Browsing by Author "Ersan, Etem Erdal"

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Rates and correlates of employment in patients with schizophrenia: A multicenter study in Turkey
(Sage Publications, 2019-05-01) Yıldız, Mustafa; Yılmaz, Beyza Nur Kaytaz; İncedere, Aysel; Abut, Fatma Betül; Aydın, Azize Özguül; Sarandol, Aslı; Orum, Tuna Güzide Yener; Kurt, Aydın; Ersan, Etem Erdal; SARANDÖL, ASLI; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Psikiyatri Anabilim Dalı; FTX-6743-2022
Background: There is not enough information regarding the participation in the working life of the patients with schizophrenia in Turkey. Aims: The aim of this study was to examine the occupational experiences of patients with schizophrenia before and after the illness and to investigate the factors that predict work participation. Methods: The data on occupational life of the patients with schizophrenia, which were treated as outpatients in six different centers, were examined. The rates of participation in working life before and after the disease were evaluated. Patients with and without occupational life history after the disease were compared in terms of demographic characteristics. Factors predicting participation in work life after the disease were analyzed by logistic regression analysis. Results: Out of the 587 patients evaluated in the study, 73% were males, 73% were single, the mean age was 42, mean level of education was 9 years and the average duration of illness was 18 years. The duration of the employment before the disease was higher than that after the disease regarding expected working time. The rate of employment was 11% currently, 14% in the last year, 62% after the disease and 83% for the lifetime. While the factors that predicted to be in working life after the illness were male gender (odds ratio (OR) = 2.9), diagnosis of schizoaffective disorder (OR = 2.6), high level of education (OR = 1.2) and employment history before the onset of the illness (OR = 1.0), only the shorter duration of illness (OR = 1.1) predicted the current working status when the gender variable was excluded. Conclusion: Rate of employment of patients with schizophrenia living in Turkey was low as in other countries. Good premorbid functioning seems to determine participation in occupational life after the illness.
Work motivation and related demographic factors in unemployed patients with schizophrenia
(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2020-02-01) Incedere, Aysel; Yıldız, Mustafa; Kaytaz, Beyza Nur; Abut, Fatma Betül; Kurt, Aydin; Aydın, Azize Özgül; Tuna Orum, Güzide; Ersan, Etem Erdal; Sarandöl, Aslı; SARANDÖL, ASLI; Bursa Uludağ Üniversitesi/Tıp Fakültesi.; FTX-6743-2022
Objective: Working rate in patients with schizophrenia is considerably low. Nonetheless, unemployed patients might have desire to work and look for a job. Identifying the reasons underlying the patients' work motivation and related factors can be instructive for the vocational rehabilitation services. The purpose of this study was to determine the reasons for work motivation and to identify the predictors of motivation in unemployed patients with schizophrenia. Methods: Sociodemographic and working life information of 379 unemployed patients with schizophrenia or schizoaffective disorder diagnosed for at least two years was collected from six different centers. The patients were questioned about their desire to work and its reasons. Having desire to work and job seeking behavior together was considered as work motivation. Patients with and without having work motivation were compared regarding to their sociodemographic information and illness characteristics. Logistic regression analysis was conducted to find the factors predicting the work motivation. Results: The participants' mean age was 42, level of education was nine years, duration of illness was 18 years, and majority consisted of males and single patients. It was found that 33% of the patients were motivated to work. While distinct underlying reasons of the work motivation were found as financial needs (45%) and will for independent living (35%), idea of not being able to deal with the requirements of the job (66%) and not receiving social welfare payment (24%) were dominant in patients who weren't motivated to work. The predictors of work motivation were found as male gender (OR=2.0), having a profession (OR=2.0), having work experience after the illness (OR=1.2), level of education (OR=1.1), and duration of illness (OR=0.9). Conclusion: We found that one-third of unemployed patients with schizophrenia have work motivation as an important finding. The patients may feel more comfortable and motivated to work if they would continue to receive social welfare payment after they started a job. It could be concluded patients who have a profession, high level of education, previous job experience, and who are at the early stage of their illness are suitable candidates for the vocational rehabilitation services.