Improving vocational outcomes in first-episode psychosis by addressing cognitive impairments using Cognitive Adaptation Training
| Autor: | Pamela Sun, Dawn I. Velligan, Eoin Killackey, Kelly Allott, Warrick J. Brewer |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Employment
Male Activities of daily living medicine.medical_treatment Psychological intervention Education 03 medical and health sciences Young Adult 0302 clinical medicine Activities of Daily Living medicine Humans Cognitive Dysfunction Supported employment Cognitive Behavioral Therapy Rehabilitation Public Health Environmental and Occupational Health Australia Cognition Mental illness medicine.disease 030227 psychiatry Cognitive behavioral therapy Psychotic Disorders Vocational education Quality of Life Female Psychology Neurocognitive 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Work (Reading, Mass.). 56(4) |
| ISSN: | 1875-9270 |
| Popis: | Background Cognitive Adaptation Training (CAT) uses compensatory strategies and environmental supports to support cognitive impairments and improve functioning. CAT may be useful for addressing vocational recovery in first-episode psychosis (FEP) because cognitive impairments are common and vocational recovery is a key goal of young people with FEP. Objective To describe clinical observations and practice experience when delivering CAT with FEP clients and explore potential benefits via objective outcome measures for improving vocational outcomes. Methods In this pilot study, five FEP participants received 9 months of CAT. Participant goals and functional needs and clinical observations were recorded. Formal measures of functioning, quality of life and motivation were independently administered pre- and post-intervention. Results Vocational recovery (education, employment) was found to be a primary functional goal of FEP participants. Accordingly, CAT had a strong focus on vocational functioning, including functional domains required for successful work or educational outcomes, such as organization and planning, transportation and activities of daily living. Factors of clinical importance when delivering CAT with the FEP participants included cognitive heterogeneity, family involvement, flexibility in compensatory and environmental supports used, and experience of stigma. Improvements from baseline to post-intervention were observed on most measures, with the largest improvements seen in global functioning (including vocation), planning and organization, and quality of life. Conclusions CAT is an intervention that appears well suited to addressing vocational functioning in FEP, but larger controlled trials are needed. |
| Databáze: | OpenAIRE |
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