Enhanced cognitive-behavioral therapy for vocational rehabilitation in schizophrenia: Effects on hope and work

To address the effects of dysfunctional cognitions on vocational outcome of people with schizophrenia spectrum disorders, we developed the Indianapolis Vocational Intervention Program (IVIP), a cognitive-behavioral program of group and individual interventions. Fifty participants with schizophrenia...

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Bibliographic Details
Published in:Journal of rehabilitation research and development 2005-09, Vol.42 (5), p.673-682
Main Authors: Lysaker, Paul H, Bond, Gary, Davis, Louanne W, Bryson, Gary J, Bell, Morris D
Format: Article
Language:English
Subjects:
Adult
Analysis of Variance
Behavior Therapy - methods
Cognitive therapy
Cognitive Therapy - methods
Combined Modality Therapy
Feasibility studies
Follow-Up Studies
Humans
Male
Mental retardation
Middle Aged
Neurological disorders
Probability
Psychiatric Status Rating Scales
Psychotic Disorders - diagnosis
Psychotic Disorders - rehabilitation
Reference Values
Rehabilitation, Vocational - methods
Risk Assessment
Schizophrenia
Schizophrenia - diagnosis
Schizophrenia - rehabilitation
Self Concept
Standard deviation
Support groups
Treatment Outcome
Vocational rehabilitation
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Summary:To address the effects of dysfunctional cognitions on vocational outcome of people with schizophrenia spectrum disorders, we developed the Indianapolis Vocational Intervention Program (IVIP), a cognitive-behavioral program of group and individual interventions. Fifty participants with schizophrenia or schizoaffective disorder were offered 6-month work placements and randomized to receive IVIP (n = 25) or standard support services (n = 25). Hours worked were measured weekly, and work performance was assessed biweekly with the use of the Work Behavior Inventory. Hope and self-esteem were assessed at baseline and at 5 months with the Beck Hopelessness Scale and the Rosenberg Self-Esteem Schedule. Analysis of variance (ANOVA) revealed that the IVIP group worked significantly more weeks and had better average work performance than the standard support group. Repeated measures ANOVA of baseline and follow-up scores indicated that the IVIP group sustained baseline levels of hope and self-esteem through follow-up, while the standard support group experienced declines. Results provide initial evidence of the effectiveness of the IVIP.
ISSN:0748-7711
1938-1352
DOI:10.1682/JRRD.2004.12.0157