Predicting Employment Status and Subjective Quality of Life in Patients with Schizophrenia

Overview

Journal Schizophr Res Cogn

Specialty Psychology

Date 2017 Jul 26

PMID 28740804

Citations 14

Authors

Haruo Fujino

Chika Sumiyoshi

Tomiki Sumiyoshi

Yuka Yasuda

Hidenaga Yamamori

Kazutaka Ohi

Michiko Fujimoto

Ryota Hashimoto

Masatoshi Takeda

Osamu Imura

Affiliations

Soon will be listed here.

Abstract

Although impaired social functioning, particularly poor employment status, is a cardinal feature of patients with schizophrenia and leads to decreased quality of life (QOL), few studies have addressed the relationship between these two clinical issues. The aim of this study was to determine whether employment status predicts subjective QOL and to evaluate a model in which functional capacity mediates the relationship between general cognitive performance and employment status. Ninety-three patients with schizophrenia were administered a comprehensive battery of cognitive tests, the UCSD Performance-based Skills Assessment-Brief version (UPSA-B), the Social Functioning Scale (SFS), and the Subjective Quality of Life Scale (SQLS). First, we evaluated a model for predicting the employment/occupation subscale score of the SFS using path analysis, and the model fitted well ( (4) = 3.6, = 0.46; CFI = 1.0; RMSEA < 0.001, with 90% CIs: 0-0.152). Employment status was predicted by negative symptoms and functional capacity, which was in turn predicted by general cognitive performance. Second, we added subjective QOL to this model. In a final path model, QOL was predicted by negative symptoms and employment status. This model also satisfied good fit criteria ( (7) = 10.3, = 0.17; CFI = 0.987; RMSEA = 0.072, with 90% CIs: 0-0.159). The UPSA-B and SFS scores were moderately correlated with most measures of cognitive performance. These results support the notion that better employment status enhances subjective QOL in patients with schizophrenia.

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