Neurocognitive enhancement therapy with vocational services: Work outcomes at two-year follow-up
Neurocognitive enhancement therapy with vocational services: Work outcomes at two-year follow-up
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DOI：
10.1016/j.schres.2008.06.026
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发表时间：
2008-10-01
影响因子：
4.5
通讯作者：
Wexler, Bruce E.
中科院分区：
文献类型：
--
作者：
Bell, Morris D.;Zito, Wayne;Wexler, Bruce E.
神经认知增强疗法（NET）是一种针对精神分裂症持续存在且限制功能的认知障碍的康复方案。在先前针对退伍军人的一项研究中，NET改善了工作治疗效果以及执行功能和工作记忆。本研究旨在确定NET是否能够提高在社区心理健康中心接受基于社区的职业服务的精神分裂症和分裂情感性障碍患者的功能结果。方法：患者（N = 72）参与了一个混合过渡性和支持性就业项目（VOC），并被随机分配到NET + VOC组或仅VOC组。NET + VOC包括基于计算机的认知训练、工作反馈以及一个社会信息处理小组。仅VOC组也包括每周两个支持小组。积极干预为期12个月，并进行12个月的随访。随访率为100%。结果：在12个月的随访期间，NET + VOC组患者的工作时长显著增加，到第六季度达到竞争性就业的累计比率显著更高，并且保持着显著更高的就业比率。结论：NET训练改善了职业结果，表明将认知康复与其他康复方法相结合以提高功能结果的价值。（c）2008年由爱思唯尔B.V.出版
Neurocognitive enhancement therapy (NET) is a remediation program for the persistent and function-limiting cognitive impairments of schizophrenia. In a previous study in veterans, NET improved work therapy outcomes as well as executive function and working memory. The present study aimed to determine whether NET could enhance functional outcomes among schizophrenia and schizoaffective patients in a community mental health center receiving community-based vocational services. Method: Patients (N=72) participated in a hybrid transitional and supported employment program (VOC) and were randomized to either NET+VOC or VOC only. NET+VOC included computer-based cognitive training, work feedback and a social information information-processing group. VOC only also included two weekly support groups. Active intervention was 12 months with 12 month follow-up. Follow-up rate was 100%. Results: NET+VOC patients worked significantly more hours during the 12 month follow-up period, reached a significantly higher cumulative rate of competitive employment by the sixth quarter, and maintained significantly higher rates of employment. Conclusion: NET training improved vocational outcomes, suggesting the value of combining cognitive remediation with other rehabilitation methods to enhance functional outcomes. (c) 2008 Published by Elsevier B.V.