Kiejna Andrzej, Piotrowski Patryk, Misiak Błażej, Adamowski Tomasz, Schubert Agata, Skrzekowska-Baran Iwona, Frydecka Dorota
Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland Department of Genetics, Wroclaw Medical University, Wroclaw, Poland
Int J Soc Psychiatry. 2015 Dec;61(8):824-31. doi: 10.1177/0020764015577841. Epub 2015 Apr 2.
Steady employment constitutes one of most important aspects of functional recovery in schizophrenia. Therefore, there is a need for understanding clinical and demographic factors predicting vocational status in schizophrenia.
Clinical and demographic data of 1,010 schizophrenia patients were gathered from public outpatient clinics. We compared patients who maintained employment between the diagnosis time point and the day of assessment, with the patients who were employed in the diagnosis time point but were unemployed on the day of assessment with respect to clinical and demographic variables.
Lower educational attainment, lower-income region of residence, medical comorbidities (obesity, diabetes and hypertension), first hospitalization at inpatient unit in comparison with the day hospital, higher total number of hospitalizations and the number of inpatient hospitalizations were found to serve as predictors of unemployment throughout the course of schizophrenia. After application of Bonferroni correction and logistic binary regression analysis, lower educational attainment, higher number of inpatient hospitalizations and obesity predicted unemployment.
Education, obesity and the number of inpatient hospitalizations seem to predict vocational outcome in schizophrenia. This study warrants further investigation of medical comorbidities in schizophrenia in terms of social consequences in order to indicate the direction of this relationship.
稳定就业是精神分裂症功能恢复最重要的方面之一。因此，有必要了解预测精神分裂症职业状况的临床和人口统计学因素。
从公立门诊收集了1010例精神分裂症患者的临床和人口统计学数据。我们比较了在诊断时间点至评估日期间保持就业的患者，与在诊断时间点就业但在评估日失业的患者在临床和人口统计学变量方面的情况。
受教育程度较低、居住在低收入地区、存在医学合并症（肥胖、糖尿病和高血压）、与日间医院相比首次住院是在住院部、住院总次数和住院次数较多，这些因素被发现是精神分裂症病程中失业的预测因素。应用Bonferroni校正和逻辑二元回归分析后，受教育程度较低、住院次数较多和肥胖可预测失业。
教育程度、肥胖和住院次数似乎可预测精神分裂症的职业结局。本研究有必要进一步探讨精神分裂症合并症在社会后果方面的问题，以明确这种关系的方向。
