Ninon Crestois, Matthew J. Kempton, Ricardo Twumasi
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Abstract
Background
Employment discrimination against people living with psychosis is well established, with implications for their quality of life. However, a meta-analysis of studies exploring this link has not yet been conducted. This systematic review and meta-analysis aims to quantify employer attitudes and potential discrimination towards people living with psychosis.
Methods
We systematically searched multiple electronic databases from inception to July 15, 2024 for studies exploring the links between employer hiring attitudes and decisions related to people living with psychosis. Random-effects meta-analysis was performed on pooled studies which measured different but related outcomes concerning employer attitudes and behaviors towards hiring individuals with psychosis.
Results
A total of 10 studies with 4080 total participants were included in the systematic review which consistently found that employers view individuals with psychosis as less employable compared to those with other health conditions or no disabilities. Meta-analysis of 6 studies which met inclusion criteria pooling a total of 4315 assessments of potential employees living with psychosis revealed a statistically significant medium to large pooled effect size (Hedges g) of 0.57 (95 % CI [0.21 to 0.94], p = 0.010), indicating statistically significant discrimination. Subgroup analysis estimated that 76.00 % (95 % CI [62.90 % to 89.09 %], p < 0.001) of employers expressed negative attitudes towards hiring individuals with psychosis.
Conclusions
This first meta-analysis on the topic reveals statistically significant (p = 0.010) employer discrimination towards individuals with psychosis. Findings highlight the need for targeted interventions to address misconceptions and promote inclusive hiring practices. Future research should focus on developing and evaluating strategies to reduce workplace stigma and improve employment outcomes for people living with psychosis.
期刊介绍：
As official journal of the Schizophrenia International Research Society (SIRS) Schizophrenia Research is THE journal of choice for international researchers and clinicians to share their work with the global schizophrenia research community. More than 6000 institutes have online or print (or both) access to this journal - the largest specialist journal in the field, with the largest readership!
Schizophrenia Research''s time to first decision is as fast as 6 weeks and its publishing speed is as fast as 4 weeks until online publication (corrected proof/Article in Press) after acceptance and 14 weeks from acceptance until publication in a printed issue.
The journal publishes novel papers that really contribute to understanding the biology and treatment of schizophrenic disorders; Schizophrenia Research brings together biological, clinical and psychological research in order to stimulate the synthesis of findings from all disciplines involved in improving patient outcomes in schizophrenia.
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