Cognitive functioning and employment among people with schizophrenia in vocational rehabilitation

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Lexén, AnnikaLund University,Lunds universitet,Psykisk hälsa och psykiatrisk hälso- och sjukvårdsforskning,Forskargrupper vid Lunds universitet,Mental Health Services Research,Lund University Research Groups (author)

Cognitive functioning and employment among people with schizophrenia in vocational rehabilitation

Article/chapterEnglish2016

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2016
10 s.

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LIBRIS-ID:oai:lup.lub.lu.se:d534130a-7ea6-46ca-8165-6fd550772624
https://lup.lub.lu.se/record/d534130a-7ea6-46ca-8165-6fd550772624URI
https://doi.org/10.3233/WOR-162318DOI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

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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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsmedicin och miljömedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Health and Environmental Health hsv//eng
Psychiatric disability
return to work
severe mental illness
vocational rehabilitation

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Hofgren, CaisaUniversity of Gothenburg(Swepub:lu)med-csh (author)
Stenmark, RichardLund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences(Swepub:lu)psyc-rsn (author)
Bejerholm, UlrikaLund University,Lunds universitet,Psykisk hälsa, aktivitet och delaktighet,Forskargrupper vid Lunds universitet,Mental Health, Activity and Participation,Lund University Research Groups(Swepub:lu)arb-ube (author)
Psykisk hälsa och psykiatrisk hälso- och sjukvårdsforskningForskargrupper vid Lunds universitet (creator_code:org_t)

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In:Work: A Journal of Prevention, Assessment & Rehabilitation54:3, s. 735-7441051-9815

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