A Pilot Test of Group Based Cognitive Behavioral Therapy to Augment Vocational Services for Persons With Serious Mental Illness: Feasibility and Competitive Work Outcomes.
A Pilot Test of Group Based Cognitive Behavioral Therapy to Augment Vocational Services for Persons With Serious Mental Illness: Feasibility and Competitive Work Outcomes.
复制标题
基于团体的认知行为疗法的试点测试，以增强严重精神疾病患者的职业服务：可行性和有竞争力的工作成果。
DOI：
10.1097/nmd.0000000000000796
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Lysaker,PaulH
中科院分区：
文献类型：
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作者：
Kukla,Marina;Strasburger,AmyM;Salyers,MichelleP;Rollins,AngelaL;Lysaker,PaulH
患有严重精神疾病的人即使在职业服务的帮助下也难以工作。目前的研究试图通过检查认知行为疗法来解决这个问题，以增加职业服务。52名接受职业服务的重度精神障碍成年人参加了工作成功认知行为疗法（CBTw）干预的前后可行性试验。CBTw是一项为期12周的手动干预，旨在解决影响工作功能的认知和行为因素。在基线之前和干预之后的12周内评估了竞争性工作成果。结果表明，会议出席率高，减员率低。工作成果也有显著改善。具体而言，在基线失业的参与者中，50.0%在随访期间找到了工作。这些研究结果提供了初步证据，CBTw可能是一个可行的干预措施，以增加职业服务;进一步的对照研究应检查其对工作成果的人与SMI的好处。
Persons with serious mental illness (SMI) struggle with work functioning even with the assistance of vocational services. The current study sought to address this problem by examining a cognitive-behavioral therapy to augment vocational services. Fifty-two adults with SMI receiving vocational services participated in a pre-post feasibility trial of the Cognitive Behavior Therapy for Work Success (CBTw) intervention. CBTw is a 12-week manualized intervention that addresses cognitive and behavioral factors that impact work functioning. Competitive work outcomes were assessed in the 12 weeks preceding baseline and after the intervention. The results demonstrate strong session attendance and a low attrition rate. There were also significant improvements in work outcomes. Specifically, among participants unemployed at baseline, 50.0% attained work during follow-up. These findings provide preliminary evidence that CBTw may be a feasible intervention to augment vocational services; further controlled research should examine its benefit to work outcomes in people with SMI.