Vocational functioning in schizotypal and paranoid personality disorders.

Abstract:

:Impaired vocational functioning is a hallmark of schizophrenia, but limited research has evaluated the relationships between work and schizophrenia-spectrum personality disorders, including schizotypal (SPD) and paranoid personality disorder (PPD). This study compared employment history and job characteristics of 174 individuals drawn from the community or clinic, based on four personality disorder groups: SPD Only, PPD Only, SPD+PPD, and No SPD or PPD. Symptoms and cognitive functioning were also assessed. Both PPD and/or SPD were associated with lower rates of current employment, and a history of having worked at less cognitively complex jobs than people without these disorders. Participants with PPD were less likely to have a history of competitive work for one year, whereas those with SPD tended to have worked at jobs involving lower levels of social contact, compared with those without these disorders. When the effects of symptoms and cognitive functioning were statistically controlled, PPD remained a significant predictor of work history, and SPD remained a significant predictor of social contact on the job. The findings suggest that impaired vocational functioning is an important characteristic of SPD and PPD.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

McGurk SR,Mueser KT,Mischel R,Adams R,Harvey PD,McClure MM,Look AE,Leung WW,Siever LJ

doi

10.1016/j.psychres.2013.06.019

subject

Has Abstract

pub_date

2013-12-15 00:00:00

pages

498-504

issue

2

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(13)00335-1

journal_volume

210

pub_type

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