Relationship Between Employment Status and Unstable Periods in Outpatients with Bipolar Disorder: A Multicenter Treatment Survey for Bipolar Disorder in Psychiatric Outpatient Clinics (MUSUBI) Study

Atsuko Ikenouchi, Yusuke Konno, Yoshihisa Fujino, Naoto Adachi, Yukihisa Kubota, Takaharu Azekawa, Hitoshi Ueda, Koji Edagawa, Eiichi Katsumoto, Eiichiro Goto, Seiji Hongo, Masaki Kato, Takashi Tsuboi, Norio Yasui-Furukori, Atsuo Nakagawa, Toshiaki Kikuchi, Koichiro Watanabe, Reiji Yoshimura

研究成果: Article査読

1 被引用数 (Scopus)

抄録

Purpose: To clarify the relationship between the length of unstable periods and employment status of patients with bipolar disorder. Patients and Methods: Medical records of outpatients with bipolar disorder who visited 176 member clinics of the Japanese Association of Neuro-Psychiatric Clinics were investigated during September–October 2016, and details of their medical care and employment were surveyed using a questionnaire. The odds ratios (ORs) of length of unstable period and unemployment were analyzed with a logistic regression model. Results: The study included 816 patients, of whom 707 were employed full-time (continuous employment) and 70 were unemployed (loss of employment). Univariate analysis showed that ORs were statistically significant for patients who were unstable for “almost all” of the year (OR = 10.4 [4.48–24.28] p < 0.001), but not for “few” unstable periods (OR = 1.06 [0.56–1.98] p = 0.849) and for “significant” unstable periods (OR = 1.65 [0.73–3.74] p = 0.231) were not significantly different. Multivariate analysis showed that ORs were statistically “significant” for patients who were unstable for “almost all” (OR = 12.1 [4.37–33.3] p < 0.001), but not for “few” unstable periods (OR = 1.07 [0.55–2.07] p = 0.846) and for “significant” unstable periods (OR = 1.62 [0.66–3.98] p = 0.290) did not differ significantly. Conclusion: Patients with bipolar disorder with a long unstable period were associated with a higher risk of unemployment.

本文言語English
ページ(範囲)801-809
ページ数9
ジャーナルNeuropsychiatric Disease and Treatment
18
DOI
出版ステータスPublished - 2022

ASJC Scopus subject areas

  • 精神医学および精神衛生
  • 生物学的精神医学

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