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Benefits of Cognitive Remediation and Supported Employment for Schizophrenia Patients With Poor Community Functioning

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dc.contributor.authorBell, Morris D.-
dc.contributor.authorChoi, Kee-Hong-
dc.contributor.authorDyer, Christina-
dc.contributor.authorWexler, Bruce E.-
dc.date.accessioned2021-09-05T10:17:58Z-
dc.date.available2021-09-05T10:17:58Z-
dc.date.created2021-06-15-
dc.date.issued2014-04-
dc.identifier.issn1075-2730-
dc.identifier.urihttps://scholar.korea.ac.kr/handle/2021.sw.korea/98942-
dc.description.abstractObjective: This study was conducted to determine whether augmenting supported employment with cognitive remediation can improve vocational outcomes and whether augmentation is more important for participants with lower community functioning. Methods: In this secondary analysis of data from two related, single-blind, randomized controlled trials, 175 participants with schizophrenia or schizoaffective disorder received supported employment or supported employment plus cognitive remediation and were classified into higher or lower community functioning according to a median split of their quality-of-life scores at baseline. Participants received one year of active intervention and follow-up a year later. Primary outcome measures were competitive employment rates and total hours of work. Results: Employment rates over two years for participants with lower community functioning were significantly different for the two conditions (supported employment=20%, plus cognitive remediation=49%, p<.005), whereas participants with higher functioning showed equivalent rates of employment (62% versus 54%, us). Among lower-functioning participants, those who received cognitive remediation also worked significantly more hours over two years than those who received supported employment only, but higher-functioning participants worked similar amounts of hours in both conditions. Improvements in cognitive functioning and intrinsic motivation were related to employment outcomes but only for the lower-functioning group in the supported employment plus cognitive remediation condition, suggesting possible mechanisms for the observed effects. Conclusions: Augmenting supported employment with cognitive remediation may boost vocational outcomes for participants with lower community functioning but may not be necessary for those functioning better in their communities.-
dc.languageEnglish-
dc.language.isoen-
dc.publisherAMER PSYCHIATRIC PUBLISHING, INC-
dc.subjectRANDOMIZED CONTROLLED-TRIAL-
dc.subjectNEUROCOGNITIVE ENHANCEMENT THERAPY-
dc.subjectSEVERE MENTAL-ILLNESS-
dc.subjectINTRINSIC MOTIVATION-
dc.subjectOUTCOMES-
dc.subjectREHABILITATION-
dc.subjectFACTORIAL-
dc.subjectVALIDITY-
dc.subjectMODELS-
dc.subjectSCALE-
dc.titleBenefits of Cognitive Remediation and Supported Employment for Schizophrenia Patients With Poor Community Functioning-
dc.typeArticle-
dc.contributor.affiliatedAuthorChoi, Kee-Hong-
dc.identifier.doi10.1176/appi.ps.201200505-
dc.identifier.scopusid2-s2.0-84901845069-
dc.identifier.wosid000333545600010-
dc.identifier.bibliographicCitationPSYCHIATRIC SERVICES, v.65, no.4, pp.469 - 475-
dc.relation.isPartOfPSYCHIATRIC SERVICES-
dc.citation.titlePSYCHIATRIC SERVICES-
dc.citation.volume65-
dc.citation.number4-
dc.citation.startPage469-
dc.citation.endPage475-
dc.type.rimsART-
dc.type.docTypeArticle-
dc.description.journalClass1-
dc.description.journalRegisteredClassscie-
dc.description.journalRegisteredClassssci-
dc.description.journalRegisteredClassscopus-
dc.relation.journalResearchAreaHealth Care Sciences & Services-
dc.relation.journalResearchAreaPublic, Environmental & Occupational Health-
dc.relation.journalResearchAreaPsychiatry-
dc.relation.journalWebOfScienceCategoryHealth Policy & Services-
dc.relation.journalWebOfScienceCategoryPublic, Environmental & Occupational Health-
dc.relation.journalWebOfScienceCategoryPsychiatry-
dc.subject.keywordPlusRANDOMIZED CONTROLLED-TRIAL-
dc.subject.keywordPlusNEUROCOGNITIVE ENHANCEMENT THERAPY-
dc.subject.keywordPlusSEVERE MENTAL-ILLNESS-
dc.subject.keywordPlusINTRINSIC MOTIVATION-
dc.subject.keywordPlusOUTCOMES-
dc.subject.keywordPlusREHABILITATION-
dc.subject.keywordPlusFACTORIAL-
dc.subject.keywordPlusVALIDITY-
dc.subject.keywordPlusMODELS-
dc.subject.keywordPlusSCALE-
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