AP-HP, Service de psychiatrie d'adultes, Hôpital Louis Mourier, 178 rue des Renouillers, 92701, Colombes, France.
J Occup Rehabil. 2010 Sep;20(3):293-8. doi: 10.1007/s10926-009-9201-4.
The purpose of this study was to describe the occupational outcome of bipolar patients 3 years after being hospitalized in a psychiatry department, and the determinants of this outcome.
One hundred and one bipolar patients consecutively hospitalized between 1st January 2002 and 31st December 2003, were recruited. Their occupations and medical items were assessed at baseline from the medical records and reassessed 3 years later, using a questionnaire on their work and treatment, and a quality of life scale. Occupational outcome was compared by univariate and multivariate analyses.
Of the 101 patients initially recruited, 36 were excluded and 34 were lost to follow-up. Among the 31 bipolar patients included in the study, 58.1% were working in 2003 and 54.8% were working in 2006. The presence of a personality disorder was significantly associated with a poorer occupational outcome and a lower rate of "return to work".
More than half of a population of hospitalized bipolar patients was employed. The presence of a personality disorder appeared to be a pejorative factor for "return to work", although other studies are needed to define the factors that determine the occupational outcome of bipolar patients.
本研究旨在描述精神科住院 3 年后双相情感障碍患者的职业结局及其决定因素。
连续纳入 2002 年 1 月 1 日至 2003 年 12 月 31 日期间住院的 101 例双相情感障碍患者。通过病历评估其职业和医疗项目，基线评估，3 年后使用工作和治疗问卷以及生活质量量表进行重新评估。通过单变量和多变量分析比较职业结局。
最初纳入的 101 例患者中，36 例被排除，34 例失访。在纳入研究的 31 例双相情感障碍患者中，2003 年有 58.1%的患者工作，2006 年有 54.8%的患者工作。人格障碍的存在与较差的职业结局和较低的“重返工作岗位”率显著相关。
住院双相情感障碍患者中，超过一半的人有工作。人格障碍的存在似乎是“重返工作岗位”的不利因素，但需要进一步研究来确定决定双相情感障碍患者职业结局的因素。
