Benefits of Cognitive Remediation and Supported Employment for Schizophrenia Patients With Poor Community Functioning
Benefits of Cognitive Remediation and Supported Employment for Schizophrenia Patients With Poor Community Functioning
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DOI：
10.1176/appi.ps.201200505
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发表时间：
2014-04-01
影响因子：
3.8
通讯作者：
Wexler, Bruce E.
中科院分区：
文献类型：
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作者：
Bell, Morris D.;Choi, Kee-Hong;Wexler, Bruce E.
目的：本研究的目的是确定是否增强支持就业与认知补救可以改善职业成果，以及是否增强是更重要的参与者与较低的社区功能。研究方法：在对两项相关、单盲、随机对照试验数据的二次分析中，175名精神分裂症或情感障碍患者接受了支持性就业或支持性就业加认知矫正，并根据基线时生活质量评分的中位数分为较高或较低的社区功能。参与者接受了一年的积极干预和一年后的随访。主要结果指标是有竞争力的就业率和总工作时间。结果如下：两种情况下，社区功能较低的参与者两年以上的就业率显著不同（支持就业= 20%，加上认知矫正= 49%，p
Objective: This study was conducted to determine whether augmenting supported employment with cognitive remediation can improve vocational outcomes and whether augmentation is more important for participants with lower community functioning. Methods: In this secondary analysis of data from two related, single-blind, randomized controlled trials, 175 participants with schizophrenia or schizoaffective disorder received supported employment or supported employment plus cognitive remediation and were classified into higher or lower community functioning according to a median split of their quality-of-life scores at baseline. Participants received one year of active intervention and follow-up a year later. Primary outcome measures were competitive employment rates and total hours of work. Results: Employment rates over two years for participants with lower community functioning were significantly different for the two conditions (supported employment=20%, plus cognitive remediation=49%, p