Relationship between mood episode and employment status of outpatients with bipolar disorder: Retrospective cohort study from the multicenter treatment survey for bipolar disorder in psychiatric clinics (musubi) project

Yusuke Konno, Yoshihisa Fujino, Atsuko Ikenouchi, 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

Objective: The objective of this study was to clarify the relationship between mood episode and employment in patients with bipolar disorder to help improve their employment status. Methods: All medical records of patients with bipolar disorder who visited 176 member clinics of the Japanese Association of Neuro-Psychiatric Clinics in September-October 2016 were investigated in September-October 2017. Details of the medical care received were investigated using a survey sheet, which included employment status. Odds ratios of mood episodes for employment status were analyzed using a logistic regression model. Results: Among patients aged 60 years or less, 2292 described their occupation. On univariate analysis, odds ratios were statistically significant for depressive episode (OR=2.68 [1.50-4.78] p=0.001) and manic episode (OR=2.64 [1.07-6.47] p=0.034), whereas no significant difference was noted for mixed episode (OR=1.72 [0.69-4.33] p=0.246). On multivariate analysis, odds ratios were statistically significant for depressive episode (OR=2.16 [1.13-4.13], p=0.020) and manic episode (OR=3.55 [1.36-9.25], p=0.010), whereas no significant difference was noted for mixed episode (OR=1.83 [0.65-5.14] p=0.254). Conclusion: Employment status among these patients with bipolar disorder receiving outpatient treatment was 43.5%. Compared to remission episodes, manic and depressive episodes were associated with a higher risk of unemployment.

本文言語English
ページ(範囲)2867-2876
ページ数10
ジャーナルNeuropsychiatric Disease and Treatment
17
DOI
出版ステータスPublished - 2021

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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