Cognitive and clinical indicators of employment assistance needs from a national survey of individuals living with psychosis

Waghorn, Geoffrey, Hielscher, Emily, Saha, Sukanta and McGrath, John J. (2016) Cognitive and clinical indicators of employment assistance needs from a national survey of individuals living with psychosis. Psychiatric Rehabilitation Journal, 39 2: 112-119. doi:10.1037/prj0000185


Author Waghorn, Geoffrey
Hielscher, Emily
Saha, Sukanta
McGrath, John J.
Title Cognitive and clinical indicators of employment assistance needs from a national survey of individuals living with psychosis
Journal name Psychiatric Rehabilitation Journal   Check publisher's open access policy
ISSN 1095-158X
1559-3126
Publication date 2016-06-01
Year available 2016
Sub-type Article (original research)
DOI 10.1037/prj0000185
Open Access Status Not Open Access
Volume 39
Issue 2
Start page 112
End page 119
Total pages 8
Place of publication Washington, DC, United States
Publisher American Psychological Association
Collection year 2017
Language eng
Formatted abstract
Objective: The aim of this secondary analysis was to explore global functioning, course of illness (the number of episodes since onset and the degree of recovery between episodes), duration of illness, and cognitive ability as potential indicators of the extent of employment assistance needs.

Method: A secondary analysis of Australia's second national survey of psychosis was undertaken. Screening for psychosis took place during March, 2010 at 7 national locations, within public mental health services and nongovernment organizations. Next, 1,825 of the 7,955 who screened positive for psychosis were randomly selected and completed face-to-face interviews. Of those, 1,619 also completed the Digit Symbol Coding Test (DSCT), a measure of current general cognitive ability.

Results: In epidemiological surveys, employment status is an important proxy indicator of employment assistance needs. The strongest correlates of any versus no employment in the current survey were: global functioning as represented by Personal and Social Performance Scale (PSP) total score, age, general cognitive ability as represented by DSCT scores, course of illness, and educational attainment. These correlates persisted following adjustment in a multivariate model.

Conclusions and Implications for Practice: Subject to the limitations identified, global functioning, cognitive ability, and course of illness were the most promising clinical and cognitive indicators of more intensive employment assistance needs. The demographic variables age and educational attainment indicated additional labor market disadvantage, which could also help to identify those more likely to need intensive employment assistance. These results inform further investigations aimed at developing a practical measure of employment-related psychiatric disability.
Keyword Cognitive ability
Employment assistance needs
Global functioning
National survey
Psychiatric disability
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
Admin Only - School of Medicine
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Sun, 10 Jul 2016, 00:30:28 EST by System User on behalf of Learning and Research Services (UQ Library)