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Effects of integrated supported employment plus cognitive remediation training for people with schizophrenia and schizoaffective disorders
Abstract Objectives The present study aims to investigate the synergistic effects of cognitive remediation training (CRT) on Integrated Supported Employment (ISE). ISE blends individual placement support service with work-related social skills training for Chinese people suffering from schizophrenia...
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| Published in: | Schizophrenia research 2015-08, Vol.166 (1), p.297-303 |
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| container_title | Schizophrenia research |
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| creator | Au, Doreen W.H Tsang, Hector W.H So, Wendy W.Y Bell, Morris D Cheung, Vinci Yiu, Michael G.C Tam, K.L Lee, Gary Tin-ho |
| description | Abstract Objectives The present study aims to investigate the synergistic effects of cognitive remediation training (CRT) on Integrated Supported Employment (ISE). ISE blends individual placement support service with work-related social skills training for Chinese people suffering from schizophrenia or schizoaffective disorder. Method Ninety participants with schizophrenia or schizoaffective disorders were recruited from two psychiatric outpatient services in Hong Kong. They were randomly assigned into the ISE + CRT ( n = 45) and ISE ( n = 45) conditions. Blinded assessments on vocational, clinical, psychological, and neurocognitive outcomes were conducted by independent assessors. The two groups were followed up at 7 and 11 months. Results Both groups yielded similar improvements across several outcome domains assessed immediately after the interventions and at 7 and 11 month follow-ups, but no significant group differences were found. Significant positive trends over time in vocational, clinical and cognitive outcomes consistently favored the ISE + CRT condition. Conclusion While both the ISE + CRT and ISE groups demonstrated improvement in vocational, clinical, psychological, and neurocognitive outcomes, there was no evidence to show that cognitive remediation facilitated further improvement in these domains beyond gains associated with ISE alone. Further investigation is needed to fully exploit the synergistic potential of ISE combined with CRT, and to better understand which individuals experience a maximal benefit from the specific rehabilitation program components. |
| doi_str_mv | 10.1016/j.schres.2015.05.013 |
| format | article |
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ISE blends individual placement support service with work-related social skills training for Chinese people suffering from schizophrenia or schizoaffective disorder. Method Ninety participants with schizophrenia or schizoaffective disorders were recruited from two psychiatric outpatient services in Hong Kong. They were randomly assigned into the ISE + CRT ( n = 45) and ISE ( n = 45) conditions. Blinded assessments on vocational, clinical, psychological, and neurocognitive outcomes were conducted by independent assessors. The two groups were followed up at 7 and 11 months. Results Both groups yielded similar improvements across several outcome domains assessed immediately after the interventions and at 7 and 11 month follow-ups, but no significant group differences were found. Significant positive trends over time in vocational, clinical and cognitive outcomes consistently favored the ISE + CRT condition. Conclusion While both the ISE + CRT and ISE groups demonstrated improvement in vocational, clinical, psychological, and neurocognitive outcomes, there was no evidence to show that cognitive remediation facilitated further improvement in these domains beyond gains associated with ISE alone. Further investigation is needed to fully exploit the synergistic potential of ISE combined with CRT, and to better understand which individuals experience a maximal benefit from the specific rehabilitation program components.</description><identifier>ISSN: 0920-9964</identifier><identifier>EISSN: 1573-2509</identifier><identifier>DOI: 10.1016/j.schres.2015.05.013</identifier><identifier>PMID: 26044114</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Cognition ; Cognitive remediation training ; Cognitive Therapy - methods ; Employment, Supported - methods ; Female ; Follow-Up Studies ; Hong Kong ; Humans ; Integrated supported employment ; Male ; Neuropsychological Tests ; Psychiatry ; Psychotic Disorders - psychology ; Psychotic Disorders - therapy ; Rehabilitation, Vocational - methods ; Schizophrenia ; Schizophrenia - therapy ; Schizophrenic Psychology ; Social Skills ; Treatment Outcome ; Unemployment ; Vocational rehabilitation ; Work-related social skills training</subject><ispartof>Schizophrenia research, 2015-08, Vol.166 (1), p.297-303</ispartof><rights>Elsevier B.V.</rights><rights>2015 Elsevier B.V.</rights><rights>Copyright © 2015 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-920f3de4234e2813664e019a696d5b39e23263d77e3c20903920d8232c3d3f8b3</citedby><cites>FETCH-LOGICAL-c538t-920f3de4234e2813664e019a696d5b39e23263d77e3c20903920d8232c3d3f8b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26044114$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Au, Doreen W.H</creatorcontrib><creatorcontrib>Tsang, Hector W.H</creatorcontrib><creatorcontrib>So, Wendy W.Y</creatorcontrib><creatorcontrib>Bell, Morris D</creatorcontrib><creatorcontrib>Cheung, Vinci</creatorcontrib><creatorcontrib>Yiu, Michael G.C</creatorcontrib><creatorcontrib>Tam, K.L</creatorcontrib><creatorcontrib>Lee, Gary Tin-ho</creatorcontrib><title>Effects of integrated supported employment plus cognitive remediation training for people with schizophrenia and schizoaffective disorders</title><title>Schizophrenia research</title><addtitle>Schizophr Res</addtitle><description>Abstract Objectives The present study aims to investigate the synergistic effects of cognitive remediation training (CRT) on Integrated Supported Employment (ISE). ISE blends individual placement support service with work-related social skills training for Chinese people suffering from schizophrenia or schizoaffective disorder. Method Ninety participants with schizophrenia or schizoaffective disorders were recruited from two psychiatric outpatient services in Hong Kong. They were randomly assigned into the ISE + CRT ( n = 45) and ISE ( n = 45) conditions. Blinded assessments on vocational, clinical, psychological, and neurocognitive outcomes were conducted by independent assessors. The two groups were followed up at 7 and 11 months. Results Both groups yielded similar improvements across several outcome domains assessed immediately after the interventions and at 7 and 11 month follow-ups, but no significant group differences were found. Significant positive trends over time in vocational, clinical and cognitive outcomes consistently favored the ISE + CRT condition. Conclusion While both the ISE + CRT and ISE groups demonstrated improvement in vocational, clinical, psychological, and neurocognitive outcomes, there was no evidence to show that cognitive remediation facilitated further improvement in these domains beyond gains associated with ISE alone. Further investigation is needed to fully exploit the synergistic potential of ISE combined with CRT, and to better understand which individuals experience a maximal benefit from the specific rehabilitation program components.</description><subject>Adult</subject><subject>Cognition</subject><subject>Cognitive remediation training</subject><subject>Cognitive Therapy - methods</subject><subject>Employment, Supported - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hong Kong</subject><subject>Humans</subject><subject>Integrated supported employment</subject><subject>Male</subject><subject>Neuropsychological Tests</subject><subject>Psychiatry</subject><subject>Psychotic Disorders - psychology</subject><subject>Psychotic Disorders - therapy</subject><subject>Rehabilitation, Vocational - methods</subject><subject>Schizophrenia</subject><subject>Schizophrenia - therapy</subject><subject>Schizophrenic Psychology</subject><subject>Social Skills</subject><subject>Treatment Outcome</subject><subject>Unemployment</subject><subject>Vocational rehabilitation</subject><subject>Work-related social skills training</subject><issn>0920-9964</issn><issn>1573-2509</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqFUsuKFDEUDaI4PaN_IJKlm2rzqtdGkGF0hAEX6jqkk1s9aauSMkmNtJ_gV3vLbl24ES4kXM65j3MuIS8423LGm9eHbbb3CfJWMF5vGQaXj8iG162sRM36x2TDesGqvm_UBbnM-cAYIln7lFyIhinFudqQnzfDALZkGgfqQ4F9MgUczcs8x7T-YJrHeJwgFDqPS6Y27oMv_gFoggmcN8XHQEsyPviwp0NMdIY4j0C_-3JPcUb_I844aPCGmuDOGfO77VrG-RyTg5SfkSeDGTM8P79X5Mu7m8_Xt9Xdx_cfrt_eVbaWXalwp0E6UEIqEB2XTaOA8d40fePqnexBSNFI17YgrWA9k0hwHSatdHLodvKKvDrVnVP8tkAuevLZwjiaAHHJmjd9hyTVCoSqE9SmmHOCQc_JTyYdNWd6dUEf9MkFvbqgGQaXSHt57rDsUKO_pD-yI-DNCQC454OHhFU8BIt6JpRFu-j_1-HfAnZEA6wZv8IR8iEuKaCGmussNNOf1ktYDwH9Z6JlSv4CI9WyXQ</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>Au, Doreen W.H</creator><creator>Tsang, Hector W.H</creator><creator>So, Wendy W.Y</creator><creator>Bell, Morris D</creator><creator>Cheung, Vinci</creator><creator>Yiu, Michael G.C</creator><creator>Tam, K.L</creator><creator>Lee, Gary Tin-ho</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150801</creationdate><title>Effects of integrated supported employment plus cognitive remediation training for people with schizophrenia and schizoaffective disorders</title><author>Au, Doreen W.H ; Tsang, Hector W.H ; So, Wendy W.Y ; Bell, Morris D ; Cheung, Vinci ; Yiu, Michael G.C ; Tam, K.L ; Lee, Gary Tin-ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-920f3de4234e2813664e019a696d5b39e23263d77e3c20903920d8232c3d3f8b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Cognition</topic><topic>Cognitive remediation training</topic><topic>Cognitive Therapy - methods</topic><topic>Employment, Supported - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hong Kong</topic><topic>Humans</topic><topic>Integrated supported employment</topic><topic>Male</topic><topic>Neuropsychological Tests</topic><topic>Psychiatry</topic><topic>Psychotic Disorders - psychology</topic><topic>Psychotic Disorders - therapy</topic><topic>Rehabilitation, Vocational - methods</topic><topic>Schizophrenia</topic><topic>Schizophrenia - therapy</topic><topic>Schizophrenic Psychology</topic><topic>Social Skills</topic><topic>Treatment Outcome</topic><topic>Unemployment</topic><topic>Vocational rehabilitation</topic><topic>Work-related social skills training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Au, Doreen W.H</creatorcontrib><creatorcontrib>Tsang, Hector W.H</creatorcontrib><creatorcontrib>So, Wendy W.Y</creatorcontrib><creatorcontrib>Bell, Morris D</creatorcontrib><creatorcontrib>Cheung, Vinci</creatorcontrib><creatorcontrib>Yiu, Michael G.C</creatorcontrib><creatorcontrib>Tam, K.L</creatorcontrib><creatorcontrib>Lee, Gary Tin-ho</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Schizophrenia research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Au, Doreen W.H</au><au>Tsang, Hector W.H</au><au>So, Wendy W.Y</au><au>Bell, Morris D</au><au>Cheung, Vinci</au><au>Yiu, Michael G.C</au><au>Tam, K.L</au><au>Lee, Gary Tin-ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of integrated supported employment plus cognitive remediation training for people with schizophrenia and schizoaffective disorders</atitle><jtitle>Schizophrenia research</jtitle><addtitle>Schizophr Res</addtitle><date>2015-08-01</date><risdate>2015</risdate><volume>166</volume><issue>1</issue><spage>297</spage><epage>303</epage><pages>297-303</pages><issn>0920-9964</issn><eissn>1573-2509</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-News-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><abstract>Abstract Objectives The present study aims to investigate the synergistic effects of cognitive remediation training (CRT) on Integrated Supported Employment (ISE). ISE blends individual placement support service with work-related social skills training for Chinese people suffering from schizophrenia or schizoaffective disorder. Method Ninety participants with schizophrenia or schizoaffective disorders were recruited from two psychiatric outpatient services in Hong Kong. They were randomly assigned into the ISE + CRT ( n = 45) and ISE ( n = 45) conditions. Blinded assessments on vocational, clinical, psychological, and neurocognitive outcomes were conducted by independent assessors. The two groups were followed up at 7 and 11 months. Results Both groups yielded similar improvements across several outcome domains assessed immediately after the interventions and at 7 and 11 month follow-ups, but no significant group differences were found. Significant positive trends over time in vocational, clinical and cognitive outcomes consistently favored the ISE + CRT condition. Conclusion While both the ISE + CRT and ISE groups demonstrated improvement in vocational, clinical, psychological, and neurocognitive outcomes, there was no evidence to show that cognitive remediation facilitated further improvement in these domains beyond gains associated with ISE alone. Further investigation is needed to fully exploit the synergistic potential of ISE combined with CRT, and to better understand which individuals experience a maximal benefit from the specific rehabilitation program components.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>26044114</pmid><doi>10.1016/j.schres.2015.05.013</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Cognition Cognitive remediation training Cognitive Therapy - methods Employment, Supported - methods Female Follow-Up Studies Hong Kong Humans Integrated supported employment Male Neuropsychological Tests Psychiatry Psychotic Disorders - psychology Psychotic Disorders - therapy Rehabilitation, Vocational - methods Schizophrenia Schizophrenia - therapy Schizophrenic Psychology Social Skills Treatment Outcome Unemployment Vocational rehabilitation Work-related social skills training |
| title | Effects of integrated supported employment plus cognitive remediation training for people with schizophrenia and schizoaffective disorders |
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