University of Groningen, Department of Clinical and Developmental Neuropsychology, Grote Kruisstraat 2/1, 9712 TS, Groningen, the Netherlands.
University of Groningen, Department of Clinical and Developmental Neuropsychology, Grote Kruisstraat 2/1, 9712 TS, Groningen, the Netherlands; University Medical Center Groningen, University Center for Psychiatry, Rob Giel Research Center, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands.
J Psychiatr Res. 2024 Feb;170:302-306. doi: 10.1016/j.jpsychires.2023.12.039. Epub 2024 Jan 2.
Psychotic disorders have a strong negative impact on multiple aspects of daily life, including people's financial situation. This exploratory study examines the level of financial dissatisfaction and its correlates in a large cohort of people with psychotic disorders. Data from the first assessments of people with psychotic disorders (n = 5271) who were included in the Pharmacotherapy Monitoring and Outcome Survey (PHAMOUS; 2006-2020), which is conducted in the northern Netherlands, were used. The Manchester Short Assessment of Quality of Life (MANSA) was used to measure financial dissatisfaction. In addition, sociodemographic and psychiatric characteristics, substance use and global and social functioning were assessed. One-fifth to one-third of people with psychotic disorders report financial dissatisfaction, fluctuating over the year in which they were assessed. These proportions are considerably higher than in the general population. Cannabis and other substance use were associated with higher levels of financial dissatisfaction (small to medium effect). The other significant associations showed (very) small effect sizes. Therefore, we conclude that financial dissatisfaction in people with psychotic disorders appears to be relatively independent of other demographic and psychiatric characteristics, and global and social functioning. These findings are an important first step for increasing knowledge on financial dissatisfaction among people with psychotic disorders. The findings can also contribute to raising awareness about the topic for healthcare professionals working in this field.
精神障碍对日常生活的多个方面都有严重的负面影响，包括人们的财务状况。这项探索性研究考察了在一大群精神障碍患者中财务不满的程度及其相关因素。该研究的数据来自荷兰北部进行的药物治疗监测和结果调查（PHAMOUS；2006-2020 年）中纳入的精神障碍患者（n=5271）的首次评估。使用了曼彻斯特简短生活质量评估（MANSA）来衡量财务不满。此外，还评估了社会人口统计学和精神病学特征、物质使用以及整体和社会功能。1/5 到 1/3 的精神障碍患者报告存在财务不满，在评估年度内存在波动。这些比例远高于一般人群。大麻和其他物质的使用与更高水平的财务不满有关（小到中等效应）。其他显著关联则显示（非常）小的效应量。因此，我们得出结论，精神障碍患者的财务不满似乎相对独立于其他人口统计学和精神病学特征以及整体和社会功能。这些发现是增加对精神障碍患者财务不满认识的重要的第一步。这些发现还可以为该领域的医疗保健专业人员提高对该主题的认识做出贡献。
