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Psychological Predictors of Vocational Success for People with Psychotic Illness

Published online by Cambridge University Press:  20 May 2015

Mandy Matthewson ,
Jennifer Langworthy  and
Dominique Higgins
Mandy Matthewson*
Affiliation:
Division of Psychology, School of Medicine, University of Tasmania, Australia
Jennifer Langworthy
Affiliation:
Division of Psychology, School of Medicine, University of Tasmania, Australia
Dominique Higgins
Affiliation:
Advanced Personnel Management Tasmania
*
Address for correspondence: Mandy Matthewson, University of Tasmania, Australia, School of Medicine, Division of Psychology, Private Bag 30, Hobart, Tasmania, 7001. E-mail: [email protected]
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Abstract

People diagnosed with psychotic illness continue to be underrepresented in the workforce despite the widespread provision of vocational rehabilitation services for people experiencing mental illness. A systematic literature review was undertaken using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines to identify psychological predictors of successful return to work for this population. The databases searched were PsycARTICLES, PsycINFO, PubMed, ProQuest, Cumulative Index of Nursing and Allied Health (CINAHL), and Taylor & Francis Online. A total of 4,076 articles were located and of these, 29 articles were analysed as part of this review. The data extracted was synthesised using a narrative approach. A number of psychological factors were identified which are predictive of successful return to work. These factors include but are not limited to identity, self-management of illness, social cognition, hope and self-esteem and motivation. On the basis of the reviewed literature, practice guidelines are proposed which support the psychological processes identified as pivotal to vocational success for people diagnosed with psychotic illness.

Keywords

psychotic illnessserious mental illnessemploymentreturn to worksocial cognitionnegative symptomsstigma
Type
Review Article
Information
The Australian Journal of Rehabilitation Counselling , Volume 21 , Issue 1 , July 2015 , pp. 29 - 64
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Copyright
Copyright © The Author(s) 2015 

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References

American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders IV-TR. APA: Washington DC.Google Scholar
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders Fifth Edition [DSM-V]. APA: Washington DC.Google Scholar
Ashford, J.B., Fitzharris, B., & Diggs, N. (2010). Case management relationships and a recovery orientation: a consumer survey of class members in the Arnold case. American Journal of Orthopsychiatry, 80, 317–326. doi:10.1111/j.1939-0025.2010.01035.xCrossRefGoogle Scholar
Australian Government, (1992). Disability Discrimination Act, 1992. Retrieved from http://www.comlaw.gov.au/Details/C2013C00022Google Scholar
Becker, D., Whiley, R., Bailey, E.L., & Drake, R.E. (2007). Long-term employment trajectories among participants with severe mental illness in supported employment. Psychiatric Services, 58, 922–928. Retrieved from http://ezproxy.utas.edu.au/login?url=http://search.proquest.com/docview/213080953?accountid=14245CrossRefGoogle ScholarPubMed
Bejerholm, U., & Eklund, M. (2007). Occupational engagement in persons with schizophrenia: Relationships to self-related variables, psychopathology and quality of life. American Journal of Occupational Therapy, 61, 21–32. Retrieved from http://search.proquest.com/docview/231969999/fulltextPDF/1382698A7C1B46E8PQ/3?accountid=14245CrossRefGoogle ScholarPubMed
Bell, M.D., Bryson, G.J., Greig, T.C., Fiszdon, J.M., & Wexler, B.E. (2005). Neurocognitive enhancement therapy with work therapy: Productivity outcomes at 6- and 12-month follow-ups. Journal of Rehabilitation and Research Development, 42, 829–838. doi:10.1682/JRRD.2005.03.0061CrossRefGoogle ScholarPubMed
Bell, M., Tsang, H.W.H., Greig, T.C., & Bryson, G.J. (2009). Neurocognition, social cognition, perceived social discomfort, and vocational outcomes in schizophrenia. Schizophrenia Bulletin, 35, 738–747. doi:10.1093/schbul/sbm169CrossRefGoogle ScholarPubMed
Bond, G.R., Salyers, M.P., Dincin, J., Drake, R.E., Becker, D.R., Fraser, V.V., & Haines, M. (2007). A randomized controlled trial comparing two vocational models for persons with severe mental illness. Journal of Consulting and Clinical Psychology, 75, 968–982. doi: 10.1037/0022-0068.75.6.968CrossRefGoogle ScholarPubMed
Bond, G.R., Campbell, K., & Becker, D.R. (2013). A test of the occupational matching hypothesis for rehabilitation clients with severe mental illness. Journal of Occupational Rehabilitation, 23, 261–269. doi: 10.1007/s10926-012-9388-7CrossRefGoogle ScholarPubMed
Brekke, J.S., & Long, J.D. (2000). Community-based psychosocial rehabilitation and prospective change in functional, clinical, and subjective experience variables in schizophrenia. Schizophrenia Bulletin, 26, 667–680. Retrieved from http://schizophreniabulletin.oxfordjournals.org/content/26/3/667.full.pdf+htmlCrossRefGoogle ScholarPubMed
Choi, K-H., Fiszdon, J.M., & Bell, M.D. (2013). Beyond cognition: a longitudinal investigation of the role of motivation during a vocational rehabilitation program. Journal of Nervous and Mental Disease, 201, 173–178. doi:10.1097/NMD.0b013e3182848bd4CrossRefGoogle ScholarPubMed
Davis, L.W., Lysaker, P.H., Lancaster, R.S., Bryson, G.J., & Bell, M.D. (2005). The Indianapolis Vocational Intervention Program: a cognitive behaviour approach to addressing rehabilitation issues in schizophrenia. Journal of Rehabilitation Research and Development, 42, 35–46. doi:10.1682/JRRD.2003.05.0083CrossRefGoogle Scholar
Department of Social Services (2013). Characteristics of disability support pension recipients: September 2013. Retrieved from https://www.dss.gov.au/sites/default/files/documents/01_2014/dsp_characteristics_report_2013_final.pdfGoogle Scholar
Department of Social Services (2014). Disability support pension. 2014 budget measure: review recipients under 35. Retrieved from https://www.dss.gov.au/sites/default/files/documents/06_2014/fact_sheet_dsp_review_assessment_final.pdfGoogle Scholar
Dorio, J. (2004). Tying it all together- the pass to success: a comprehensive look at promoting job retention for workers with psychiatric disabilities in a supported employment program. Psychiatric Rehabilitation Journal, 28, 32–39. doi:10.2975/28.2004.32.39CrossRefGoogle Scholar
Dorio, J., Guitar, A., Solheim, L., Dvorkin, C., & Marine, S. (2002). Differences in retention in a supported employment program Chinook clubhouse. Psychiatric Rehabilitation Journal, 25, 289–298. doi:10.1037/h0095013CrossRefGoogle Scholar
Dunn, E.C., Wewiorski, N.J., & Rogers, E.S. (2010). A qualitative investigation of individual and contextual factors associated with vocational recovery among people with serious mental illness. American Journal of Orthopsychiatry, 80, 185–194. doi: 10.1111/j.1939-0025.2010CrossRefGoogle ScholarPubMed
Eack, S.M., Hogarty, G.E., Greenwald, D.P., Hogarty, S.S., & Keshavan, M.S. (2011). Effects of cognitive enhancement therapy on employment outcomes in early schizophrenia: results from a 2-year randomized trial. Research on Social Work Practice, 21, 32–42. doi: 10.1177/1049731509355812CrossRefGoogle Scholar
Eklund, M., Hansson, L., & Ahlqvist, C. (2004). The importance of work as compared to other forms of daily occupations for well-being and functioning among persons with long-term mental illness. Community Mental Health Journal, 40, 465–477. doi:10.1023/B:COMH.0000040659.19844.c2CrossRefGoogle ScholarPubMed
Erickson, M., Jaafari, N., & Lysaker, P.H. (2011). Insight and negative symptoms as predictors of functioning in a work setting in patients with schizophrenia. Psychiatry Research, 189, 161–165. doi:10.1016/j.psychres.2011.06.019CrossRefGoogle Scholar
Frese, F.J., Stanley, J., Kress, K., & Vogel-Scibilia, S. (2001). Integrating evidence-based practices and the recovery model. Psychiatric Services, 52, 1462–1468. Retrieved from http://journals.psychiatryonline.org/data/Journals/PSS/3580/1462.pdfCrossRefGoogle ScholarPubMed
Gewurtz, R., Kirsh, B., Jacobson, N., & Rappolt, S. (2006). The influence of mental illness on work potential and career development. Canadian Journal of Community Mental Health, 25, 207–220. Retrieved from: https://vdxprod.lib.utas.edu.au/zportal/zengine?VDXaction=GetAttachment&illno=281444&objectno=62851&objectseq=1&is_popup_window=trueCrossRefGoogle Scholar
Gioia, D. (2005). Career development in schizophrenia: a heuristic framework. Community Mental Health Journal, 41, 307–325. doi: 10.1007/s10597-005-5004-zCrossRefGoogle ScholarPubMed
Hassan, G.A.M., & Taha, G.R.A. (2011). Long term functioning in early onset psychosis: Two years prospective follow-up study. Behavioral and Brain Functions, 7, 28. doi: 10.1186/1744-9081-7-28CrossRefGoogle ScholarPubMed
Hoffmann, H., Kupper, Z., Zbinden, M., & Hirsbrunner, H.P. (2003). Predicting vocational functioning and outcome in schizophrenia outpatients attending a vocational rehabilitation program. Social Psychiatry Psychiatric Epidemiology, 38, 76–82. doi: 10.1007/s00127-003-0603-xCrossRefGoogle ScholarPubMed
Jobe, T.H., & Harrow, M. (2005). Long-term outcome of patients with schizophrenia: a review. Canadian Journal of Psychiatry, 50, 892–900. Retrieved from http://ezproxy.utas.edu.au/login?url=http://search.proquest.com/docview/222849273?accountid=14245CrossRefGoogle ScholarPubMed
Johannesen, J.K., McGrew, J.H., Griss, M.E., & Born, D. (2007). Perception of illness as a barrier to work in consumers of supported employment services. Journal of Vocational Rehabilitation, 27, 39–47. Retrieved from http://web.a.ebscohost.com/ehost/detail?vid=3&sid=d4962abc-e5fa-464a-a44c-c6a4d34fb842%40sessionmgr4001&hid=4206&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=c8h&AN=2009684376Google Scholar
Johannesen, J.K., McGrew, J.H., Griss, M.E., & Born, D.L. (2009). Change in self-perceived barriers to employment as a predictor of vocational rehabilitation outcome. American Journal of Psychiatric Rehabilitation, 12, 295–316. doi:10.1080/15487760903248358CrossRefGoogle Scholar
Kee, K., Green, M.F., Mintz, J., & Brekke, J.C. (2003). Is emotion processing a predictor of functional outcome in schizophrenia? Schizophrenia Bulletin, 29, 487–497. Retrieved from http://schizophreniabulletin.oxfordjournals.org/content/29/3/487.full.pdf+htmlCrossRefGoogle ScholarPubMed
Klingberg, S., Wölwer, W., Engel, C., Wittorf, A., Herrlich, J., Meisner, C., Buchkremer, G., & Wiedemann, G. (2011). Negative symptoms of schizophrenia as a primary target of cognitive behavioral therapy: results of a randomized clinical TONES study. Schizophrenia Bulletin, 37 (S2), S98–S110. doi:10.1093/schbul/sbr073CrossRefGoogle ScholarPubMed
Lanctôt, N., Corbière, M., & Durand, M-J. (2012). Job tenure and quality of working life of people with psychiatric difficulties working in social enterprises. Journal of Vocational Rehabilitation, 37, 39–48. doi: 10.3233/JVR-2012-0598CrossRefGoogle Scholar
Larson, J.E., Barr, L.A., Corrigan, P.W., Kuwabara, S.A., Boyle, M.G., & Glenn, T.L. (2007). Perspectives on benefits and costs of work from individuals with psychiatric disabilities. Journal of Vocational Rehabilitation, 26, 71–77. Retrieved from http://web.b.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=3&sid=20076b12-e13c-45d9-8475-e6c7c30d7c26%40sessionmgr112&hid=117Google Scholar
Larson, J.E., Ryan, C.B., Wassel, A.K., Kaszynski, K.L., Ibara, L., Glenn, T.L., & Boyle, M.G. (2011). Analyses of employment incentives and barriers for individuals with psychiatric disabilities. Rehabilitation Psychology, 56, 145–149. doi: 10.1037/a0023623CrossRefGoogle ScholarPubMed
Lysaker, P.H., Bond, G.R., Davis, L.W., Bryson, G.J., & Bell, M.D. (2005). Enhanced cognitive behaviour therapy for vocational rehabilitation in schizophrenia: effects on hope and work. Journal of Rehabilitation Research & Development, 42, 673–682. doi: 10.1682/JRRD.2004.12.0157CrossRefGoogle ScholarPubMed
Lysaker, P.H., Davis, L.W., Bryson, G.J., & Bell, M.D. (2009). Effects of cognitive behavioral therapy on work outcomes in vocational rehabilitation for participants with schizophrenia. Schizophrenia Research, 107, 186–191. doi:10.1016/j.schres.2008.10.018CrossRefGoogle ScholarPubMed
Lysaker, P.H., Roe, D., Ringer, J., Gilmore, E.M., & Yanos, P.T. (2012). Change in self-stigma among persons with schizophrenia enrolled in rehabilitation: associations with self-esteem and positive and emotional discomfort symptoms. Psychological Services, 9, 240–247. doi: 10.1037/a0027740CrossRefGoogle ScholarPubMed
Mental Health Council of Australia (2007). Let's get to work. A national mental health employment strategy. Retrieved from www.nmhca.org.auGoogle Scholar
Mental Health Council of Australia (2014). Mental illness and the income support system. Retrieved from http://mhaustralia.org/sites/default/files/docs/mental_illness_and_the_income_support_system_key_issues_paper.pdfGoogle Scholar
Michon, H.W.C., van Weeghel, J., Kroon, H., & Schene, A.H. (2005). Person-related predictors of employment outcomes after participation in psychiatric vocational rehabilitation program –a systematic review. Social Psychiatry, Psychiatric Epidemiology, 40, 408–416. doi: 10.1007/s00127-005-0910-5CrossRefGoogle ScholarPubMed
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D.G. (2009). Methods of systematic reviews and meta-analyses: preferred reporting items for systematic reviews and meta- analyses: the PRISMA statement. Journal of Clinical Epidemiology, 62, 1006–1012. doi: 10.1016/j.clinepi.2009.06.005CrossRefGoogle ScholarPubMed
Nithsdale, V., Davies, J., & Croucher, P. (2008). Psychosis and the experience of employment. Journal of Occupational Rehabilitation, 18, 175–182. doi: 10.1007/s10926-008-9131-6CrossRefGoogle ScholarPubMed
Pachoud, B., Plagnol, A., & Leplege, A. (2010). Outcome, recovery and return to work in severe mental illnesses. Disability and Rehabilitation, 32, 1043–1050. doi: 10.3109/09638281003775618CrossRefGoogle ScholarPubMed
Popay, J., Roberts, H., Sowden, A., Petticrew, M., Arai, L., Rodgers, M. . . . Duffy, S. (2006). Guidance on the conduct of narrative synthesis in systematic reviews: Final report. Swindon: ESRC Methods Programme. Retrieved from: www.esrc.ac.uk/ESRCInfoCentre/index.aspxGoogle Scholar
Prochaska, J.O., & Di Clemente, C.C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy, Theory, Research and Practice, 19, 276–288. doi:10.1037/h0088437CrossRefGoogle Scholar
Razzano, L.A., Cook, J.A., Burke-Miller, J.K., Mueser, K.T., Pickett-Schenk, S.A., Grey, D.D., . . . Carey, M.A. (2005). Clinical factors associated with employment among people with severe mental illness. Findings from the employment intervention demonstration program. Journal of Nervous and Mental Disease, 193, 705–713. doi: 10.1097/01.nmd.0000185939.11282.3eCrossRefGoogle ScholarPubMed
Rinaldi, M., Killackey, E., Smith, J., Shepherd, G., Singh, S.P., & Craig, T. (2010). First episode psychosis and employment: a review. International Review of Psychiatry, 22, 148–162. doi: 10.3109/09540261003661825CrossRefGoogle ScholarPubMed
Rollins, A.L., Mueser, K.T., Bond, G.R., & Becker, D.R. (2002). Social relationships at work: Does the employment model make a difference? Psychiatric Rehabilitation Journal, 26, 51–62. doi: 10.2975/26.2002.51.61CrossRefGoogle Scholar
Rollins, A.L., Bond, G.R., Jones, A.M., Kukla, M., & Collins, L.A. (2011). Workplace social networks and their relationships with job outcomes and other employment characteristics for people with severe mental illness. Journal of Vocational Rehabilitation, 35, 243–252. doi: 10.3233/JVR-2011-0575CrossRefGoogle ScholarPubMed
Saperstein, A.M., Fiszdon, J.M., & Bell, M.D. (2011). Intrinsic motivation as a predictor of work outcome after vocational rehabilitation in schizophrenia. Journal of Nervous and Mental Diseases, 199, 672–677. doi: 10/1097/NMD.0b013e318229d0ebCrossRefGoogle ScholarPubMed
Spaniol, L., Wewiorski, N.J., Dunn, E.C., & Chamberlin, J. (2005). A Qualitative Study of the Recovery Process Replicated with Different Samples and Refinement of a Measure of the Recovery Process. Boston: Center for Psychiatric Rehabilitation.Google Scholar
Tsang, H.W.H., Leung, A.Y., Chung, R.C.K., Bell, M., & Cheung, W-M. (2010). Review on vocational predictors: a systematic review of predictors of vocational outcomes among individuals with schizophrenia: an update since 1998. Australian and New Zealand Journal of Psychiatry, 44, 495–504. doi: 10.3109/00048671003785716Google ScholarPubMed
Waghorn, G.R., Chant, D.C., & King, R. (2007). Work related subjective experiences, work related self-efficacy and career learning among people with psychiatric disabilities. American Journal of Psychiatric Rehabilitation, 10, 275–300. doi: 10.1080/154877607CrossRefGoogle Scholar
Woodside, H., Schell, L., & Allison-Hedges, J. (2006). Listening for recovery: the vocational success of people living with mental illness. The Canadian Journal of Occupational Therapy, 73, 136–143. doi: 10.2182/cjot.05.0012CrossRefGoogle ScholarPubMed
Wu, Y-J., Su, W-L., Lin, Y-H., Chueh, C-M., & Su, C-Y. (2009). A comparison of perceptions among employed and unemployed individuals with psychiatric disabilities regarding factors affecting employment. Occupational Therapy Journal of Rehabilitation, 29, 105–115. doi: 10.3928/15394492-20090611-03Google Scholar
Yanos, P.T., Roe, D., Markus, K, & Lysaker, P.H. (2008). Pathways between internalized stigma and outcomes related to recovery in schizophrenia-spectrum disorders. Psychiatric Services, 59, 1437–1442. Retrieved from http://ezproxy.utas.edu.au/login?url=http://search.proquest.com/docview/213081602?accountid=14245CrossRefGoogle ScholarPubMed
Yanos, P.T., Lysaker, P.H., & Roe, D. (2010). Internalised stigma as a barrier to improvement in vocational functioning among people with schizophrenia-spectrum disorders. Psychiatry Research, 178, 211–213. doi: 10.1016/j.psychres.2010.01.003CrossRefGoogle Scholar