The relative contribution of neurocognition and social cognition to 6-month vocational outcomes following Individual Placement and Support in first-episode psychosis
| Autor: | Tasha Wahid, Eoin Killackey, Gennady Baksheev, Emma Barlow, Gina Chinnery, Jessica Massey, Kelly Allott, Pamela Sun, Zoe Collins, Christina Broussard, Sue M. Cotton, Henry J. Jackson, Tina-Marie Proffitt |
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| Rok vydání: | 2013 |
| Předmět: |
Employment
Male medicine.medical_specialty Adolescent Neuropsychological Tests Verbal learning Young Adult Social cognition Predictive Value of Tests medicine Humans Psychiatry Social Behavior Biological Psychiatry Supported employment Psychiatric Status Rating Scales Working memory Cognition Rehabilitation Vocational medicine.disease Psychiatry and Mental health Psychotic Disorders Schizophrenia Female Psychology Cognition Disorders Factor Analysis Statistical Neurocognitive Social cognitive theory Clinical psychology |
| Zdroj: | Schizophrenia research. 150(1) |
| ISSN: | 1573-2509 |
| Popis: | Aims To examine whether baseline neurocognition and social cognition predict vocational outcomes over 6 months in patients with first-episode psychosis (FEP) enrolled in a randomised controlled trial of Individual Placement and Support (IPS) versus treatment as usual (TAU). Methods 135 FEP participants (IPS n = 69; TAU n = 66) completed a comprehensive neurocognitive and social cognitive battery. Principal axis factor analysis using PROMAX rotation was used to determine the underlying cognitive structure of the battery. Setwise (hierarchical) logistic and multivariate linear regressions were used to examine predictors of: (a) enrolment in education and employment; and (b) hours of employment over 6 months. Neurocognition and social cognition factors were entered into the models after accounting for premorbid IQ, baseline functioning and treatment group. Results Six cognitive factors were extracted: (i) social cognition; (ii) information processing speed; (iii) verbal learning and memory; (iv) attention and working memory; (v) visual organisation and memory; and (vi) verbal comprehension. Enrolment in education over 6 months was predicted by enrolment in education at baseline ( p = .002) and poorer visual organisation and memory ( p = .024). Employment over 6 months was predicted by employment at baseline ( p = .041) and receiving IPS ( p = .020). Better visual organisation and memory predicted total hours of paid work over 6 months ( p Conclusions Visual organisation and memory predicted the enrolment in education and duration of employment, after accounting for premorbid IQ, baseline functioning and treatment. Social cognition did not contribute to the prediction of vocational outcomes. Neurocognitive interventions may enhance employment duration in FEP. |
| Databáze: | OpenAIRE |
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