Cognitive remediation and occupational outcome in schizophrenia spectrum disorders: A 2 year follow-up study
Autor: | Helen Bull, Erik Falkum, June Ullevoldsæter Lystad, Torill Ueland, Susan R. McGurk, Stig Evensen, Vegard Øksendal Haaland |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male Randomization medicine.medical_treatment Neuropsychological Tests Verbal learning 03 medical and health sciences 0302 clinical medicine Occupational Therapy Predictive Value of Tests medicine Humans Longitudinal Studies Biological Psychiatry Retrospective Studies Psychiatric Status Rating Scales Cognitive Behavioral Therapy Norway Working memory Cognition medicine.disease 030227 psychiatry Cognitive behavioral therapy Psychiatry and Mental health Treatment Outcome Cognitive remediation therapy Schizophrenia Female Schizophrenic Psychology Psychology Neurocognitive 030217 neurology & neurosurgery Clinical psychology |
Zdroj: | Schizophrenia Research. 185:122-129 |
ISSN: | 0920-9964 |
Popis: | Neurocognitive impairment is prominent in schizophrenia and a significant predictor of poor occupational outcomes. Vocational rehabilitation (VR) is frequently implemented to counteract high unemployment rates. Individuals with schizophrenia however face numerous challenges such as neurocognitive impairments and psychotic symptoms. Hence, augmenting VR to address illness-related factors may optimize occupational outcomes. The aim of this study was to examine the effects of Cognitive Remediation (CR) combined with VR(CR + VR) compared to techniques from Cognitive Behavioral Therapy (CBT) combined with VR(CBT + VR) on neurocognition and occupational functioning over a 2 year period. A total of 131participants underwent assessment with the MATRICS Consensus Cognitive Battery (MCCB) at baseline, post treatment (after 10 months) and follow-up (2 years after randomization). Occupational status and number of hours worked were recorded at all assessment points. Both groups improved on several neurocognitive domains. All improvements were however in favor of the CR group. There was a significant increase in number of participants working and hours worked in both groups throughout the project period, with no between-group differences. Number of hours worked at follow-up was predicted by change in Working Memory and the Composite Score in the CR group. CR-augmented VR improved several domains, particularly Verbal Learning and Working Memory, which were central in the CR program. The combination of VR and CR or CBT thus enabled a significant proportion of participants to attain and maintain work. |
Databáze: | OpenAIRE |
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