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Modifiable Predictors of Supported Employment Outcomes Among People With Severe Mental Illness.
Mahmood, Zanjbeel; Keller, Amber V; Burton, Cynthia Z; Vella, Lea; Matt, Georg E; McGurk, Susan R; Twamley, Elizabeth W.
Afiliación
  • Mahmood Z; San Diego State University and University of California, San Diego (SDSU/UC San Diego), Joint Doctoral Program in Clinical Psychology, San Diego (Mahmood); Research Service (Mahmood, Keller) and Center of Excellence for Stress and Mental Health (Twamley), U.S. Department of Veterans Affairs San Dieg
  • Keller AV; San Diego State University and University of California, San Diego (SDSU/UC San Diego), Joint Doctoral Program in Clinical Psychology, San Diego (Mahmood); Research Service (Mahmood, Keller) and Center of Excellence for Stress and Mental Health (Twamley), U.S. Department of Veterans Affairs San Dieg
  • Burton CZ; San Diego State University and University of California, San Diego (SDSU/UC San Diego), Joint Doctoral Program in Clinical Psychology, San Diego (Mahmood); Research Service (Mahmood, Keller) and Center of Excellence for Stress and Mental Health (Twamley), U.S. Department of Veterans Affairs San Dieg
  • Vella L; San Diego State University and University of California, San Diego (SDSU/UC San Diego), Joint Doctoral Program in Clinical Psychology, San Diego (Mahmood); Research Service (Mahmood, Keller) and Center of Excellence for Stress and Mental Health (Twamley), U.S. Department of Veterans Affairs San Dieg
  • Matt GE; San Diego State University and University of California, San Diego (SDSU/UC San Diego), Joint Doctoral Program in Clinical Psychology, San Diego (Mahmood); Research Service (Mahmood, Keller) and Center of Excellence for Stress and Mental Health (Twamley), U.S. Department of Veterans Affairs San Dieg
  • McGurk SR; San Diego State University and University of California, San Diego (SDSU/UC San Diego), Joint Doctoral Program in Clinical Psychology, San Diego (Mahmood); Research Service (Mahmood, Keller) and Center of Excellence for Stress and Mental Health (Twamley), U.S. Department of Veterans Affairs San Dieg
  • Twamley EW; San Diego State University and University of California, San Diego (SDSU/UC San Diego), Joint Doctoral Program in Clinical Psychology, San Diego (Mahmood); Research Service (Mahmood, Keller) and Center of Excellence for Stress and Mental Health (Twamley), U.S. Department of Veterans Affairs San Dieg
Psychiatr Serv ; 70(9): 782-792, 2019 09 01.
Article en En | MEDLINE | ID: mdl-31185856
OBJECTIVE: Among people with severe mental illnesses, neuropsychological abilities may contribute to vocational outcomes, such as job attainment, job tenure, and wages earned. The current study aimed to determine the strongest neuropsychological and other modifiable predictors of work outcomes in 153 people with severe mental illness (schizophrenia, 38%; bipolar disorder, 24%; and major depression, 38%) who participated in a 2-year supported employment study. METHODS: Assessments of neuropsychological performance, functional capacity, social skills, and psychiatric symptom severity were administered at baseline; work outcomes (job attainment, weeks worked, and wages earned) were collected weekly for 2 years. RESULTS: Independent of education, diagnosis, and estimated intellectual functioning, more recent work history and less severe negative symptoms significantly predicted job attainment during the 2-year study. Among the 47% who obtained jobs, better global neuropsychological performance (i.e., lower global deficit score) was a significant predictor of greater weeks worked. Both global neuropsychological performance and more recent work history predicted higher wages earned. CONCLUSIONS: Modifiable predictors of supported employment outcomes included cognitive functioning and negative symptom severity; thus, interventions to improve these factors may improve work outcomes and decrease the loss of productivity associated with severe mental illness.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Esquizofrenia / Trastorno Bipolar / Evaluación de Resultado en la Atención de Salud / Empleos Subvencionados / Trastorno Depresivo Mayor / Disfunción Cognitiva Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Psychiatr Serv Asunto de la revista: PSIQUIATRIA Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Esquizofrenia / Trastorno Bipolar / Evaluación de Resultado en la Atención de Salud / Empleos Subvencionados / Trastorno Depresivo Mayor / Disfunción Cognitiva Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Psychiatr Serv Asunto de la revista: PSIQUIATRIA Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos