“在社区精神康复项目中开展工作认知康复的可行性”：对麦古尔克等人（2017年）研究的修正

"The feasibility of implementing cognitive remediation for work in community based psychiatric rehabilitation programs": Correction to McGurk et al. (2017).

出版信息

Psychiatr Rehabil J. 2017 Jun;40(2):206. doi: 10.1037/prj0000274.

Abstract

UNLABELLED

Reports an error in "The feasibility of implementing cognitive remediation for work in community based psychiatric rehabilitation programs" by Susan R. McGurk, Kim T. Mueser, Melanie A. Watkins, Carline M. Dalton and Heather Deutsch (, 2017[Mar], Vol 40[1], 79-86). In the article, the author order was incorrect due to a printer error. The online version of this article has been corrected. (The following abstract of the original article appeared in record 2017-13255-004.) Objective: Adding cognitive remediation to vocational rehabilitation services improves cognitive and work functioning in people with serious mental illness, but despite interest, the uptake of cognitive programs into community services has been slow. This study evaluated the feasibility of implementing an empirically supported cognitive remediation program in routine rehabilitation services at 2 sites.

METHOD

The Thinking Skills for Work (TSW) program was adapted for implementation at 2 sites of a large psychiatric rehabilitation agency providing prevocational services, but not community-based vocational services, which were provided off-site. Agency staff were trained to deliver TSW to clients with work or educational goals. Cognitive assessments were conducted at baseline and posttreatment, with work and school activity tracked for 2 years.

RESULTS

Eighty-three participants enrolled in TSW, of whom 79.5% completed at least 6 of the 24 computer cognitive exercise sessions (M = 16.7) over an average of 18 weeks. Participants improved significantly from baseline to posttreatment in verbal learning and memory, speed of processing, and overall cognitive functioning. Over the follow-up, 25.3% of participants worked and 47.0% were involved in work or school activity. Higher work rates were observed at the site where participants had easier access to vocational services.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

The results support the feasibility of implementing the TSW program by frontline staff in agencies providing psychiatric rehabilitation, and suggest that ease of access to vocational services may influence work outcomes. (PsycINFO Database Record

摘要

未标注

勘误《社区精神康复项目中实施工作认知康复的可行性》，作者苏珊·R·麦古克、金·T·缪泽、梅兰妮·A·沃特金斯、卡琳·M·道尔顿和希瑟·多伊奇（[发表于]2017年3月，第40卷第1期，第79 - 86页）。文章中，由于印刷错误，作者顺序有误。本文的网络版已修正。（以下是原始文章的摘要，记录于2017 - 13255 - 004）目的：在职业康复服务中增加认知康复可改善严重精神疾病患者的认知和工作功能，但尽管受到关注，认知项目在社区服务中的应用进展缓慢。本研究评估了在两个地点的常规康复服务中实施一项经验证有效的认知康复项目的可行性。

方法

将工作思维技能（TSW）项目进行调整，以便在一家大型精神康复机构的两个地点实施，该机构提供职业前服务，但不提供社区职业服务，社区职业服务在机构外提供。机构工作人员接受培训，为有工作或教育目标的客户提供TSW服务。在基线和治疗后进行认知评估，并对工作和学校活动进行为期两年的跟踪。

结果

83名参与者参加了TSW项目，其中79.5%的人在平均18周内完成了24次计算机认知练习课程中的至少6次（M = 16.7）。参与者从基线到治疗后在言语学习和记忆、处理速度以及整体认知功能方面有显著改善。在随访期间，25.3%的参与者工作，47.0%的参与者参与工作或学校活动。在参与者更容易获得职业服务的地点，工作率更高。