Hussenoeder Felix S, Koschig Maria, Pabst Alexander, Gatzsche Katharina, Bieler Luise, Alberti Mathias, Riedel-Heller Steffi G, Stengler Katarina, Conrad Ines
Institute of Social Medicine, Occupational Health and Public Health, Leipzig University, Germany.
Helios Park-Klinikum - Clinic for Psychiatry, Psychosomatics and Psychotherapy, Leipzig, Germany.
Int J Soc Psychiatry. 2025 May;71(3):489-495. doi: 10.1177/00207640241300959. Epub 2024 Nov 28.
Research shows that unemployed individuals are more often affected by mental illness, and that mental illness can impede an individual's work ability, creating a significant obstacle to (re)entering the workforce.
The objective of this study is to examine the relationships between psychological symptoms and work ability in unemployed individuals with mental illnesses (UMIs). This will enable us to identify the symptoms that are most relevant for future research and application.
Our study is based on a sample from the project LIPSY, which aims to maintain and/or restore the employability of UMIs. We conducted regression analyses with the outcome variable work ability in a sample of unemployed individuals with a mental illness (ICD-10: F-diagnosis). In the initial analysis, age, gender, education, and cohabitation status were used as predictors; in the final model, all nine symptom dimensions (SCL-90) were added, that is, (1) Somatization, (2) Obsessive-Compulsive, (3) Interpersonal Sensitivity, (4) Depression, (5) Anxiety, (6) Anger-Hostility, (7) Phobic Anxiety, (8) Paranoid Ideation, and (9) Psychoticism.
Our sample comprised 402 participants, with a mean age of 35.7 years, 52.5% were female. In the final analysis, we found significant positive associations between education, Paranoid Ideation, and work ability, and a significant negative one between Depression and work ability, but no other significant associations.
The elevated scores on all SCL-90 dimensions, along with the associations between two dimensions and work ability, underscore the need for psychological screening, diagnosis, prevention, and therapy (Depression) as well as additional public health attention and research (Paranoid Ideation) in this high-risk population.
研究表明，失业者更常受到精神疾病的影响，而精神疾病会阻碍个人的工作能力，给（再）进入劳动力市场造成重大障碍。
本研究的目的是探讨患有精神疾病的失业者（UMIs）的心理症状与工作能力之间的关系。这将使我们能够确定对未来研究和应用最相关的症状。
我们的研究基于LIPSY项目的一个样本，该项目旨在维持和/或恢复UMIs的就业能力。我们对患有精神疾病（国际疾病分类第10版：F诊断）的失业者样本进行了以工作能力为结果变量的回归分析。在初始分析中，年龄、性别、教育程度和同居状况被用作预测因素；在最终模型中，加入了所有九个症状维度（症状自评量表-90），即：（1）躯体化、（2）强迫、（3）人际敏感、（4）抑郁、（5）焦虑、（6）敌对、（7）恐怖焦虑、（8）偏执观念和（9）精神病性。
我们的样本包括402名参与者，平均年龄为35.7岁，52.5%为女性。在最终分析中，我们发现教育程度、偏执观念与工作能力之间存在显著的正相关，抑郁与工作能力之间存在显著的负相关，但没有其他显著关联。
症状自评量表-90所有维度的高分，以及两个维度与工作能力之间的关联，凸显了对这一高风险人群进行心理筛查、诊断、预防和治疗（抑郁）以及额外的公共卫生关注和研究（偏执观念）的必要性。
