Neurocognitive enhancement therapy with work therapy: Productivity outcomes at 6- and 12-month follow-ups

Neurocognitive enhancement therapy (NET), which involves computerized cognitive training and other methods, has been shown to improve working memory and executive function in schizophrenia. In the present study, 145 outpatients with diagnoses of schizophrenia or schizoaffective disorder recruited fr...

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Bibliographic Details
Published in:Journal of rehabilitation research and development 2005-11, Vol.42 (6), p.829-838
Main Authors: Bell, Morris D, Bryson, Gary J, Greig, Tamasine C, Fiszdon, Joanna M, Wexler, Bruce E
Format: Article
Language:English
Subjects:
Adult
Clinical trials
Cognitive Therapy - methods
Combined Modality Therapy
Developmental disabilities
Drug abuse
Follow-Up Studies
Humans
Illnesses
Intervention
Medical treatment
Memory
Mental health
Middle Aged
Neurology
Neuropsychological Tests
Odds Ratio
Patient Compliance
Patients
Probability
Psychiatric Status Rating Scales
Psychotic Disorders - physiopathology
Psychotic Disorders - rehabilitation
Rehabilitation, Vocational - methods
Risk Assessment
Schizophrenia - physiopathology
Schizophrenia - rehabilitation
Task Performance and Analysis
Time Factors
Treatment Outcome
Vocational rehabilitation
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Summary:Neurocognitive enhancement therapy (NET), which involves computerized cognitive training and other methods, has been shown to improve working memory and executive function in schizophrenia. In the present study, 145 outpatients with diagnoses of schizophrenia or schizoaffective disorder recruited from a Department of Veterans Affairs mental hygiene clinic and from a community mental health center were ran domized to 6 months of paid work therapy (WT) or to NET+WT. Mixed random effects analyses revealed significant increase in hours worked and money earned over time for both conditions (p < 0.0001). NET+WT worked more hours than WT (p < 0.03), with differences emerging after rehabilitation. Responders to NET+WT worked the most during follow-up and tended to have more competitive-wage employment. Results indicate that work outcomes were enhanced by NET training. Effects were greatest for NET responders. Findings support the efficacy of cognitive training when it is integrated into broader rehabilitation programs.
ISSN:0748-7711
1938-1352
DOI:10.1682/JRRD.2005.03.0061