Prevalence and correlates of job loss among schizophrenia outpatients at St. AmanuelMental Specialized Hospital, Addis Ababa, Ethiopia; cross sectional study.

Journal: PloS one

Volume: 15

Issue: 12

Year of Publication: 2021

Affiliated Institutions:  Department of Psychiatry, College of Health Science, Aksum University, Axum, Ethiopia. Department of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. Research and Training Department, St. Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.

Abstract summary 

Job loss in patient with chronic illness like schizophrenia is the most serious public concern in the clinical and socio-economic terms worldwide. Patients with schizophrenia usually have unsatisfactory job termination like quitting or getting fired which results well-established negative outcomes. The complex interplay between one another has made job and mental illness the focus areas. In the developing nations, there is limited study on these areas in spite of higher rates of job loss.This study aimed to assess the prevalence and correlates of job loss among schizophrenia outpatient units in Addis Ababa, Ethiopia.Institutional based cross-sectional study was conducted at Saint Amanuel Mental Specialized Hospital among schizophrenia outpatient units in Addis Ababa from May to June 2018. A total of 421 study subjects were interviewed using Positive and Negative Syndrome Scale and Perceived devaluation and discrimination scale. Out of the total study participants, female populations were slightly higher (50.4%) and the majorities (38.6%) were orthodox religion followers. Study characteristics was summarized using descriptive statistics and bi-variable and multivariable analysis was performed using Statistical Package for Social Science version 24. Furthermore, those factors at p value ≤ 0.05 were considered as statistically significant.The prevalence of job loss among patients with schizophrenia was 37.3%. Factors including unmarried [AOR = 2.42:95% CI (1.28, 4.54)], divorced [AOR = 2.34: 95% CI (1.16, 4.71)], severe positive symptoms [AOR = 2.03: 95% CI (1.15, 3.60)], severe general psychopathology [AOR = 1.76: 95% CI (1.01, 3.08)], and poor level of social and occupational functioning [AOR = 5.05: 95% CI (2.81, 9.09)] were significantly associated with job loss among schizophrenia people.This study suggested that job loss among schizophrenia outpatients was high. There was significant association among people with unmarried, divorced, severe positive symptoms, poor functionality and higher general psychopathology. Therefore, clinical and psychosocial factors were responsible for job loss which warrant further attention and investigation.

Authors & Co-authors:  Chafi Yohannes Kifle YK Amare Tadele T Haile Kelemua K Damene Woynabeba W Tesfaye Getaneh G Minichil Woredaw W

Study Outcome 

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Statistics
Citations :  Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry: Lippincott Williams & Wilkins; 2011. 10.1016/j.genhosppsych.2011.02.011
Authors :  6
Identifiers
Doi : e0242352
SSN : 1932-6203
Study Population
Female
Mesh Terms
Adolescent
Other Terms
Study Design
Cross Sectional Study,Descriptive Study
Study Approach
Country of Study
Ethiopia
Publication Country
United States