The relationship of the occupational circumstances and community integration in schizophrenia

Abstract

This study was investigated to occupational circumstances in schizophrenia and its relationship with community integration in people with schizophrenia. Fifty people with schizophrenia were assessed with Occupational Circumstances Interview And Rating Scale V2 (OCAIRS-V2) and World Health Organization-disability assessment schedule 2.0 (WHODAS 2.0). The OCAIRS V2 was assessed by Rasch Analysis and the relationship of occupational circumstances with community integration was assessed by correlation coefficient. After rescoring the disordered response categories and sub testing “short-term goals” and “long-term goals”, item set satisfied Rasch model expectations with a mean item fit of 0 (SD 0.631) and person fit of 0.706 (SD 1.1). While the unidimensional assumption was confirmed, the subset of “long and short-term goals” showed differential item functioning in terms of education. (Those with an education level of primary school were rated lower than those with high school and university graduation.) The presence of the expected level of correlations between OCAIRS V2, and WHODAS 2.0 has confirmed the relationship between occupational circumstances and community integration. In this study, it was examined that the relationship between occupational circumstances and community integration. During the medical intervention, the rehabilitation plan was aimed at improving the community integration for people with schizophrenia.