Which factor is commonly associated with high rates of unemployment in schizophrenia?

The association between high rates of unemployment in schizophrenia and having been successful prior to the onset of symptoms lies in the impact that the disorder has on an individual’s ability to maintain previously established roles and responsibilities. Individuals with schizophrenia often experience significant functional impairments, which can disrupt their capacity to work effectively, particularly in fields where they previously excelled. The transition from being functionally competent to facing challenges due to the symptoms of schizophrenia can be especially jarring, leading to a greater likelihood of unemployment.

Moreover, individuals who had high levels of success prior to symptom onset may have higher expectations and more to lose when their symptoms contribute to functional decline. This can exacerbate the impact of the illness on their self-esteem and social identity, further complicating their ability to gain and retain employment. Thus, the correlation between prior success and high unemployment rates highlights the disruptive nature of schizophrenia on previously stable and successful life trajectories.