Determinants of occupational outcome in recent-onset psychosis: The role of cognition
Working or studying is a common goal among people with recent-onset psychosis. Cognitive deficits have been reported to influence occupational outcome, but to date few studies have evaluated if cognitive deficits independently predict occupational outcome when taking into account other important det...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-12-01
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| Series: | Schizophrenia Research: Cognition |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2215001319300113 |
| _version_ | 1818990626619785216 |
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| author | William Pothier Caroline Cellard Marc Corbière Patrizia Villotti Amélie M. Achim Andréanne Lavoie Mélissa Turcotte Chantal Vallières Marc-André Roy |
| author_facet | William Pothier Caroline Cellard Marc Corbière Patrizia Villotti Amélie M. Achim Andréanne Lavoie Mélissa Turcotte Chantal Vallières Marc-André Roy |
| author_sort | William Pothier |
| collection | DOAJ |
| description | Working or studying is a common goal among people with recent-onset psychosis. Cognitive deficits have been reported to influence occupational outcome, but to date few studies have evaluated if cognitive deficits independently predict occupational outcome when taking into account other important determinants, such as self-esteem, motivation, length of time absent from employment/school, job/school search behaviours, subjective cognitive complaints and psychotic symptoms. Hence, this longitudinal study aimed to evaluate the role of cognition, as well as other key factors relevant to occupational outcome, to predict occupational status six months after baseline in people with recent-onset psychosis. A total of 27 participants receiving treatment in rehabilitation programs were included in the study. Neuropsychological, psychological, clinical and occupational measures were administered at baseline, and occupational status was collected six months later. Ordinal regression indicated that working memory and length of time absent from employment/school at baseline predicted 48.1% of the variance of occupational status at six months, with both variables showing a unique significant contribution to the model. These results suggest that working memory could be integrated in comprehensive models of occupational outcome in people with recent-onset psychosis. In addition, supported employment and education programs could target cognitive deficits and length of time absent from employment/school to help these individuals to acquire a job or return to school given their strong predictive value on occupational outcome. Keywords: Recent-onset psychosis, Cognition, Occupational outcome, Recovery, Rehabilitation program, Cognitive remediation |
| first_indexed | 2024-12-20T19:57:22Z |
| format | Article |
| id | doaj.art-6d3ba22823054531af7311e0440a7bbb |
| institution | Directory Open Access Journal |
| issn | 2215-0013 |
| language | English |
| last_indexed | 2024-12-20T19:57:22Z |
| publishDate | 2019-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Schizophrenia Research: Cognition |
| spelling | doaj.art-6d3ba22823054531af7311e0440a7bbb2022-12-21T19:28:08ZengElsevierSchizophrenia Research: Cognition2215-00132019-12-0118Determinants of occupational outcome in recent-onset psychosis: The role of cognitionWilliam Pothier0Caroline Cellard1Marc Corbière2Patrizia Villotti3Amélie M. Achim4Andréanne Lavoie5Mélissa Turcotte6Chantal Vallières7Marc-André Roy8École de psychologie de l'Université Laval, 2325 Allée des Bibliothèques, G1V 0A6 Québec, Canada; Centre de recherche CERVO, 2601 Chemin de la Canardière, G1J 2G3 Québec, Canada; Corresponding author at: Pavillon Félix-Antoine-Savard, Laval University, 2325 Allée des Bibliothèques, bureau 1528, Québec, QC G1V 0A6, Canada.École de psychologie de l'Université Laval, 2325 Allée des Bibliothèques, G1V 0A6 Québec, Canada; Centre de recherche CERVO, 2601 Chemin de la Canardière, G1J 2G3 Québec, CanadaUniversité du Québec à Montréal (UQÀM), 405 Rue Sainte-Catherine Est, H2L 2C4, Montréal, Canada; Centre de recherche de l'Institut universitaire en santé mentale de Montréal, 7401 Rue Hochelaga, Pavillon Riel, Aile 228, H1N 3M5 Montréal, CanadaCentre de recherche de l'Institut universitaire en santé mentale de Montréal, 7401 Rue Hochelaga, Pavillon Riel, Aile 228, H1N 3M5 Montréal, CanadaCentre de recherche CERVO, 2601 Chemin de la Canardière, G1J 2G3 Québec, CanadaÉcole de psychologie de l'Université Laval, 2325 Allée des Bibliothèques, G1V 0A6 Québec, Canada; Centre de recherche CERVO, 2601 Chemin de la Canardière, G1J 2G3 Québec, CanadaÉcole de psychologie de l'Université Laval, 2325 Allée des Bibliothèques, G1V 0A6 Québec, Canada; Centre de recherche CERVO, 2601 Chemin de la Canardière, G1J 2G3 Québec, CanadaCentre de recherche CERVO, 2601 Chemin de la Canardière, G1J 2G3 Québec, CanadaCentre de recherche CERVO, 2601 Chemin de la Canardière, G1J 2G3 Québec, Canada; Département de psychiatrie et neurosciences de l'Université Laval, 1050 avenue de la Médecine, G1V 0A6 Québec, CanadaWorking or studying is a common goal among people with recent-onset psychosis. Cognitive deficits have been reported to influence occupational outcome, but to date few studies have evaluated if cognitive deficits independently predict occupational outcome when taking into account other important determinants, such as self-esteem, motivation, length of time absent from employment/school, job/school search behaviours, subjective cognitive complaints and psychotic symptoms. Hence, this longitudinal study aimed to evaluate the role of cognition, as well as other key factors relevant to occupational outcome, to predict occupational status six months after baseline in people with recent-onset psychosis. A total of 27 participants receiving treatment in rehabilitation programs were included in the study. Neuropsychological, psychological, clinical and occupational measures were administered at baseline, and occupational status was collected six months later. Ordinal regression indicated that working memory and length of time absent from employment/school at baseline predicted 48.1% of the variance of occupational status at six months, with both variables showing a unique significant contribution to the model. These results suggest that working memory could be integrated in comprehensive models of occupational outcome in people with recent-onset psychosis. In addition, supported employment and education programs could target cognitive deficits and length of time absent from employment/school to help these individuals to acquire a job or return to school given their strong predictive value on occupational outcome. Keywords: Recent-onset psychosis, Cognition, Occupational outcome, Recovery, Rehabilitation program, Cognitive remediationhttp://www.sciencedirect.com/science/article/pii/S2215001319300113 |
| spellingShingle | William Pothier Caroline Cellard Marc Corbière Patrizia Villotti Amélie M. Achim Andréanne Lavoie Mélissa Turcotte Chantal Vallières Marc-André Roy Determinants of occupational outcome in recent-onset psychosis: The role of cognition Schizophrenia Research: Cognition |
| title | Determinants of occupational outcome in recent-onset psychosis: The role of cognition |
| title_full | Determinants of occupational outcome in recent-onset psychosis: The role of cognition |
| title_fullStr | Determinants of occupational outcome in recent-onset psychosis: The role of cognition |
| title_full_unstemmed | Determinants of occupational outcome in recent-onset psychosis: The role of cognition |
| title_short | Determinants of occupational outcome in recent-onset psychosis: The role of cognition |
| title_sort | determinants of occupational outcome in recent onset psychosis the role of cognition |
| url | http://www.sciencedirect.com/science/article/pii/S2215001319300113 |
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