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首页> 外文期刊>Schizophrenia bulletin >Cognitive Predictors of Work Among Social Security Disability Insurance Beneficiaries With Psychiatric Disorders Enrolled in IPS Supported Employment
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Cognitive Predictors of Work Among Social Security Disability Insurance Beneficiaries With Psychiatric Disorders Enrolled in IPS Supported Employment

机译：社会保障残疾保险受益人工作的认知预测因子，心理障碍注册IPS支持就业

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Background: Impaired cognitive functioning is a significant predictor of work dysfunction in schizophrenia. Less is known, however about relationships of cognition and work in people with less severe disorders with relatively normal cognitive functioning. Methods: This secondary analysis evaluated cognitive predictors of work in Social Security Disability Insurance (SSDI) beneficiaries with a recent work history who were randomized to receive mental health services, supported employment, and freedom from work disincentives over a 2-year study period in the Mental Health Treatment Study. Of the 1045 participants randomized to the treatment package, 945 (90.4%) received a cognitive assessment at study entry. Competitive work activity was evaluated using a computer-assisted timeline follow-back calendar at baseline and quarterly for 24 months. Results: Mood disorders were the most common psychiatric diagnoses (64.9%), followed by schizophrenia or schizoaffective disorder (35.1%). Tobit regression analyses predicting the average number of hours worked per week, controlling for demographic characteristics, diagnosis, and work history indicated that the cognitive composite score (P < .01) and verbal learning subscale scores (P < .001) were associated with fewer hours of weekly work over the study period. Conclusions: Cognitive functioning predicted work over 2 years in SSDI beneficiaries with mood or schizophrenia-spectrum disorders who were receiving supported employment and mental health interventions, despite a relative absence of cognitive impairment in the study participants. The findings suggest cognitive functioning contributes to competitive work outcomes in persons with psychiatric disorders who have relatively unimpaired cognitive abilities, even under optimal conditions of treatment and vocational support.
机译：背景：认知功能受损是精神分裂症工作功能障碍的重要预测因子。然而，较少是已知的，然而关于认知和在具有相对正常认知功能的严重疾病的人的人们的关系。方法：该二级分析评估了社会保障残疾保险（SSDI）受益人的认知预测因子，其中最近的工作历史是随机接受精神卫生服务，支持的就业和从工作罪行中的工作抑制措施的工作心理健康治疗研究。在1045名与治疗包中随机的参与者中，945（90.4％）在学习条目中获得了认知评估。使用基线和每季度24个月的计算机辅助时间表后响电评估竞争工作活动。结果：情绪障碍是最常见的精神病学诊断（64.9％），其次是精神分裂症或脑肌肉蛋糕（35.1％）。 Tobit回归分析预测每周工作的平均小时数，控制人口统计学特征，诊断和工作历史表明认知综合评分（P <.01）和口头学习次级评分（P <.001）与更少的相关联每周工作时间在研究期间工作。结论：尽管在研究参与者中，尽管研究参与者在缺乏认知障碍的情况下，SSDI受益者在SSDI受益者中预测工作的认知功能预计工作已经超过2年。结果表明认知功能，即使在治疗和职业支持的最佳条件下，对具有相对未受损的认知能力的精神病患者的竞争工作结果也有助于竞争性工作结果。

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