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Employment outcomes in people with bipolar disorder : a systematic review
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Marwaha, Steven, Durrani, Amanullah and Singh, Swaran P. (2013) Employment outcomes in people with bipolar disorder : a systematic review. Acta Psychiatrica Scandinavica, Volume 128 (Number 3). pp. 179-193. doi:10.1111/acps.12087 ISSN 0001-690X.
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Official URL: http://dx.doi.org/10.1111/acps.12087
Abstract
Objective:
Employment outcome in bipolar disorder is an under investigated, but important area. The aim of this study was to identify the long-term employment outcomes of people with bipolar disorder.
Method:
A systematic review using the Medline, PsychInfo and Web of Science databases.
Results:
Of 1962 abstracts retrieved, 151 full text papers were read. Data were extracted from 25 papers representing a sample of 4892 people with bipolar disorder and a mean length of follow-up of 4.9 years. Seventeen studies had follow-up periods of up to 4 years and eight follow-up of 5–15 years. Most studies with samples of people with established bipolar disorder suggest approximately 40–60% of people are in employment. Studies using work functioning measures mirrored this result. Bipolar disorder appears to lead to workplace underperformance and 40–50% of people may suffer a slide in their occupational status over time. Employment levels in early bipolar disorder were higher than in more established illness.
Conclusion:
Bipolar disorder damages employment outcome in the longer term, but up to 60% of people may be in employment. Whilst further studies are necessary, the current evidence provides support for extending the early intervention paradigm to bipolar disorder.
| Item Type: | Journal Article | ||||||||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||||
| Library of Congress Subject Headings (LCSH): | Manic-depressive persons -- Employment, Systematic reviews (Medical research), Manic-depressive illness | ||||||||||
| Journal or Publication Title: | Acta Psychiatrica Scandinavica | ||||||||||
| Publisher: | Wiley-Blackwell Publishing, Inc. | ||||||||||
| ISSN: | 0001-690X | ||||||||||
| Official Date: | August 2013 | ||||||||||
| Dates: |
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| Volume: | Volume 128 | ||||||||||
| Number: | Number 3 | ||||||||||
| Number of Pages: | 15 | ||||||||||
| Page Range: | pp. 179-193 | ||||||||||
| DOI: | 10.1111/acps.12087 | ||||||||||
| Status: | Peer Reviewed | ||||||||||
| Publication Status: | Published | ||||||||||
| Funder: | Manic-depressive illness, Manic-depressive persons -- Employment |
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