Watzke S, Brieger P
Klinik und Poliklinik für Psychiatrie und Psychotherapie der Martin-Luther-Universität Halle-Wittenberg.
Fortschr Neurol Psychiatr. 2004 Nov;72(11):643-51. doi: 10.1055/s-2003-812449.
Until now it is difficult to predict the success of vocational rehabilitation programs for subjects with severe mental illnesses. The growing knowledge about the neuropsychological mechanisms of psychiatric disorders has not been fully integrated into psychiatric rehabilitation research. We reviewed the literature how to use neuropsychological parameters for predicting outcome of vocational rehabilitation programs in subjects with schizophrenia and schizoaffective disorders. Twenty studies were reviewed, which evaluated neuropsychological variables to predict dimensions of rehabilitation success. As a result of this review, we suggest implementing neurocognitive tests, which assess executive functions, working memory, and attention deficits in routine rehabilitation to better plan and coordinate rehabilitation, and to predict rehabilitation outcome.
到目前为止,很难预测针对重度精神疾病患者的职业康复项目是否会成功。关于精神障碍神经心理学机制的知识不断增加,但尚未完全融入精神康复研究中。我们回顾了有关如何使用神经心理学参数来预测精神分裂症和分裂情感性障碍患者职业康复项目结果的文献。我们对20项研究进行了综述,这些研究评估了神经心理学变量以预测康复成功的维度。作为本次综述的结果,我们建议在常规康复中实施评估执行功能、工作记忆和注意力缺陷的神经认知测试,以便更好地规划和协调康复,并预测康复结果。