BACKGROUND: Little is known about international variations in employment rates among people with schizophrenia or about the factors associated with employment in this disorder. AIMS: To describe employment patterns and the variables associated with working in an international sample of people with schizophrenia. METHOD: An analysis was made of baseline data from the European Schizophrenia Cohort study, a 2-year investigation of people with schizophrenia in contact with secondary services and living in France, Germany and the UK (n=1208). RESULTS: Participants were working in all sections of the job market. People who had a degree, were living with their families or had experienced only a single episode of illness were more likely to be working. A continuous illness course, more severe non-psychotic symptoms and drug misuse reduced the odds of employment. There were large variations between centres in employment rates, which were highest in the three German study sites. These differences persisted after adjustment for individual characteristics. CONCLUSIONS: Local social contexts may be as important as individual or illness-related factors in explaining employment status.
BACKGROUND: Little is known about international variations in employment rates among people with schizophrenia or about the factors associated with employment in this disorder. AIMS: To describe employment patterns and the variables associated with working in an international sample of people with schizophrenia. METHOD: An analysis was made of baseline data from the European Schizophrenia Cohort study, a 2-year investigation of people with schizophrenia in contact with secondary services and living in France, Germany and the UK (n=1208). RESULTS:Participants were working in all sections of the job market. People who had a degree, were living with their families or had experienced only a single episode of illness were more likely to be working. A continuous illness course, more severe non-psychotic symptoms and drug misuse reduced the odds of employment. There were large variations between centres in employment rates, which were highest in the three German study sites. These differences persisted after adjustment for individual characteristics. CONCLUSIONS: Local social contexts may be as important as individual or illness-related factors in explaining employment status.
Authors: Martin Knapp; Anita Patel; Claire Curran; Eric Latimer; Jocelyn Catty; Thomas Becker; Robert E Drake; Angelo Fioritti; Reinhold Kilian; Christoph Lauber; Wulf Rössler; Toma Tomov; Jooske van Busschbach; Adelina Comas-Herrera; Sarah White; Durk Wiersma; Tom Burns Journal: World Psychiatry Date: 2013-02 Impact factor: 49.548
Authors: Louise M Howard; Margaret Heslin; Morven Leese; Paul McCrone; Christopher Rice; Manuela Jarrett; Terry Spokes; Peter Huxley; Graham Thornicroft Journal: Br J Psychiatry Date: 2010-05 Impact factor: 9.319