Benefits of Cognitive Remediation and Supported Employment for Schizophrenia Patients With Poor Community Functioning
DC Field | Value | Language |
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dc.contributor.author | Bell, Morris D. | - |
dc.contributor.author | Choi, Kee-Hong | - |
dc.contributor.author | Dyer, Christina | - |
dc.contributor.author | Wexler, Bruce E. | - |
dc.date.accessioned | 2021-09-05T10:17:58Z | - |
dc.date.available | 2021-09-05T10:17:58Z | - |
dc.date.created | 2021-06-15 | - |
dc.date.issued | 2014-04 | - |
dc.identifier.issn | 1075-2730 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/98942 | - |
dc.description.abstract | Objective: 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.language | English | - |
dc.language.iso | en | - |
dc.publisher | AMER PSYCHIATRIC PUBLISHING, INC | - |
dc.subject | RANDOMIZED CONTROLLED-TRIAL | - |
dc.subject | NEUROCOGNITIVE ENHANCEMENT THERAPY | - |
dc.subject | SEVERE MENTAL-ILLNESS | - |
dc.subject | INTRINSIC MOTIVATION | - |
dc.subject | OUTCOMES | - |
dc.subject | REHABILITATION | - |
dc.subject | FACTORIAL | - |
dc.subject | VALIDITY | - |
dc.subject | MODELS | - |
dc.subject | SCALE | - |
dc.title | Benefits of Cognitive Remediation and Supported Employment for Schizophrenia Patients With Poor Community Functioning | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, Kee-Hong | - |
dc.identifier.doi | 10.1176/appi.ps.201200505 | - |
dc.identifier.scopusid | 2-s2.0-84901845069 | - |
dc.identifier.wosid | 000333545600010 | - |
dc.identifier.bibliographicCitation | PSYCHIATRIC SERVICES, v.65, no.4, pp.469 - 475 | - |
dc.relation.isPartOf | PSYCHIATRIC SERVICES | - |
dc.citation.title | PSYCHIATRIC SERVICES | - |
dc.citation.volume | 65 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 469 | - |
dc.citation.endPage | 475 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Health Care Sciences & Services | - |
dc.relation.journalResearchArea | Public, Environmental & Occupational Health | - |
dc.relation.journalResearchArea | Psychiatry | - |
dc.relation.journalWebOfScienceCategory | Health Policy & Services | - |
dc.relation.journalWebOfScienceCategory | Public, Environmental & Occupational Health | - |
dc.relation.journalWebOfScienceCategory | Psychiatry | - |
dc.subject.keywordPlus | RANDOMIZED CONTROLLED-TRIAL | - |
dc.subject.keywordPlus | NEUROCOGNITIVE ENHANCEMENT THERAPY | - |
dc.subject.keywordPlus | SEVERE MENTAL-ILLNESS | - |
dc.subject.keywordPlus | INTRINSIC MOTIVATION | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | REHABILITATION | - |
dc.subject.keywordPlus | FACTORIAL | - |
dc.subject.keywordPlus | VALIDITY | - |
dc.subject.keywordPlus | MODELS | - |
dc.subject.keywordPlus | SCALE | - |
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