Références
(SGDG)
Stanley
Research Report (John Hopkins University)
Association Between Cognitive Functioning and Employment Status of
Persons With Bipolar Disorder
FB Dickerson, JJ Boronow, CR Stallings, AE Origoni, S Cole, RH Yolken
Psychiatr Serv 2004 Jan;55(1):54-8
OBJECTIVE: The purpose of this study was to identify variables
associated with employment status among persons with bipolar disorder,
including cognitive functioning, severity of symptoms, demographic
variables, and variables related to course of illness.
METHODS: The authors assessed the current employment status of
117 persons with bipolar disorder. Study participants' cognitive
functioning was evaluated with the Repeatable Battery for the
Assessment of Neuropsychological Status, the information and
letter-number sequencing subtests of the Wechsler Adult
Intelligence Scale III, and part A of the Trial Making Test.
Symptoms were rated by using the Brief Psychiatric Rating Scale, the
Hamilton Depression Scale, and the Young Mania Rating Scale. A
stepwise multivariate logistic regression analysis was used to predict
employment status. RESULTS: Fifty-one percent of the study
participants had no current work activity, 21 percent worked part-time
or as volunteers, and 27 percent had full-time competitive
employment. Current employment status was significantly
associated with cognitive performance, especially immediate verbal
memory, total symptom severity, history of psychiatric hospitalization,
and maternal education. No association was found between
employment status and history of psychotic symptoms, number of years of
education or age at onset of illness. CONCLUSIONS: Vocational
programs for persons with bipolar disorder would benefit from inclusion
of a formal cognitive assessment to better assess work potential and to
study the predictors of work-related outcomes
