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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

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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
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
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:
DateEvent
August 2013Published
4 February 2013Available
21 December 2012Accepted
2 July 2012Submitted
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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