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Social disability in different mental disorders

Published online by Cambridge University Press:  16 April 2020

J. Rymaszewska ,
J. Jarosz-Nowak ,
A. Kiejna ,
T. Kallert ,
M. Schützwohl ,
S. Priebe ,
D. Wright ,
P. Nawka  and
J. Raboch
J. Rymaszewska*
Affiliation:
Department of Psychiatry, Wroclaw Medical University, Wyb. L. Pasteura 10, 50-367Wroclaw, Poland
J. Jarosz-Nowak
Affiliation:
Institute of Mathematics and Computer Science, Wroclaw University of Technology, Wroclaw, Poland
A. Kiejna
Affiliation:
Department of Psychiatry, Wroclaw Medical University, Wyb. L. Pasteura 10, 50-367Wroclaw, Poland
T. Kallert
Affiliation:
Department of Psychiatry and Psychotherapy, Dresden University of Technology, Dresden, Germany
M. Schützwohl
Affiliation:
Department of Psychiatry and Psychotherapy, Dresden University of Technology, Dresden, Germany
S. Priebe
Affiliation:
Unit for Social and Community Psychiatry, Newham Centre for Mental Health, London, UK
D. Wright
Affiliation:
Unit for Social and Community Psychiatry, Newham Centre for Mental Health, London, UK
P. Nawka
Affiliation:
Michalovce Psychiatric Hospital, Michalovce, Slovakia
J. Raboch
Affiliation:
Charles University of Prague, First Medical Faculty, Department of Psychiatry, Prague, Czech Republic
*
*Corresponding author. Tel.: +48 (0)71 784 1600; fax: +48 (0)71 784 1602. E-mail address:[email protected] (J. Rymaszewska).
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Abstract

Objective

To assess the social disability of people with different psychiatric disorders.

Methods

Cross-site survey in five psychiatric hospitals (Dresden, Wrocław, London, Michalovce and Prague). Working-aged patients diagnosed (ICD-10) with schizophrenia and related disorders (F2), affective disorders (F3), anxiety disorders (F4), eating disorders (F5) and personality disorders (F6), were assessed at admission (n = 969) and 3 months after discharge (n = 753) using the Brief Psychiatric Rating Scale and the Groningen Social Disability Schedule. The main outcome measure was Interviewer-rated social disability.

Results

During acute episodes patients with personality, eating and schizophrenic disorders functioned less effectively than those with affective or anxiety disorders. After controlling for age and severity of psychopathology, there was no significant effect of the diagnosis (during remission), sex, education and history of disorder on disability. Site, employment and partnership were significant factors for the level of social disability in both measure points.

Conclusion

Severity of psychopathological symptoms, not the diagnosis of a mental disorder, was the most significant factor in determining the level of social functioning, particularly during the remission period. Site, employment and partnership appeared as significant factors influencing the level of social disability.

Keywords

FunctioningSocial disabilityMental disorders
Type
Epidemiology and Social Psychiatry
Information
European Psychiatry , Volume 22 , Issue 3 , April 2007 , pp. 160 - 166
Copyright
Copyright © Elsevier Masson SAS 2007

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