Determinants of occupational outcome in recent-onset psychosis: The role of cognition.
Cognition
Cognitive remediation
Occupational outcome
Recent-onset psychosis
Recovery
Rehabilitation program
Journal
Schizophrenia research. Cognition
ISSN: 2215-0013
Titre abrégé: Schizophr Res Cogn
Pays: United States
ID NLM: 101632223
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
22
03
2019
revised:
23
07
2019
accepted:
26
07
2019
entrez:
30
8
2019
pubmed:
30
8
2019
medline:
30
8
2019
Statut:
epublish
Résumé
Working or studying is a common goal among people with recent-onset psychosis. Cognitive deficits have been reported to influence occupational outcome, but to date few studies have evaluated if cognitive deficits independently predict occupational outcome when taking into account other important determinants, such as self-esteem, motivation, length of time absent from employment/school, job/school search behaviours, subjective cognitive complaints and psychotic symptoms. Hence, this longitudinal study aimed to evaluate the role of cognition, as well as other key factors relevant to occupational outcome, to predict occupational status six months after baseline in people with recent-onset psychosis. A total of 27 participants receiving treatment in rehabilitation programs were included in the study. Neuropsychological, psychological, clinical and occupational measures were administered at baseline, and occupational status was collected six months later. Ordinal regression indicated that working memory and length of time absent from employment/school at baseline predicted 48.1% of the variance of occupational status at six months, with both variables showing a unique significant contribution to the model. These results suggest that working memory could be integrated in comprehensive models of occupational outcome in people with recent-onset psychosis. In addition, supported employment and education programs could target cognitive deficits and length of time absent from employment/school to help these individuals to acquire a job or return to school given their strong predictive value on occupational outcome.
Identifiants
pubmed: 31463205
doi: 10.1016/j.scog.2019.100158
pii: S2215-0013(19)30011-3
pii: 100158
pmc: PMC6710235
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100158Déclaration de conflit d'intérêts
The authors declare that they have no conflict of interest.
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