Schizophrenia and work: aspects related to job acquisition in a follow-up study

作者：Martini Larissa C^*; Barbosa Neto Jair B; Petreche Beatriz; Fonseca Ana O; dos Santos Fernanda V; Magalhaes Lilian; Marques Alessandra G; Soares Camila; Cordeiro Quirino; Attux Cecilia; Bressan Rodrigo A

来源：Revista Brasileira de Psiquiatria, 2018, 40(1): 35-40.

DOI：10.1590/1516-4446-2016-2128

• Schizophrenia
• work
• symptom
• support

Objective: Work is considered one of the main forms of social organization; however, few individuals with schizophrenia find work opportunities. The purpose of this study was to evaluate the relationship between schizophrenia symptoms and job acquisition.
Method: Fifty-three individuals diagnosed with schizophrenia from an outpatient treatment facility were included in an 18-month follow-up study. After enrollment, they participated in a prevocational training group. At the end of training (baseline) and 18 months later, sociodemographic, clinical data and occupational history were collected. Positive and negative symptoms (Positive and Negative Syndrome Scale - PANSS), depression (Calgary Depression Scale), disease severity (Clinical Global Impression - CGI), functionality (Global Assessment of Functioning - GAF), personal and social performance (Personal and Social Performance - PSP) and cognitive functions (Measurement and Treatment Research to Improve Cognition in Schizophrenia - MATRICS battery) were applied at baseline and at the end of the study.
Results: Those with some previous work experience (n = 19) presented lower scores on the PANSS, Calgary, GAF, CGI and PSP scales (p < 0.05) than those who did not work. Among those who worked, there was a slight worsening in positive symptoms (positive PANSS).
Conclusions: Individuals with less severe symptoms were more able to find employment. Positive symptom changes do not seem to affect participation at work; however, this calls for discussion about the importance of employment support.

• 出版日期2018-3