Zhang Guo Fu, Tsui Chi Man, Lu Aisia Jiang Bo, Yu Li Bo, Tsang Hector Wing Hong, Li Da
Guo Fu Zhang, MMSc, is Psychiatrist, Wuxi Mental Health Center, Wuxi Tongren International Rehabilitation Hospital, Nanjing Medical University, Nanjing, China.
Chi Man Tsui, MMedSc, is Occupational Therapist, Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China.
Am J Occup Ther. 2017 Nov/Dec;71(6):7106165020p1-7106165020p8. doi: 10.5014/ajot.2017.024802.
In this randomized controlled trial, we investigated the effectiveness of integrated supported employment (ISE) compared with individual placement and support (IPS) and traditional vocational rehabilitation (TVR) for people with schizophrenia in mainland China.
One hundred and sixty-two participants with schizophrenia were randomly assigned to ISE (n = 54), IPS (n = 54), or TVR (n = 54). Blinded assessments of employment status, job tenure, and psychological outcomes were conducted at admission; completion of the 3-mo program; and follow-up at 7, 11, and 15 mo.
Significantly higher employment rate and longer job tenure were found in the ISE group (63.0%, 29.56 wk) compared with the IPS group (50.0%, 25.47 wk) and TVR group (33.3%, 9.91 wk). The ISE group also attained the most positive psychological outcomes.
Work-related social skills training embedded in ISE with generalization strategies can enhance vocational and nonvocational outcomes for people with schizophrenia in mainland China.
在这项随机对照试验中，我们调查了综合支持就业（ISE）与个别安置与支持（IPS）以及传统职业康复（TVR）相比，对中国大陆精神分裂症患者的有效性。
162名精神分裂症患者被随机分配到ISE组（n = 54）、IPS组（n = 54）或TVR组（n = 54）。在入院时、3个月项目结束时以及7个月、11个月和15个月的随访时，对就业状况、工作任期和心理结果进行盲法评估。
与IPS组（50.0%，25.47周）和TVR组（33.3%，9.91周）相比，ISE组的就业率显著更高，工作任期更长（63.0%，29.56周）。ISE组也取得了最积极的心理结果。
ISE中嵌入的与工作相关的社交技能培训及泛化策略可以提高中国大陆精神分裂症患者的职业和非职业结果。
