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Cognitive functioning and employment among people with schizophrenia in vocational rehabilitation

Lexén, Annika LU ; Hofgren, Caisa LU ; Stenmark, Richard LU and Bejerholm, Ulrika LU (2016) In Work: A Journal of Prevention, Assessment & Rehabilitation 54(3). p.735-744
Abstract

BACKGROUND: Employment is central to recovery in schizophrenia, but little attention has been paid to its relationship with cognitive functioning. OBJECTIVE: This cross-sectional study adds to the knowledge base of relationships between cognitive functioning and gaining competitive employment, work hours per week, and monthly income among people with schizophrenia in vocational rehabilitation. It also examines which area of cognitive function may be decisive for gaining employment. METHODS: Thirty-nine vocational rehabilitation participants were administered a cognitive battery based on MATRICS Consensus Cognitive Battery. Socio-demographic, clinical, and vocational data were gathered and analyzed with nonparametric statistics. RESULTS:... (More)

BACKGROUND: Employment is central to recovery in schizophrenia, but little attention has been paid to its relationship with cognitive functioning. OBJECTIVE: This cross-sectional study adds to the knowledge base of relationships between cognitive functioning and gaining competitive employment, work hours per week, and monthly income among people with schizophrenia in vocational rehabilitation. It also examines which area of cognitive function may be decisive for gaining employment. METHODS: Thirty-nine vocational rehabilitation participants were administered a cognitive battery based on MATRICS Consensus Cognitive Battery. Socio-demographic, clinical, and vocational data were gathered and analyzed with nonparametric statistics. RESULTS: Individuals with competitive employment differed from those without competitive employment in attention and psychomotor speed, delayed verbal recall, immediate visual recall, and planning, reasoning, and problem-solving. Higher scores in immediate and delayed verbal recall and planning, reasoning, and problem-solving correlated with more work hours per week and higher income. Immediate visual recall was related to higher income. Higher scores in planning, reasoning, and problem-solving was an indicator of competitive employment (OR=1.48). CONCLUSIONS: Higher order cognitive functioning of planning, reasoning, and problem-solving may have a central role in gaining employment. The findings should be considered in compensation for or improving cognitive functions for vocational rehabilitation participants.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Psychiatric disability, return to work, severe mental illness, vocational rehabilitation
in
Work: A Journal of Prevention, Assessment & Rehabilitation
volume
54
issue
3
pages
10 pages
publisher
IOS Press
external identifiers
  • Scopus:84979935433
ISSN
1051-9815
DOI
10.3233/WOR-162318
language
English
LU publication?
yes
id
d534130a-7ea6-46ca-8165-6fd550772624
date added to LUP
2016-08-16 10:59:41
date last changed
2016-10-28 12:38:54
@misc{d534130a-7ea6-46ca-8165-6fd550772624,
  abstract     = {<p>BACKGROUND: Employment is central to recovery in schizophrenia, but little attention has been paid to its relationship with cognitive functioning. OBJECTIVE: This cross-sectional study adds to the knowledge base of relationships between cognitive functioning and gaining competitive employment, work hours per week, and monthly income among people with schizophrenia in vocational rehabilitation. It also examines which area of cognitive function may be decisive for gaining employment. METHODS: Thirty-nine vocational rehabilitation participants were administered a cognitive battery based on MATRICS Consensus Cognitive Battery. Socio-demographic, clinical, and vocational data were gathered and analyzed with nonparametric statistics. RESULTS: Individuals with competitive employment differed from those without competitive employment in attention and psychomotor speed, delayed verbal recall, immediate visual recall, and planning, reasoning, and problem-solving. Higher scores in immediate and delayed verbal recall and planning, reasoning, and problem-solving correlated with more work hours per week and higher income. Immediate visual recall was related to higher income. Higher scores in planning, reasoning, and problem-solving was an indicator of competitive employment (OR=1.48). CONCLUSIONS: Higher order cognitive functioning of planning, reasoning, and problem-solving may have a central role in gaining employment. The findings should be considered in compensation for or improving cognitive functions for vocational rehabilitation participants.</p>},
  author       = {Lexén, Annika and Hofgren, Caisa and Stenmark, Richard and Bejerholm, Ulrika},
  issn         = {1051-9815},
  keyword      = {Psychiatric disability,return to work,severe mental illness,vocational rehabilitation},
  language     = {eng},
  month        = {06},
  number       = {3},
  pages        = {735--744},
  publisher    = {ARRAY(0x8148798)},
  series       = {Work: A Journal of Prevention, Assessment & Rehabilitation},
  title        = {Cognitive functioning and employment among people with schizophrenia in vocational rehabilitation},
  url          = {http://dx.doi.org/10.3233/WOR-162318},
  volume       = {54},
  year         = {2016},
}