Work and Nonvocational Domains of Functioning in Persons with Severe Mental Illness: A Longitudinal Analysis

In this study we sought to understand the relationship between obtaining competitive employment and changes in nonvocational domains of functioning (symptoms, substance abuse, hospitalizations, self-esteem, quality of life) in persons with severe mental illness. A group of 143 unemployed patients pa...

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Veröffentlicht in:The journal of nervous and mental disease 1997-07, Vol.185 (7), p.419-426
Hauptverfasser: MUESER, KIM T, BECKER, DEBORAH R, TORREY, WILLIAM C, XIE, HAIYI, BOND, GARY R, DRAKE, ROBERT E, DAIN, BRADLEY J
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container_end_page 426
container_issue 7
container_start_page 419
container_title The journal of nervous and mental disease
container_volume 185
creator MUESER, KIM T
BECKER, DEBORAH R
TORREY, WILLIAM C
XIE, HAIYI
BOND, GARY R
DRAKE, ROBERT E
DAIN, BRADLEY J
description In this study we sought to understand the relationship between obtaining competitive employment and changes in nonvocational domains of functioning (symptoms, substance abuse, hospitalizations, self-esteem, quality of life) in persons with severe mental illness. A group of 143 unemployed patients participating in a study of vocational rehabilitation programs were assessed in nonvocational areas of functioning at baseline and 6, 12, and 18 months later. Statistical analyses examined the relationship between work status at the follow-up assessments and nonvocational functioning, controlling for baseline levels of nonvocational variables. Patients who were working at follow-up tended to have lower symptoms (particularly thought disorder and affect on the Brief Psychiatric Rating Scale), higher Global Assessment Scores, better self-esteem, and more satisfaction with their finances and vocational services than unemployed patients. Employment is associated with better functioning in a range of different nonvocational domains, even after controlling for baseline levels of functioning.
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source Journals@Ovid Ovid Autoload; MEDLINE
subjects Activities of Daily Living
Adult
Biological and medical sciences
Comorbidity
Employment
Female
Follow-Up Studies
Hospitalization
Humans
Longitudinal Studies
Male
Medical sciences
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Mental Disorders - rehabilitation
Middle Aged
Outcome Assessment (Health Care)
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of Life
Rehabilitation, Vocational
Self Concept
Social psychiatry. Ethnopsychiatry
Sociocultural environment
Substance-Related Disorders - diagnosis
Substance-Related Disorders - epidemiology
Unemployment
Work
title Work and Nonvocational Domains of Functioning in Persons with Severe Mental Illness: A Longitudinal Analysis
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