Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-31T15:30:40.988Z Has data issue: false hasContentIssue false
  • English
  • Français

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).
Get access

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bijl, R.V.Ravelli, A.Current and residual functional disability associated with psychopathology: findings from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Psychol Med 2000;30:657–668.10.1017/S0033291799001841CrossRefGoogle Scholar
Flament, M.F.Predictive factors of social disability in patients with eating disorders. Eat Weight Disord 2001;6:99–106.10.1007/BF03339758CrossRefGoogle ScholarPubMed
Grant, C.Addington, J.Addington, D.Konnert, C.Social functioning in first- and multiepisode schizophrenia. Can J Psychiatry 2001;46:746–749.10.1177/070674370104600808CrossRefGoogle ScholarPubMed
Gureje, O.Herrman, H.Harvey, C.Morgan, V.Jablensky, A.The Australian National Survey of Psychotic Disorders: profile of psychosocial disability and its risk factors. Psychol Med 2002;32:639–647.10.1017/S0033291702005627CrossRefGoogle ScholarPubMed
Judd, L.L.Akiskal, H.S.Zeller, P.J.Paulus, M.Leon, A.C.Maser, J.D.et al.Psychosocial disability during the long-term course of unipolar major depressive disorder. Arch Gen Psychiatry 2000;57(4):375–380.10.1001/archpsyc.57.4.375CrossRefGoogle ScholarPubMed
Kallert, T.W.Schützwohl, M.Kiejna, A.Nawka, P.Priebe, S.Raboch, J.Efficacy of psychiatric day hospital treatment: Review of research findings and design of a European multi-centre study. Arch Psychiatr Psychother 2002;2:55–71.Google Scholar
Kiejna, A.Kallert, T.W.Rymaszewska, J.Treatment in psychiatric day hospital in comparison with inpatient wards in different European health care systems—objectives of EDEN project. Psychiatr Pol 2002;36(suppl.):361–363 [in Polish].Google ScholarPubMed
Leff, J.Sartorius, N.Jablensky, A.Korten, A.Ernberg, G.The International Pilot Study of Schizophrenia: five-year follow-up findings. Psychol Med 1992;22:131–145.10.1017/S0033291700032797CrossRefGoogle ScholarPubMed
Melzer, D.Fryers, T.Jenkins, R.Brugha, T.McWilliams, B.Social position and the common mental disorders with disability: estimates from the National Psychiatric Survey of Great Britain. Soc Psychiatry Psychiatr Epidemiol 2003;38:238–243.10.1007/s00127-003-0628-1CrossRefGoogle ScholarPubMed
Mueser, K.T.Becker, D.R.Torrey, W.C.Xie, H.Bond, G.R.Drake, R.E.et al.Work and nonvocational domains of functioning in persons with severe mental illness: a longitudinal analysis. J Nerv Ment Dis 1997;185(7):419–426.10.1097/00005053-199707000-00001CrossRefGoogle ScholarPubMed
Ormel, J.Oldehinkel, T.Brilman, E.van den Brink, W.Outcome of depression and anxiety in primary care. A three-wave 3 1/2-year study of psychopathology and disability. Arch Gen Psychiatry 1993;50:759–766.10.1001/archpsyc.1993.01820220009001CrossRefGoogle ScholarPubMed
Ormel, J.Vonkorff, M.Ustun, T.B.Pini, S.Korten, A.Oldehinkel, T.Common mental disorders and disability across cultures. JAMA 1994;272:1741–1748.10.1001/jama.1994.03520220035028CrossRefGoogle ScholarPubMed
Salokangas, R.K.Honkonen, T.Stengard, E.Koivisto, A.M.To be or not to be married-that is the question of quality of life in men with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 2001;36:381–390.10.1007/s001270170028CrossRefGoogle ScholarPubMed
Sanderson, K.Andrews, G.Prevalence and severity of mental health-related disability and relationship to diagnosis. Psychiatr Serv 2002;531:80–86.10.1176/appi.ps.53.1.80CrossRefGoogle Scholar
Scheid, T.An investigation of work and unemployment amongst psychiatric clients. International J Health Serv 1993;23:763–782.10.2190/JH4X-7H0C-K35R-PAHKCrossRefGoogle Scholar
Schützwohl, M.Jarosz-Nowak, J.Briscoe, J.Szajowski, K.Kallert, T.W.EDEN-study group, Inter-rater reliability of the Brief Psychiatric Rating Scale (BPRS 4.0) and the Groningen Social Disabilities Schedule (GSDS-II) in a European multi-site randomised controlled trial on the effectiveness of psychiatric day hospitals. Int J Methods Psych Res 2003;12:197–207.10.1002/mpr.157CrossRefGoogle Scholar
Shepherd, M.Watt, D.Falloon, I.Smeeton, N.The natural history of schizophrenia: a five-year follow-up study of outcome and prediction in a representative sample of schizophrenics. Psychol Med Monogr Suppl. 1989;15:1–46.10.1017/S026418010000059XCrossRefGoogle Scholar
Simon, G.E.Goldberg, D.P.Von Korff, M.Ustun, T.B.Understanding cross-national differences in depression prevalence. Psychol Med 2002;32:585–594.10.1017/S0033291702005457CrossRefGoogle ScholarPubMed
van Os, J.Fahy, T.A.Jones, P.Harvey, I.Sham, P.Lewis, S.et al.Psychopathological syndromes in the functional psychoses: associations with course and outcome. Psychol Med 1996;26(1):161–176.10.1017/S0033291700033808CrossRefGoogle ScholarPubMed
Ventura, J.Nuechterlein, K.H.Subotnik, K.L.Gutkind, D.Gilbert, E.A.Symptom dimensions in recent-onset schizophrenia and mania: a principal components analysis of the 24-item Brief Psychiatric Rating Scale. Psychiatr Res 2000;97:129–135.10.1016/S0165-1781(00)00228-6CrossRefGoogle ScholarPubMed
Wiersma, D.de Jong, A.Ormel, J.The Groningen Social Disabilities Schedule: Developement, relationship with ICIDH, and psychometric properties. Int J Rehab Res 1988;3:213–224.10.1097/00004356-198809000-00001CrossRefGoogle Scholar
Wiersma, D.Wanderling, J.Dragomirecka, E.Ganev, K.Harrison, G.An Der Heiden, W.et al.Social disability in schizophrenia: its development and prediction over 15 years in incidence cohorts in six European centres. Psychol Med 2000;30(5):1155–1167.10.1017/S0033291799002627CrossRefGoogle ScholarPubMed
Wohlfarth, T.D.van den Brink, W.Ormel, J.Koeter, M.W.Oldehinkel, A.J.The relationship between social dysfunctioning and psychopathology among primary care attenders. Br J Psychiatry 1993;163:37–44.10.1192/bjp.163.1.37CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.