & McGrath, 2014).…”

Section: Discussionmentioning

confidence: 99%

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Cognitive and Social Functioning Correlates of Employment Among People with Severe Mental Illness

Saavedra

López

González

et al. 2015

Community Ment Health J

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A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription. We assess how social and cognitive functioning is associated to gaining employment for 213 people diagnosed with severe mental illness taking part in employment programs in Andalusia (Spain). We used the Repeatable Battery for the Assessment of Neuropsychological Status and the Social Functioning Scale and conducted two binary logistical regression analyses. Response variables were: having a job or not, in ordinary companies (OCs) and social enterprises (SEs), and working in and OC or not. There were two variables with significant adjusted odds ratios for having a job: "attention" and "Educational level". There were five variables with significant odds ratiosfor having a job in an OC: "Sex", "Educational level", "Attention", "Communication", and "Independence-competence". The study looks at the possible benefits of combining employment with support and social enterprises in employment programs for these people and underlines how both social and cognitive functioning are central to developing employment models.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Cognitive and Social Functioning Correlates of Employment Among People with Severe Mental Illness

Saavedra

López

González

et al. 2015

Community Ment Health J

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“…Although not shown, it is also noteworthy that the mean age at hospitalization was 23.1 ± 4.7 years (range: 18–39) and 98 of the participants (89.9%) were African American. Descriptions of other social variables are given elsewhere, including in‐depth information on high rates of high school dropout (44.0%), 32 prior incarceration (57.8%) 33 and unemployment prior to hospitalization (65.0%) 34 . The majority of participants (82, 75.2%) were admitted to an inpatient unit with an average length of stay of about 10 days, with smaller numbers admitted to a crisis stabilization unit in the same hospital with an average length of stay of about 6 days (17, 15.6%), and a similar crisis stabilization unit in a neighbouring suburban county (10, 9.2%).…”

Section: Methodsmentioning

confidence: 99%

A comparison of correlates of suicidal ideation prior to initial hospitalization for first‐episode psychosis with prior research on correlates of suicide attempts prior to initial treatment seeking

Flanagan

Compton

2011

Early Intervention Psych

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Aim Individuals with first-episode psychosis, like those with chronic psychotic disorders, are at elevated risk for suicidal ideation and suicide attempts. However, relatively little is known about suicidality among first-episode patients prior to their initial presentation for treatment. This analysis was designed as a U.S.A.-based examination of recent findings on prior suicide attempts from Dublin, Ireland, here focusing on prevalence and correlates of suicidal ideation two weeks prior to initial treatment-seeking. Methods Participants included 109 first-episode inpatients with primary psychotic disorders in public-sector settings that serve an urban, low-income, socially disadvantaged, predominantly African American population. Eligible patients had received <3 months of prior antipsychotic treatment and had not been hospitalized >3 months prior to the index admission, though most were completely treatment naïve. Assessments included the Positive and Negative Syndrome Scale, Calgary Depression Scale for Schizophrenia, Birchwood Insight Scale, and a rigorous method for determining age at onset of first psychotic symptoms and duration of untreated psychosis. Results Disconcertingly, nearly one-quarter of patients (23%) endorsed a history of suicidal ideation in the two weeks prior to first admission. In the model designed to replicate the prior study in Ireland, Calgary Depression score (calculated omitting hopelessness and suicidal ideation as these were separate variables in the analysis) was a predictor of suicidal ideation (P < 0.01). In separate bivariate analyses analogous to the original study, two domains of insight were associated with suicidal ideation. Conclusions Findings suggest that depression, insight, and suicidality should be carefully monitored among first-episode patients initiating treatment and during the early course of illness. As insight improves, coping strategies should be enhanced with a goal of minimizing depression and preventing suicidality.

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“…Recent estimates of unemployment at presentation are between 59 [7] and 65% [8], and this is associated with poor global functioning [8]. Recent estimates of unemployment at presentation are between 59 [7] and 65% [8], and this is associated with poor global functioning [8].…”

Section: Psychosocial Outcome In First-episode Psychosismentioning

confidence: 99%

Measuring psychosocial outcome is good

Lin

Wood

Yung

2013

Current Opinion in Psychiatry

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It is likely that for some patients poor psychosocial outcome is the result of longstanding neurological changes, whereas for others it is related to the secondary consequences of having psychosis. We suggest that measuring psychosocial outcome in the early stages of psychosis is important for our understanding of the cause of schizophrenia, but argue for the importance of the patient's subjective view on their psychosocial recovery.

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Unemployment among patients with newly diagnosed first-episode psychosis: prevalence and clinical correlates in a US sample

Abstract: The remarkably high rate of unemployment in this young, first-episode sample, and the evidence of associations between unemployment, greater symptomatology, and poorer functioning, argue for further research and development on supported employment programs for such patients.

Cited by 57 publications

References 31 publications

Cognitive and Social Functioning Correlates of Employment Among People with Severe Mental Illness

Cognitive and Social Functioning Correlates of Employment Among People with Severe Mental Illness

A comparison of correlates of suicidal ideation prior to initial hospitalization for first‐episode psychosis with prior research on correlates of suicide attempts prior to initial treatment seeking

Measuring psychosocial outcome is good

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