Vocational profile and correlates of employment in people with schizophrenia : the role of Avolition

Objective: Employment was associated with recovery in individuals with schizophrenia. Our study aimed to delineate the vocational profile and investigate factors associated with likelihood of employment in individuals with schizophrenia. Materials and Methods: 276 community dwelling outpatients with...

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Main Authors: Ang, Mei San, Rekhi, Gurpreet, Lee, Jimmy
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Article
Language:English
Published: 2020
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Online Access:https://hdl.handle.net/10356/145648
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spelling sg-ntu-dr.10356-1456482023-03-05T16:48:06Z Vocational profile and correlates of employment in people with schizophrenia : the role of Avolition Ang, Mei San Rekhi, Gurpreet Lee, Jimmy Lee Kong Chian School of Medicine (LKCMedicine) Social sciences::Psychology Employment Vocational Rehabilitation Objective: Employment was associated with recovery in individuals with schizophrenia. Our study aimed to delineate the vocational profile and investigate factors associated with likelihood of employment in individuals with schizophrenia. Materials and Methods: 276 community dwelling outpatients with schizophrenia were recruited; 274 completed the Positive and Negative Syndrome Scale (PANSS) and Brief Negative Symptom Scale (BNSS). Information on employment status, work outcomes and demographics were collected. Occupation was coded in accordance with the Singapore standard occupational classification. Either BNSS Motivation and Pleasure (MAP) and Emotional Expressivity (EE) or BNSS five-factor (Anhedonia, Asociality, Avolition, Blunted Affect, Alogia) were examined with PANSS factors and demographics in logistic regression with employment status and working full-time as outcome variables. Results: One-hundred and twenty-seven (46.01%) participants were employed; 65 (51.18%) worked full-time. In the model with BNSS MAP-EE, MAP (OR=0.897, CI=0.854-0.941) and presence of physical comorbidity (OR=0.533, CI=0.304-0.937) were associated with reduced likelihood of employment; female sex (OR=0.286, CI=0.128 - 0.637) was associated with working part-time. In the model with BNSS five-factor, Avolition (OR=0.541, CI=0.440-0.666), and PANSS Positive (OR=0.924, CI=0.855-0.997) were associated with reduced likelihood of employment; female sex (OR=0.289, CI=0.126 - 0.662) and Avolition (OR=0.644, CI=0.475 - 0.872) were associated with working part-time. Discussion: Our study described the vocational profile and correlates of employment in a developed urban Asian country. Negative symptoms, particularly MAP and Avolition, positive symptoms, and physical comorbidity reduced an individual’s likelihood of employment, while female sex and Avolition were associated with working part-time. Efforts to identify and address these factors are necessary to encourage employment in individuals with schizophrenia. Ministry of Health (MOH) National Medical Research Council (NMRC) Published version This study is supported by the Singapore Ministry of Health’s National Medical Research Council under the Centre Grant Programme (Grant No.: NMRC/CG/004/2013). 2020-12-30T09:21:23Z 2020-12-30T09:21:23Z 2020 Journal Article Ang, M. S., Rekhi, G., & Lee, J. (2020). Vocational profile and correlates of employment in people with schizophrenia : the role of Avolition. Frontiers in Psychiatry, 11, 856-. doi:10.3389/fpsyt.2020.00856 1664-0640 https://hdl.handle.net/10356/145648 10.3389/fpsyt.2020.00856 33192630 11 en NMRC/CG/004/2013 Frontiers in Psychiatry © 2020 Ang, Rekhi and Lee. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. application/pdf
institution Nanyang Technological University
building NTU Library
continent Asia
country Singapore
Singapore
content_provider NTU Library
collection DR-NTU
language English
topic Social sciences::Psychology
Employment
Vocational Rehabilitation
spellingShingle Social sciences::Psychology
Employment
Vocational Rehabilitation
Ang, Mei San
Rekhi, Gurpreet
Lee, Jimmy
Vocational profile and correlates of employment in people with schizophrenia : the role of Avolition
description Objective: Employment was associated with recovery in individuals with schizophrenia. Our study aimed to delineate the vocational profile and investigate factors associated with likelihood of employment in individuals with schizophrenia. Materials and Methods: 276 community dwelling outpatients with schizophrenia were recruited; 274 completed the Positive and Negative Syndrome Scale (PANSS) and Brief Negative Symptom Scale (BNSS). Information on employment status, work outcomes and demographics were collected. Occupation was coded in accordance with the Singapore standard occupational classification. Either BNSS Motivation and Pleasure (MAP) and Emotional Expressivity (EE) or BNSS five-factor (Anhedonia, Asociality, Avolition, Blunted Affect, Alogia) were examined with PANSS factors and demographics in logistic regression with employment status and working full-time as outcome variables. Results: One-hundred and twenty-seven (46.01%) participants were employed; 65 (51.18%) worked full-time. In the model with BNSS MAP-EE, MAP (OR=0.897, CI=0.854-0.941) and presence of physical comorbidity (OR=0.533, CI=0.304-0.937) were associated with reduced likelihood of employment; female sex (OR=0.286, CI=0.128 - 0.637) was associated with working part-time. In the model with BNSS five-factor, Avolition (OR=0.541, CI=0.440-0.666), and PANSS Positive (OR=0.924, CI=0.855-0.997) were associated with reduced likelihood of employment; female sex (OR=0.289, CI=0.126 - 0.662) and Avolition (OR=0.644, CI=0.475 - 0.872) were associated with working part-time. Discussion: Our study described the vocational profile and correlates of employment in a developed urban Asian country. Negative symptoms, particularly MAP and Avolition, positive symptoms, and physical comorbidity reduced an individual’s likelihood of employment, while female sex and Avolition were associated with working part-time. Efforts to identify and address these factors are necessary to encourage employment in individuals with schizophrenia.
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Ang, Mei San
Rekhi, Gurpreet
Lee, Jimmy
format Article
author Ang, Mei San
Rekhi, Gurpreet
Lee, Jimmy
author_sort Ang, Mei San
title Vocational profile and correlates of employment in people with schizophrenia : the role of Avolition
title_short Vocational profile and correlates of employment in people with schizophrenia : the role of Avolition
title_full Vocational profile and correlates of employment in people with schizophrenia : the role of Avolition
title_fullStr Vocational profile and correlates of employment in people with schizophrenia : the role of Avolition
title_full_unstemmed Vocational profile and correlates of employment in people with schizophrenia : the role of Avolition
title_sort vocational profile and correlates of employment in people with schizophrenia : the role of avolition
publishDate 2020
url https://hdl.handle.net/10356/145648
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