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Article: Ten-year employment patterns of patients with first-episode schizophrenia-spectrum disorders: comparison of early intervention and standard care services

TitleTen-year employment patterns of patients with first-episode schizophrenia-spectrum disorders: comparison of early intervention and standard care services
Authors
KeywordsSchizophrenia
early intervention
long-term outcomes
employment
cluster analysis
Issue Date2020
PublisherCambridge University Press. The Journal's web site is located at http://bjp.rcpsych.org/
Citation
British Journal of Psychiatry, 2020, v. 217 n. 3, p. 491-497 How to Cite?
AbstractBackground: Little is known about long-term employment outcomes for patients with first-episode schizophrenia-spectrum (FES) disorders who received early intervention services. Aims: We compared the 10-year employment trajectory of patients with FES who received early intervention services with those who received standard care. Factors differentiating the employment trajectories were explored. Method: Patients with FES (N = 145) who received early intervention services in Hong Kong between 1 July 2001 and 30 June 2002 were matched with those who entered standard care 1 year previously. We used hierarchical clustering analysis to explore the 10-year employment clusters for both groups. We used the mixed model test to compare cluster memberships and piecewise regression analysis to compare the employment trajectories of the two groups. Results: There were significantly more patients who received the early intervention service in the good employment cluster (early intervention: N = 98 [67.6%]; standard care: N = 76 [52.4%]; P = 0.009). In the poor employment cluster, there was a significant difference in the longitudinal pattern between early intervention and standard care for years 1–5 (P < 0.0001). The number of relapses during the first 3 years, months of full-time employment during the first year and years of education were significant in differentiating the clusters of the early intervention group. Conclusions: Results suggest there was an overall long-term benefit of early intervention services on employment. However, the benefit was not sustained for all patients. Personalisation of the duration of the early intervention service with a focus on relapse prevention and early vocational reintegration should be considered for service enhancement. Declaration of interests: No relevant conflicts of interests reported by C.L.M.H., Y.N.S., P.S., H.H.P. and K.K.Y. S.K.W.C., W.C.C. and E.H.M.L. report that they are members of the working group of the Early Assessment Service for Young People with Psychosis (EASY) programme of the Hospital Authority in Hong Kong. E.Y.H.C. is the convener of the working group of the EASY programme of the Hospital Authority in Hong Kong.
Persistent Identifierhttp://hdl.handle.net/10722/272951
ISSN
2021 Impact Factor: 10.671
2020 SCImago Journal Rankings: 2.564
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, SKW-
dc.contributor.authorPang, HH-
dc.contributor.authorYan, KK-
dc.contributor.authorHui, CLM-
dc.contributor.authorSuen, YN-
dc.contributor.authorChang, WC-
dc.contributor.authorLee, E-
dc.contributor.authorSham, P-
dc.contributor.authorChen, EYH-
dc.date.accessioned2019-08-06T09:19:42Z-
dc.date.available2019-08-06T09:19:42Z-
dc.date.issued2020-
dc.identifier.citationBritish Journal of Psychiatry, 2020, v. 217 n. 3, p. 491-497-
dc.identifier.issn0007-1250-
dc.identifier.urihttp://hdl.handle.net/10722/272951-
dc.description.abstractBackground: Little is known about long-term employment outcomes for patients with first-episode schizophrenia-spectrum (FES) disorders who received early intervention services. Aims: We compared the 10-year employment trajectory of patients with FES who received early intervention services with those who received standard care. Factors differentiating the employment trajectories were explored. Method: Patients with FES (N = 145) who received early intervention services in Hong Kong between 1 July 2001 and 30 June 2002 were matched with those who entered standard care 1 year previously. We used hierarchical clustering analysis to explore the 10-year employment clusters for both groups. We used the mixed model test to compare cluster memberships and piecewise regression analysis to compare the employment trajectories of the two groups. Results: There were significantly more patients who received the early intervention service in the good employment cluster (early intervention: N = 98 [67.6%]; standard care: N = 76 [52.4%]; P = 0.009). In the poor employment cluster, there was a significant difference in the longitudinal pattern between early intervention and standard care for years 1–5 (P < 0.0001). The number of relapses during the first 3 years, months of full-time employment during the first year and years of education were significant in differentiating the clusters of the early intervention group. Conclusions: Results suggest there was an overall long-term benefit of early intervention services on employment. However, the benefit was not sustained for all patients. Personalisation of the duration of the early intervention service with a focus on relapse prevention and early vocational reintegration should be considered for service enhancement. Declaration of interests: No relevant conflicts of interests reported by C.L.M.H., Y.N.S., P.S., H.H.P. and K.K.Y. S.K.W.C., W.C.C. and E.H.M.L. report that they are members of the working group of the Early Assessment Service for Young People with Psychosis (EASY) programme of the Hospital Authority in Hong Kong. E.Y.H.C. is the convener of the working group of the EASY programme of the Hospital Authority in Hong Kong.-
dc.languageeng-
dc.publisherCambridge University Press. The Journal's web site is located at http://bjp.rcpsych.org/-
dc.relation.ispartofBritish Journal of Psychiatry-
dc.rightsBritish Journal of Psychiatry. Copyright © Cambridge University Press.-
dc.rightsThis article has been published in a revised form in [Journal] [http://doi.org/XXX]. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © copyright holder.-
dc.subjectSchizophrenia-
dc.subjectearly intervention-
dc.subjectlong-term outcomes-
dc.subjectemployment-
dc.subjectcluster analysis-
dc.titleTen-year employment patterns of patients with first-episode schizophrenia-spectrum disorders: comparison of early intervention and standard care services-
dc.typeArticle-
dc.identifier.emailChan, SKW: kwsherry@hku.hk-
dc.identifier.emailPang, HH: herbpang@hku.hk-
dc.identifier.emailHui, CLM: christyh@hku.hk-
dc.identifier.emailSuen, YN: suenyn@hku.hk-
dc.identifier.emailChang, WC: changwc@hku.hk-
dc.identifier.emailLee, E: edwinlhm@hku.hk-
dc.identifier.emailSham, P: pcsham@hku.hk-
dc.identifier.emailChen, EYH: eyhchen@hku.hk-
dc.identifier.authorityChan, SKW=rp00539-
dc.identifier.authorityPang, HH=rp01857-
dc.identifier.authorityHui, CLM=rp01993-
dc.identifier.authoritySuen, YN=rp02481-
dc.identifier.authorityChang, WC=rp01465-
dc.identifier.authorityLee, E=rp01575-
dc.identifier.authoritySham, P=rp00459-
dc.identifier.authorityChen, EYH=rp00392-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1192/bjp.2019.161-
dc.identifier.scopuseid_2-s2.0-85090079926-
dc.identifier.hkuros299987-
dc.identifier.volume217-
dc.identifier.issue3-
dc.identifier.spage491-
dc.identifier.epage497-
dc.identifier.isiWOS:000563490800008-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl0007-1250-

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