The Effects of the Combination of Cognitive Training and Supported Employment on Improving Clinical and Working Outcomes for People with Schizophrenia in Japan
| Autor: | Shunichi Furukawa, Emi Ikebuchi, Yasuhiro Matsuda, Kazuhiko Iwata, Norifumi Hatsuse, Sayaka Sato |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Epidemiology Schizoaffective disorder medicine.disease Article Cognitive training Psychiatry and Mental health Interpersonal relationship Cognitive remediation therapy Schizophrenia medicine cognitive remediation COGPACK Cognitive skill Verbal memory Psychology Psychiatry supported employment cognitive impairment Clinical psychology Supported employment |
| Zdroj: | Clinical Practice and Epidemiology in Mental Health : CP & EMH |
| ISSN: | 1745-0179 |
| Popis: | Background: In Japan, Job assistance for SMI have been not active. Compared with mental retardation, employment rate of SMI was low. The needs of the effective job assistance for SMI are growing. The purpose of this study was to determine the effectiveness of the combination approach of Cognitive Remediation (CR) and Supported Employment (SE) in clinical outcomes, including cognitive functioning and psychiatric symptoms besides vocational outcomes. Methods: The participants diagnosed with schizophrenia or schizoaffective disorder were assigned to CR+SE group (n=52) and SE group (n=57). CR comprised computer based trainings using COGPACK and group works. SE was individualized vocational support provided by employment specialists. Outcome measures included cognitive functioning, psychiatric symptoms, social functioning, performance of tasks as clinical outcomes, employment rate, duration of employment, and earned wage as vocational outcome. Results: CR+SE group displayed significantly better psychiatric symptoms (F=3.490, pDiscussions: This is the first controlled study to determine the effectiveness of CR on vocational outcomes in Japan. The results showed that CR and SE programs were feasible in Japan and that CR using COGPACK had favorable effects on cognitive functioning, psychiatric symptoms, and social functioning, which is consistent with previous researches. |
| Databáze: | OpenAIRE |
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