Demographic and clinical associations to employment status in older-age bipolar disorder: Analysis from the GAGE-BD database project

Nenhuma Miniatura disponível
Citações na Scopus
0
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY
Autores
MALLU, Amulya
CHAN, Carol K.
EYLER, Lisa T.
DOLS, Annemiek
REJ, Soham
BLUMBERG, Hilary P.
SARNA, Kaylee
FORESTER, Brent P.
PATRICK, Regan E.
Citação
BIPOLAR DISORDERS, v.25, n.8, p.637-647, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: The current literature on employment in older adults with bipolar disorder (OABD) is limited. Using the Global Aging and Geriatric Experiments in Bipolar Disorder Database (GAGE-BD), we examined the relationship of occupational status in OABD to other demographic and clinical characteristics.Methods: Seven hundred and thirty-eight participants from 11 international samples with data on educational level and occupational status were included. Employment status was dichotomized as employed versus unemployed. Generalized linear mixed models with random intercepts for the study cohort were used to examine the relationship between baseline characteristics and employment. Predictors in the models included baseline demographics, education, psychiatric symptom severity, psychiatric comorbidity, somatic comorbidity, and prior psychiatric hospitalizations.Results: In the sample, 23.6% (n = 174) were employed, while 76.4% were unemployed (n = 564). In multivariable logistic regression models, less education, older age, a history of both anxiety and substance/alcohol use disorders, more prior psychiatric hospitalizations, and higher levels of BD depression severity were associated with greater odds of unemployment. In the subsample of individuals less than 65 years of age, findings were similar. No significant association between manic symptoms, gender, age of onset, or employment status was observed.Conclusion: Results suggest an association between educational level, age, psychiatric severity and comorbidity in relation to employment in OABD. Implications include the need for management of psychiatric symptoms and comorbidity across the lifespan, as well as improving educational access for people with BD and skills training or other support for those with work-life breaks to re-enter employment and optimize the overall outcome.
Palavras-chave
aging, bipolar disorder, employment, functioning, somatic burden
URI
https://observatorio.fm.usp.br/handle/OPI/58025
Referências
  1. Arvilommi P, 2022, INT J BIPOLAR DISORD, V10, DOI 10.1186/s40345-022-00264-6
  2. Bauer MS, 2001, J AFFECT DISORDERS, V65, P231, DOI 10.1016/S0165-0327(00)00247-0
  3. Bonnín CM, 2010, J AFFECT DISORDERS, V121, P156, DOI 10.1016/j.jad.2009.05.014
  4. Chang HC, 2016, J CLIN PSYCHIAT, V77, pE429, DOI 10.4088/JCP.14m09576
  5. Chaudhry S, 2005, MED CARE, V43, P607, DOI 10.1097/01.mlr.0000163658.65008.ec
  6. Depp CA, 2006, J CLIN PSYCHIAT, V67, P215, DOI 10.4088/JCP.v67n0207
  7. Dickerson F, 2010, BIPOLAR DISORD, V12, P10, DOI 10.1111/j.1399-5618.2009.00784.x
  8. Dickerson FB, 2004, PSYCHIAT SERV, V55, P54, DOI 10.1176/appi.ps.55.1.54
  9. Dominiak M, 2022, FRONT PSYCHIATRY, V13, DOI 10.3389/fpsyt.2022.951008
  10. Elinson L, 2007, BIPOLAR DISORD, V9, P158, DOI 10.1111/j.1399-5618.2007.00431.x
  11. Eyler LT, 2019, AM J GERIAT PSYCHIAT, V27, P1122, DOI 10.1016/j.jagp.2019.04.003
  12. Gilbert AM, 2010, J AFFECT DISORDERS, V124, P324, DOI 10.1016/j.jad.2009.11.012
  13. Gildengers AG, 2007, AM J GERIAT PSYCHIAT, V15, P174, DOI 10.1097/JGP.0b013e31802dd367
  14. Glahn DC, 2006, J AFFECT DISORDERS, V92, P309, DOI 10.1016/j.jad.2006.01.025
  15. Grande I, 2017, J AFFECT DISORDERS, V208, P621, DOI 10.1016/j.jad.2016.10.012
  16. Gravseth HM, 2007, EUR J EPIDEMIOL, V22, P533, DOI 10.1007/s10654-007-9139-9
  17. Gutiérrez-Rojas L, 2011, PSYCHIAT RES, V186, P254, DOI 10.1016/j.psychres.2010.06.020
  18. Hakulinen C, 2019, DEPRESS ANXIETY, V36, P1080, DOI 10.1002/da.22956
  19. Hamilton M., 1986, ASSESSMENT DEPRESSIO, P143, DOI [10.1007/9783642704864_14, DOI 10.1007/978-3-642-70486-4_14, 10.1007/978-3-642-70486-4_14]
  20. Hammen C, 2000, J CONSULT CLIN PSYCH, V68, P220, DOI 10.1037/0022-006X.68.2.220
  21. Holm M, 2021, ACTA PSYCHIAT SCAND, V143, P61, DOI 10.1111/acps.13254
  22. Kleinman NL, 2005, J OCCUP ENVIRON MED, V47, P1117, DOI 10.1097/01.jom.0000177048.34506.fc
  23. Koene J, 2022, INT J BIPOLAR DISORD, V10, DOI 10.1186/s40345-022-00255-7
  24. Konno Y, 2021, NEUROPSYCH DIS TREAT, V2021, P2867, DOI 10.2147/NDT.S322507
  25. LINN BS, 1968, J AM GERIATR SOC, V16, P622, DOI 10.1111/j.1532-5415.1968.tb02103.x
  26. Ljubic N, 2021, ANN GEN PSYCHIATR, V20, DOI 10.1186/s12991-021-00367-x
  27. Martínez-Arán A, 2004, AM J PSYCHIAT, V161, P262, DOI 10.1176/appi.ajp.161.2.262
  28. Marwaha S, 2013, ACTA PSYCHIAT SCAND, V128, P179, DOI 10.1111/acps.12087
  29. Montejo L, 2022, BIPOLAR DISORD, V24, P115, DOI 10.1111/bdi.13175
  30. MONTGOMERY SA, 1979, BRIT J PSYCHIAT, V134, P382, DOI 10.1192/bjp.134.4.382
  31. Mur M, 2009, PSYCHOPATHOLOGY, V42, P148, DOI 10.1159/000207456
  32. Nordt C, 2007, SOC SCI MED, V65, P1420, DOI 10.1016/j.socscimed.2007.05.024
  33. OECD, 2019, PENS GLANC 2019 OECD
  34. Orhan M, 2022, J AFFECT DISORDERS, V314, P44, DOI 10.1016/j.jad.2022.06.074
  35. RADLOFF L S, 1977, Applied Psychological Measurement, V1, P385, DOI 10.1177/014662167700100306
  36. Reed C, 2010, EUR PSYCHIAT, V25, P338, DOI 10.1016/j.eurpsy.2010.01.001
  37. Rodríguez-Hernández CF, 2020, EDUC RES REV-NETH, V29, DOI 10.1016/j.edurev.2019.100305
  38. ROUNSAVILLE BJ, 1991, ARCH GEN PSYCHIAT, V48, P43
  39. Sajatovic M, 2022, BIPOLAR DISORD, V24, P195, DOI 10.1111/bdi.13119
  40. Sajatovic M, 2019, BIPOLAR DISORD, V21, P642, DOI 10.1111/bdi.12795
  41. Sajatovic M, 2015, BIPOLAR DISORD, V17, P689, DOI 10.1111/bdi.12331
  42. Salloum IM, 2000, BIPOLAR DISORD, V2, P269, DOI 10.1034/j.1399-5618.2000.20308.x
  43. Schoeyen HK, 2011, J AFFECT DISORDERS, V129, P68, DOI 10.1016/j.jad.2010.08.012
  44. Simon GE, 2008, BIPOLAR DISORD, V10, P718, DOI 10.1111/j.1399-5618.2008.00581.x
  45. Stern Y, 2020, ALZHEIMERS DEMENT, V16, P1305, DOI 10.1016/j.jalz.2018.07.219
  46. Swann AC, 2010, ANN NY ACAD SCI, V1187, P276, DOI 10.1111/j.1749-6632.2009.05146.x
  47. Tabarés-Seisdedos R, 2008, J AFFECT DISORDERS, V109, P286, DOI 10.1016/j.jad.2007.12.234
  48. Tsapekos D, 2020, BJPSYCH OPEN, V6, DOI 10.1192/bjo.2020.111
  49. VanDongen CJ, 1996, COMMUNITY MENT HLT J, V32, P535, DOI 10.1007/BF02251064
  50. Vos T, 2012, LANCET, V380, P2163, DOI 10.1016/S0140-6736(12)61729-2
  51. Vreeker A, 2016, PSYCHOL MED, V46, P807, DOI 10.1017/S0033291715002299
  52. Waghorn G, 2007, BIPOLAR DISORD, V9, P166, DOI 10.1111/j.1399-5618.2007.00417.x
  53. Yan-Meier L, 2011, PSYCHIAT RES, V186, P267, DOI 10.1016/j.psychres.2010.08.028
  54. YOUNG RC, 1978, BRIT J PSYCHIAT, V133, P429, DOI 10.1192/bjp.133.5.429
  55. Zimmerman M, 2010, BIPOLAR DISORD, V12, P720, DOI 10.1111/j.1399-5618.2010.00869.x

Coleções
Artigos e Materiais de Revistas Científicas - FM/MPS
Artigos e Materiais de Revistas Científicas - LIM/27
Artigos e Materiais de Revistas Científicas - ODS/03
Artigos e Materiais de Revistas Científicas - ODS/04