“…According to the self-reporting of psychosocial measures, participants experienced additional improvements in their selfesteem, quality of life, and social relationships. This is consistent with recent research that reports CR has potential in enhancing intrinsic social functioning (Garrido et al, 2013;Huddy, Reeder, Kontis, Wykes, & Stahl, 2012;Medalia & Saperstein, 2013).…”
Objective
Despite advances in the treatment of people with severe mental illness (SMI), access to work for this community still remains a challenge. Cognitive remediation (CR) is an intervention that can improve employment outcomes, especially when offered alongside employment support. This pilot study aimed to determine whether CR enhances vocational outcomes for job seekers participating in an innovative vocationally oriented psycho‐educational program implemented in Australia.
Method
Fourteen participants with SMI were enrolled in Health Optimisation Program for Employment (HOPE) and attended 20 sessions of CR. Assessments were performed at baseline, post‐CR, and 3 months follow‐up. Individuals were assessed on a number of occupational and psychosocial variables (e.g., hours of paid and unpaid work, self‐esteem, quality of life, social relationships), in addition to undertaking the MATRICS Consensus Cognitive Battery.
Results
There was no increase in hours of paid work for those in employment, but 46% of the group initiated tertiary studies between baseline and 3‐month follow‐up. There was a trend towards a significant increase in number of volunteer hours, with 31% of individuals having initiated a non‐paid activity at the end of the CR. As predicted, cognition improved over time as did psychosocial outcomes in the areas of self‐esteem, quality of life and social relationships.
Conclusions
Consistent with previous studies, CR improved psychosocial and cognitive functioning. While employment benefits were not found, promising outcomes were reported on volunteering and educational participation. This pilot suggests there may be potential for combining CR with HOPE to enhance vocation‐related participation and potential employability of job seekers with SMI in Australia. Given these preliminary findings, a further clinical trial with appropriate control group and sample size is required to validate the effectiveness of HOPE+CR.
“…According to the self-reporting of psychosocial measures, participants experienced additional improvements in their selfesteem, quality of life, and social relationships. This is consistent with recent research that reports CR has potential in enhancing intrinsic social functioning (Garrido et al, 2013;Huddy, Reeder, Kontis, Wykes, & Stahl, 2012;Medalia & Saperstein, 2013).…”
Objective
Despite advances in the treatment of people with severe mental illness (SMI), access to work for this community still remains a challenge. Cognitive remediation (CR) is an intervention that can improve employment outcomes, especially when offered alongside employment support. This pilot study aimed to determine whether CR enhances vocational outcomes for job seekers participating in an innovative vocationally oriented psycho‐educational program implemented in Australia.
Method
Fourteen participants with SMI were enrolled in Health Optimisation Program for Employment (HOPE) and attended 20 sessions of CR. Assessments were performed at baseline, post‐CR, and 3 months follow‐up. Individuals were assessed on a number of occupational and psychosocial variables (e.g., hours of paid and unpaid work, self‐esteem, quality of life, social relationships), in addition to undertaking the MATRICS Consensus Cognitive Battery.
Results
There was no increase in hours of paid work for those in employment, but 46% of the group initiated tertiary studies between baseline and 3‐month follow‐up. There was a trend towards a significant increase in number of volunteer hours, with 31% of individuals having initiated a non‐paid activity at the end of the CR. As predicted, cognition improved over time as did psychosocial outcomes in the areas of self‐esteem, quality of life and social relationships.
Conclusions
Consistent with previous studies, CR improved psychosocial and cognitive functioning. While employment benefits were not found, promising outcomes were reported on volunteering and educational participation. This pilot suggests there may be potential for combining CR with HOPE to enhance vocation‐related participation and potential employability of job seekers with SMI in Australia. Given these preliminary findings, a further clinical trial with appropriate control group and sample size is required to validate the effectiveness of HOPE+CR.
“…Another study by Moore et al [24] showed that the use of aerobic exercise and recreational therapy programs had the ability to prevent or reduce the problems and needs of these patients and subsequently increased their chances of social reintegration. Garcia et al, [25] posited that recreation and the community play a role in enhancing the daily functioning of patients with schizophrenia, whereas Garrido et al, [26] stated that to improve the quality of life in patients with schizophrenia, active treatment for negative symptoms, psychological distress and resistance should be recommended. In addition, Gallagher et al, [8] have asserted in their study that since CBT includes elements of cognitive rehabilitation therapy, it is considered an effective cure alongside drug therapy in the treatment of schizophrenic patients, and can thus be applied as an effective intervention for schizophrenic patients in Iran.…”
“…Tan and King 40 reported significantly greater improvement in all neurocognitive domains among those receiving CRT and greater attainment of vocational or independent living skills and better functional outcomes at postintervention follow-up. Garrido et al 41 reported improvements in neuropsychological performance and in quality of life and self-esteem measurements among people with schizophrenia who underwent CRT. Other approaches to the treatment of schizophrenia have evolved from research on cognitive biases and distortions evident in psychosis, including metacognitive therapy.…”
There is a compelling need to develop new therapies and intensively treat young people presenting with psychosis as this group tends to have poorer outcomes even after 1 year of treatment.
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