Alison Luciano1, Justin D Metcalfe1, Gary R Bond1, Haiyi Xie1, Alexander L Miller1, Jarnee Riley1, A James O'Malley1, Robert E Drake1. 1. Dr. Luciano is with the Center for the Study of Aging and Human Development, Duke University, Durham, North Carolina. Mr. Metcalfe and Dr. Drake are with the Dartmouth Institute for Health Policy and Clinical Practice, Dr. Bond is with the Department of Psychiatry, Dr. Xie is with Department of Biomedical Data Science, and Dr. O'Malley is with Department of Biomedical Data Science and the Dartmouth Institute for Health Policy and Clinical Practice, all at Dartmouth College, Lebanon, New Hampshire. Dr. Miller is with the Department of Psychiatry, University of Texas Health Science Center, San Antonio. Ms. Riley is with Westat, Rockville, Maryland. Send correspondence to Dr. Bond (e-mail: gary.bond@dartmouth.edu ).
Abstract
OBJECTIVE: The influence of employment on subsequent psychiatric hospitalization for people with serious mental illness is unclear. This study examined whether unemployed people with serious mental illness were more or less likely to experience psychiatric hospitalization after gaining employment. METHODS: A secondary analysis was conducted of data from the Mental Health Treatment Study. Two years of prospective employment and psychiatric hospital outcomes were examined for 2,055 adults with schizophrenia, bipolar disorder, or major depression. The analyses examined associations between employment and psychiatric hospitalization via multilevel regression by using time-lagged modeling. RESULTS: Employment was associated with a lower subsequent three-month risk of psychiatric hospitalization (odds ratio=.65, 95% confidence interval=.50-.84) after the analysis adjusted for baseline characteristics, including previous psychiatric hospitalizations and self-reported physical health. CONCLUSIONS:Unemployed outpatients with serious mental illness were less likely to experience psychiatric hospitalization after gaining employment.
RCT Entities:
OBJECTIVE: The influence of employment on subsequent psychiatric hospitalization for people with serious mental illness is unclear. This study examined whether unemployed people with serious mental illness were more or less likely to experience psychiatric hospitalization after gaining employment. METHODS: A secondary analysis was conducted of data from the Mental Health Treatment Study. Two years of prospective employment and psychiatric hospital outcomes were examined for 2,055 adults with schizophrenia, bipolar disorder, or major depression. The analyses examined associations between employment and psychiatric hospitalization via multilevel regression by using time-lagged modeling. RESULTS: Employment was associated with a lower subsequent three-month risk of psychiatric hospitalization (odds ratio=.65, 95% confidence interval=.50-.84) after the analysis adjusted for baseline characteristics, including previous psychiatric hospitalizations and self-reported physical health. CONCLUSIONS: Unemployed outpatients with serious mental illness were less likely to experience psychiatric hospitalization after gaining employment.
Authors: Donal O'Keeffe; Ailish Hannigan; Roisin Doyle; Anthony Kinsella; Ann Sheridan; Aine Kelly; Kevin Madigan; Elizabeth Lawlor; Mary Clarke Journal: Aust N Z J Psychiatry Date: 2019-02-06 Impact factor: 5.744
Authors: Hugo López-Pelayo; Henri-Jean Aubin; Colin Drummond; Geert Dom; Francisco Pascual; Jürgen Rehm; Richard Saitz; Emanuele Scafato; Antoni Gual Journal: BMC Med Date: 2020-07-31 Impact factor: 8.775