Department of Pharmacoeconomics and Social Pharmacy, Poznan University of Medical Sciences, 79 Dąbrowskiego Street, 60529, Poznań, Poland.
Department of Psychiatry, Psychology and Sexology, Lviv National Medical University, 95 Kulparkivska Street, 79021, Lviv, Ukraine.
Psychiatr Q. 2015 Dec;86(4):569-79. doi: 10.1007/s11126-015-9354-6.
Schizophrenia is a severe and chronic disorder requiring long-lasting and comprehensive treatment. Because of this disorder patients are socially isolated. Consequently, schizophrenia has a significant economic burden both in a group of direct and indirect costs. The aim was to analyse experts' opinions in the field of psychiatry concerning work possibilities among people with schizophrenia and to present the importance of employment for more effective treatment. A worldwide study was conducted between June 2011 and June 2013 using a questionnaire consisting of six open-closed questions and a short metrics. The questionnaire was delivered to experts and spread all over the world by post and via the internet. Over 3000 questionnaires were sent and the addressed specialists were requested to return them. From received 403 questionnaires 320 were included into the study, based on adopted inclusion and exclusion criteria. Although patients are afraid of looking for a job, respondents indicated that they crave for employment. The number of people that are able to work during remission of schizophrenia is considerably higher (50.35 %) than the number of actually employed (15.85 %). Non-pharmacological therapies were indicated as important to improve patients' chances of finding a job during remission of schizophrenia. The number of people that can work during remission of schizophrenia is considerably higher than the number of affected people employed. Patients crave for a job and supported employment should be treated as priority by health-care decision makers.
精神分裂症是一种严重且慢性的疾病,需要长期全面的治疗。由于这种疾病,患者在社交上被孤立。因此,精神分裂症在直接和间接费用方面都给群体带来了巨大的经济负担。目的是分析精神病学领域专家关于精神分裂症患者工作可能性的意见,并阐述就业对更有效治疗的重要性。这项全球性研究于 2011 年 6 月至 2013 年 6 月进行,使用了一份由六个开放式和封闭式问题以及一个简短指标组成的问卷。问卷分发给专家,并通过邮寄和互联网在世界各地传播。寄出了 3000 多份问卷,并要求专家回复。在收到的 403 份问卷中,根据采用的纳入和排除标准,有 320 份被纳入研究。尽管患者害怕找工作,但受访者表示他们渴望就业。在精神分裂症缓解期能够工作的人数(50.35%)明显高于实际就业人数(15.85%)。受访者指出,非药物治疗对于改善精神分裂症缓解期患者的就业机会很重要。在精神分裂症缓解期能够工作的人数明显高于受影响的就业人数。患者渴望工作,支持性就业应该成为医疗保健决策者的优先事项。