Cognitive function and competitive employment in schizophrenia: relative contribution of insight and psychopathology

被引:17
|
作者
Giugiario, Michela [1 ]
Crivelli, Barbara [1 ]
Mingrone, Cinzia [1 ]
Montemagni, Cristiana [1 ]
Scalese, Mara [1 ]
Sigaudo, Monica [1 ]
Rocca, Giuseppe [1 ]
Rocca, Paola [1 ]
机构
[1] Univ Turin, Psychiat Sect, Dept Neurosci, I-10126 Turin, Italy
关键词
Schizophrenia; Competitive employment; Functioning; Cognitive; Psychopathology; Insight; SEVERE MENTAL-ILLNESS; RANDOMIZED CONTROLLED-TRIAL; INTERVENTION DEMONSTRATION PROGRAM; SUPPORTED EMPLOYMENT; WORK PERFORMANCE; VOCATIONAL-REHABILITATION; NEUROPSYCHOLOGICAL STATUS; REPEATABLE BATTERY; NEGATIVE SYMPTOMS; PREDICTORS;
D O I
10.1007/s00127-011-0367-7
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose This study investigated the relationships among insight, psychopathology, cognitive function, and competitive employment in order to determine whether insight and/or psychopathology carried the influence of cognitive function to competitive employment. Methods We recruited 253 outpatients with stable schizophrenia and we further divided our sample into two groups of patients ( unemployed and competitive employment subjects). Clinical and neuropsychological assessments were performed. All clinical variables significantly different between the two groups of subjects were subsequently analyzed using a binary logistic regression to assess their independent contribution to competitive employment in the two patients' groups. On the basis of the regression results two mediation analyses were performed. Results Verbal memory, general psychopathology, and awareness of mental illness were significantly associated with competitive employment in our sample. Both awareness of mental illness and general psychopathology had a role in mediating the verbal memory-competitive employment relationship. Conclusions Taken together, these findings confirmed the importance of cognitive function in obtaining competitive employment. Our results also highlighted the independent role of general psychopathology and awareness of illness on occupational functioning in schizophrenia. Thus, a greater attention must be given to the systematic investigation of insight and general psychopathology in light of an amelioration of vocational functioning in stable schizophrenia.
引用
收藏
页码:553 / 561
页数:9
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