Cognitive and sympton predictors of work outcomes for clients with schizophrenia in support employment

被引:173
作者
McGurk, SR
Mueser, KT
Harvey, PD
LaPuglia, R
Marder, J
机构
[1] CUNY Mt Sinai Sch Med, New York, NY 10029 USA
[2] Dartmouth Coll Sch Med, Dept Psychiat & Community, Lebanon, NH USA
[3] Dartmouth Coll Sch Med, Dept Family Med, Lebanon, NH USA
[4] New Hampshire Dartmouth Psychiat Res Ctr, Concord, NH USA
[5] Pilgrim Psychiat Ctr, W Brentwood, NY USA
关键词
D O I
10.1176/appi.ps.54.8.1129
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objectives: This study examined the relationships of measures of cognitive functioning and psychiatric symptoms with work outcomes and use of vocational services for clients with schizophrenia in a supported employment program. Methods: Thirty clients who were newly enrolled in a supported employment program were evaluated with cognitive and Symptom. measures at program entry and two years later. The clients' on-job support, and contact amounts of competitive work, wages earned with employment specialists during the two-year follow-up period were documented. Results: Predictors of clients' work outcomes included previous work history, amount of government entitlement income received, severity of negative. symptoms involvement in sheltered work activity at baseline, and level of cognitive functioning, including scores on measures of executive functioning and verbal learning and memory. The amounts of on-job support and contact with employment specialists were predicted by the cognitive domains of executive functioning, verbal learning, attention, and psychomotor speed as well as by the severity of psychotic symptoms. Conclusions: Clients with schizophrenia who have higher levels of cognitive impairment may require greater amounts of vocational support than those with lower levels of impairment. A variety of rehabilitation strategies may be required to improve vocational outcomes and reduce the amount of supported employment services needed by clients with schizophrenia.
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收藏
页码:1129 / 1135
页数:7
相关论文
共 35 条
  • [1] ANDREASEN NC, 1992, ARCH GEN PSYCHIAT, V49, P615
  • [2] Becker D.R., 1993, A working life: The individual placement and support (IPS) program
  • [3] BEISER M, 1994, AM J PSYCHIAT, V151, P857
  • [4] IDENTIFICATION OF A NEW EPITOPE OF THE 4F2/44D7 MOLECULAR-COMPLEX PRESENT ON SARCOLEMMA AND ISOLATED CARDIAC FIBERS
    BELLONE, G
    ALLOATTI, G
    LEVI, R
    GEUNA, M
    TETTA, C
    PERUZZI, L
    LETARTE, M
    MALAVASI, F
    [J]. EUROPEAN JOURNAL OF IMMUNOLOGY, 1989, 19 (01) : 1 - 8
  • [5] A SIMPLE OBJECTIVE TECHNIQUE FOR MEASURING FLEXIBILITY IN THINKING
    Berg, Esta A.
    [J]. JOURNAL OF GENERAL PSYCHOLOGY, 1948, 39 (01) : 15 - 22
  • [6] Bond G. R., 1995, REHABIL PSYCHOL, V40, P91
  • [7] Bond GR, 1997, PSYCHIATR SERV, V48, P335
  • [8] Daradkeh T K, 1994, Int J Soc Psychiatry, V40, P141, DOI 10.1177/002076409404000206
  • [9] Delis D. C., 2017, California Verbal Learning TestSecond Edition (CVLT-II), V3rd
  • [10] A randomized clinical trial of supported employment for inner-city patients with severe mental disorders
    Drake, RE
    McHugo, GJ
    Bebout, RR
    Becker, DR
    Harris, M
    Bond, GR
    Quimby, E
    [J]. ARCHIVES OF GENERAL PSYCHIATRY, 1999, 56 (07) : 627 - 633