Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by McGurk, S. R. Articles by Marder, J. Search for Related Content PubMed Citation Articles by McGurk, S. R. Articles by Marder, J. Housing and Vocational Support

Cognitive and Symptom Predictors of Work Outcomes for Clients With Schizophrenia in Supported Employment

OBJECTIVES: This study examined the relationships of measures of cognitive functioning and psychiatric symptoms with work outcomes and use of vocational services for clients with schizophrenia in a supported employment program. METHODS: Thirty clients who were newly enrolled in a supported employment program were evaluated with cognitive and symptom measures at program entry and two years later. The clients' amounts of competitive work, wages earned, on-job support, and contact with employment specialists during the two-year follow-up period were documented. RESULTS: Predictors of clients' work outcomes included previous work history, amount of government entitlement income received, severity of negative symptoms, involvement in sheltered work activity at baseline, and level of cognitive functioning, including scores on measures of executive functioning and verbal learning and memory. The amounts of on-job support and contact with employment specialists were predicted by the cognitive domains of executive functioning, verbal learning, attention, and psychomotor speed as well as by the severity of psychotic symptoms. CONCLUSIONS: Clients with schizophrenia who have higher levels of cognitive impairment may require greater amounts of vocational support than those with lower levels of impairment. A variety of rehabilitation strategies may be required to improve vocational outcomes and reduce the amount of supported employment services needed by clients with schizophrenia.

This article has been cited by other articles:

				S. R. McGurk, K. T. Mueser, T. J. DeRosa, and R. Wolfe Work, Recovery, and Comorbidity in Schizophrenia Schizophr Bull, March 5, 2009; (2009) sbn182v1. [Abstract] [Full Text] [PDF]

				J. A. Lieberman, R. E. Drake, L. I. Sederer, A. Belger, R. Keefe, D. Perkins, and S. Stroup Science and Recovery in Schizophrenia Psychiatr Serv, May 1, 2008; 59(5): 487 - 496. [Abstract] [Full Text] [PDF]

				A. Szoke, A. Trandafir, M.-E. Dupont, A. Meary, F. Schurhoff, and M. Leboyer Longitudinal studies of cognition in schizophrenia: meta-analysis The British Journal of Psychiatry, April 1, 2008; 192(4): 248 - 257. [Abstract] [Full Text] [PDF]

				J.-P. Lindenmayer, S. R. McGurk, K. T. Mueser, A. Khan, D. Wance, L. Hoffman, R. Wolfe, and H. Xie A Randomized Controlled Trial of Cognitive Remediation Among Inpatients With Persistent Mental Illness Psychiatr Serv, March 1, 2008; 59(3): 241 - 247. [Abstract] [Full Text] [PDF]

				S. Watzke, P. Brieger, O. Kuss, H. Schoettke, and K. H. Wiedl A Longitudinal Study of Learning Potential and Rehabilitation Outcome in Schizophrenia Psychiatr Serv, March 1, 2008; 59(3): 248 - 255. [Abstract] [Full Text] [PDF]

				S. R. McGurk and K. T. Mueser Strategies for Coping With Cognitive Impairments of Clients in Supported Employment Psychiatr Serv, October 1, 2006; 57(10): 1421 - 1429. [Abstract] [Full Text] [PDF]

				L. S. Matza, R. Buchanan, S. Purdon, J. Brewster-Jordan, Y. Zhao, and D. A. Revicki Measuring Changes in Functional Status Among Patients With Schizophrenia: The Link With Cognitive Impairment Schizophr Bull, October 1, 2006; 32(4): 666 - 678. [Abstract] [Full Text] [PDF]

				D. Koren, L. J Seidman, M. Goldsmith, and P. D Harvey Real-World Cognitive--and Metacognitive--Dysfunction in Schizophrenia: A New Approach for Measuring (and Remediating) More "Right Stuff" Schizophr Bull, April 1, 2006; 32(2): 310 - 326. [Abstract] [Full Text] [PDF]

				L. Srinivasan and S. Tirupati Relationship Between Cognition and Work Functioning Among Patients With Schizophrenia in an Urban Area of India Psychiatr Serv, November 1, 2005; 56(11): 1423 - 1428. [Abstract] [Full Text] [PDF]

				K. T. Mueser, S. Aalto, D. R. Becker, J. S. Ogden, R. S. Wolfe, D. Schiavo, C. J. Wallace, and H. Xie The Effectiveness of Skills Training for Improving Outcomes in Supported Employment Psychiatr Serv, October 1, 2005; 56(10): 1254 - 1260. [Abstract] [Full Text] [PDF]

				S. R McGurk, K. T Mueser, and A. Pascaris Cognitive Training and Supported Employment for Persons With Severe Mental Illness: One-Year Results From a Randomized Controlled Trial Schizophr Bull, October 1, 2005; 31(4): 898 - 909. [Abstract] [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 2003 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us