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 |
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container_title | The journal of nervous and mental disease |
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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. |
doi_str_mv | 10.1097/00005053-199707000-00001 |
format | Article |
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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.</description><identifier>ISSN: 0022-3018</identifier><identifier>EISSN: 1539-736X</identifier><identifier>DOI: 10.1097/00005053-199707000-00001</identifier><identifier>PMID: 9240359</identifier><identifier>CODEN: JNMDAN</identifier><language>eng</language><publisher>Hagerstown, MD: Williams & Wilkins</publisher><subject>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</subject><ispartof>The journal of nervous and mental disease, 1997-07, Vol.185 (7), p.419-426</ispartof><rights>Williams & Wilkins 1997. All Rights Reserved.</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3841-1d8888d25a6f47481c417acf2a3b52ac9c63c671e84d76a9ff6c88a77016eb173</citedby><cites>FETCH-LOGICAL-c3841-1d8888d25a6f47481c417acf2a3b52ac9c63c671e84d76a9ff6c88a77016eb173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2762487$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9240359$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MUESER, KIM T</creatorcontrib><creatorcontrib>BECKER, DEBORAH R</creatorcontrib><creatorcontrib>TORREY, WILLIAM C</creatorcontrib><creatorcontrib>XIE, HAIYI</creatorcontrib><creatorcontrib>BOND, GARY R</creatorcontrib><creatorcontrib>DRAKE, ROBERT E</creatorcontrib><creatorcontrib>DAIN, BRADLEY J</creatorcontrib><title>Work and Nonvocational Domains of Functioning in Persons with Severe Mental Illness: A Longitudinal Analysis</title><title>The journal of nervous and mental disease</title><addtitle>J Nerv Ment Dis</addtitle><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.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Comorbidity</subject><subject>Employment</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - rehabilitation</subject><subject>Middle Aged</subject><subject>Outcome Assessment (Health Care)</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life</subject><subject>Rehabilitation, Vocational</subject><subject>Self Concept</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Sociocultural environment</subject><subject>Substance-Related Disorders - diagnosis</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Unemployment</subject><subject>Work</subject><issn>0022-3018</issn><issn>1539-736X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UctOAyEUJUZTa_UTTFi4HYWBGRh3TbXapD4SNbqbUIZpsRQamLbp38vY2p13cQnnccM9AAAxusaoYDcoVoYykuCiYIjFW9JC-Ah0cUaKhJH86xh0EUrThCDMT8FZCN9RwAhFHdApUopIVnSB-XR-DoWt4LOzaydFo50VBt65hdA2QFfD4crKFtV2CrWFr8oHF5mNbmbwTa2VV_BJ2SaaRsZYFcIt7MOxs1PdrCrdDuvHtg06nIOTWpigLvZnD3wM798Hj8n45WE06I8TSTjFCa54rCrNRF5TRjmWFDMh61SQSZYKWcicyJxhxWnFclHUdS45F4whnKtJXLEH-G6u9C4Er-py6fVC-G2JUdnmV_7lVx7y-4VwtF7urMvVZKGqg3EfWOSv9rwIUpjaCyt1OMhSlqeUty-gO9nGmSYGNjerjfLlTAnTzMr_fo_8APBIh_4</recordid><startdate>199707</startdate><enddate>199707</enddate><creator>MUESER, KIM T</creator><creator>BECKER, DEBORAH R</creator><creator>TORREY, WILLIAM C</creator><creator>XIE, HAIYI</creator><creator>BOND, GARY R</creator><creator>DRAKE, ROBERT E</creator><creator>DAIN, BRADLEY J</creator><general>Williams & Wilkins</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>199707</creationdate><title>Work and Nonvocational Domains of Functioning in Persons with Severe Mental Illness: A Longitudinal Analysis</title><author>MUESER, KIM T ; BECKER, DEBORAH R ; TORREY, WILLIAM C ; XIE, HAIYI ; BOND, GARY R ; DRAKE, ROBERT E ; DAIN, BRADLEY J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3841-1d8888d25a6f47481c417acf2a3b52ac9c63c671e84d76a9ff6c88a77016eb173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Comorbidity</topic><topic>Employment</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - rehabilitation</topic><topic>Middle Aged</topic><topic>Outcome Assessment (Health Care)</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Quality of Life</topic><topic>Rehabilitation, Vocational</topic><topic>Self Concept</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Sociocultural environment</topic><topic>Substance-Related Disorders - diagnosis</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Unemployment</topic><topic>Work</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MUESER, KIM T</creatorcontrib><creatorcontrib>BECKER, DEBORAH R</creatorcontrib><creatorcontrib>TORREY, WILLIAM C</creatorcontrib><creatorcontrib>XIE, HAIYI</creatorcontrib><creatorcontrib>BOND, GARY R</creatorcontrib><creatorcontrib>DRAKE, ROBERT E</creatorcontrib><creatorcontrib>DAIN, BRADLEY J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The journal of nervous and mental disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MUESER, KIM T</au><au>BECKER, DEBORAH R</au><au>TORREY, WILLIAM C</au><au>XIE, HAIYI</au><au>BOND, GARY R</au><au>DRAKE, ROBERT E</au><au>DAIN, BRADLEY J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Work and Nonvocational Domains of Functioning in Persons with Severe Mental Illness: A Longitudinal Analysis</atitle><jtitle>The journal of nervous and mental disease</jtitle><addtitle>J Nerv Ment Dis</addtitle><date>1997-07</date><risdate>1997</risdate><volume>185</volume><issue>7</issue><spage>419</spage><epage>426</epage><pages>419-426</pages><issn>0022-3018</issn><eissn>1539-736X</eissn><coden>JNMDAN</coden><abstract>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.</abstract><cop>Hagerstown, MD</cop><pub>Williams & Wilkins</pub><pmid>9240359</pmid><doi>10.1097/00005053-199707000-00001</doi><tpages>8</tpages></addata></record> |
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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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