Cognitive and clinical predictors of success in vocational rehabilitation in schizophrenia

Evans, Jovier D.; Bond, Gary R.; Meyer, Piper S.; Kim, Hea Won; Lysaker, Paul H.; Gibson, P. Joseph; Tunis, Sandra L.

doi:10.1016/j.schres.2004.01.011

Cited by 161 publications

(86 citation statements)

References 33 publications

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“…1,[3][4][5][6][7][8][9][10] These cognitive deficits, and in particular episodic memory deficits, are linked to poorer functioning, work performance, social adaptation, quality of life, 1,6 and rehabilitation outcomes. 11,12 In its original conceptualization, episodic memory covers a large and heterogeneous set of memory representations and includes the ability to recollect specific events located in time and place. It is opposed to semantic memory that comprises general facts relating to the world, with no reference to spatial and temporal context.…”

Section: Introductionmentioning

confidence: 99%

A Meta-Analysis of Autobiographical Memory Studies in Schizophrenia Spectrum Disorder

Berna

Potheegadoo

Aouadi

et al. 2015

SCHBUL

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Meta-analyses and reviews on cognitive disorders in schizophrenia have shown that the most robust and common cognitive deficits are found in episodic memory and executive functions. More complex memory domains, such as autobiographical memory (AM), are also impaired in schizophrenia, but such impairments are reported less often despite their negative impact on patients' outcome. In contrast to episodic memory, assessed in laboratory tasks, memories of past personal events are much more complex and directly relate to the self. The meta-analysis included 20 studies, 571 patients with schizophrenia spectrum disorder, and 503 comparison subjects. It found moderate-to-large effect sizes with regard to the 3 parameters commonly used to assess AM: memory specificity (g = −0.97), richness of detail (g = −1.40), and conscious recollection (g = −0.62). These effect sizes were in the same range as those found in other memory domains in schizophrenia; for this reason, we propose that defective memories of personal past events should be regarded as a major cognitive impairment in this illness.

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Section: Introductionmentioning

confidence: 99%

A Meta-Analysis of Autobiographical Memory Studies in Schizophrenia Spectrum Disorder

Berna

Potheegadoo

Aouadi

et al. 2015

SCHBUL

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“…Lorsque la variable ciblée réfère aux aspects d'insertion au travail, les résultats sont plus nuancés selon que la personne participe ou non à un programme de réinsertion au travail ou encore selon le type de variable dépendante observé (McGurk et Mueser, 2004 ;Evans et al, 2004 ;McGurk et Meltzer, 2000 ;. Les auteurs expliquent ces résultats par le fait que les professionnels oeuvrant dans ces programmes peuvent soutenir leurs clients dans leur processus d'insertion et ainsi pallier de façon tangible d'éventuels déficits cognitifs.…”

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Le maintien en emploi de personnes souffrant d’une maladie mentale

Corbière

Lesage²,

Villeneuve

et al. 2007

smq

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L’insertion au travail de personnes souffrant d’une maladie mentale s’avère complexe et difficile. Pour celles qui travaillent, le maintien en emploi est de courte durée. Cet article vise à identifier des déterminants personnels du maintien en emploi de personnes souffrant d’une maladie mentale et inscrites dans un programme de réinsertion au travail. Des 105 personnes qui travaillent durant le suivi de 9 mois après leur inscription à un programme, près de 50 % maintiennent leur première activité de travail. Les résultats d’analyses de survie révèlent que selon l’indicateur de maintien en emploi observé (premier ou dernier emploi obtenu), les variables qui apparaissent comme significatives peuvent être reliées aux aspects sociodémographiques (aide financière reçue), travail (la durée d’absence du marché du travail, le type d’emploi obtenu), cognitif (fonctions exécutives) et clinique (symptômes paranoïdes). En conclusion, les auteurs suggèrent non seulement de considérer les variables inhérentes à la personne souffrant d’une maladie mentale pour prédire le maintien en emploi, mais aussi d’évaluer de façon plus systématique son milieu de travail.

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“…Subjective well-being (naBeR, et al, 2005;lamBeRt, et al, 2006), quality of life (yunG, et al, 1996), cognition (GReen, et al, 2008;haRvey, et al, 2006;KeeFe, et al, 2010) and psychosocial performance, including employment (lehman, et al, 2002;evans, et al, 2004;mCGuRK, et al, 2010), have become endpoints of interest and goals for patients, families, clinicians and researchers (Kane et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

Treating patients with antipsychotics: an individualized management

Maia¹,

Meireles²,

Miná³

et al. 2015

Int Arch Med

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Introduction: Subjective well-being, quality of life, cognition and psychosocial performance, including employment, have become endpoints of interest and goals for patients, families, clinicians and researchers. In this line, it is important to clarify the adverse effects caused by antipsychotics in order to innovate and complement treatment of patients with an individualize approach according to the patient's needs and predispositions. Objectives:Discuss new treatment's way for patients using antipsychotics, elucidating the pros and cons of their use.Results: Atypical antipsychotics cause weight gain and lead to a higher risk of diabetes and other metabolic sequelae than their typical counterparts. Besides, second-generation(atypical) has also shown adverse effects like: akathisia, sedation, abnormal metabolic laboratory results, and weight gain. On the other hand, talking about the first-gentration (typical) antipsychotics, their clinical effectiveness is challenged by increased acute and chronic extrapyramidal side effects and related symptoms of dysphoria, compared to second-generation (atypical) antipsychotics. In addition, available evidence indicates that antipsychotic medications increase the risk of cerebrovascular adverse events (CVAEs) and death when used to treat elderly patients with Behavioral and Psychological Symptoms of Dementia (BPSD). Besides, some studies show that patient populations that are prescribed antipsychotic agents have a higher cardiovascular mortality rate than the general population. Considering that, we can see that each psychotic patient will need an individualized treatment according to their physical, social and psychological limitations and needs, leading us to realize the significance of this paper since it emphasizes the holistic management of this kind of patient.

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Cognitive and clinical predictors of success in vocational rehabilitation in schizophrenia

Cited by 161 publications

References 33 publications

A Meta-Analysis of Autobiographical Memory Studies in Schizophrenia Spectrum Disorder

A Meta-Analysis of Autobiographical Memory Studies in Schizophrenia Spectrum Disorder

Le maintien en emploi de personnes souffrant d’une maladie mentale

Treating patients with antipsychotics: an individualized management

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