Kukla Marina, Strasburger Amy M, Salyers Michelle P, Rollins Angela L, Lysaker Paul H
J Nerv Ment Dis. 2018 May;206(5):310-315. doi: 10.1097/NMD.0000000000000796.
Persons with serious mental illness (SMI) struggle with work functioning even with the assistance of vocational services. The current study sought to address this problem by examining a cognitive-behavioral therapy to augment vocational services. Fifty-two adults with SMI receiving vocational services participated in a pre-post feasibility trial of the Cognitive Behavior Therapy for Work Success (CBTw) intervention. CBTw is a 12-week manualized intervention that addresses cognitive and behavioral factors that impact work functioning. Competitive work outcomes were assessed in the 12 weeks preceding baseline and after the intervention. The results demonstrate strong session attendance and a low attrition rate. There were also significant improvements in work outcomes. Specifically, among participants unemployed at baseline, 50.0% attained work during follow-up. These findings provide preliminary evidence that CBTw may be a feasible intervention to augment vocational services; further controlled research should examine its benefit to work outcomes in people with SMI.
患有严重精神疾病（SMI）的人即使在职业服务的帮助下，在工作功能方面仍存在困难。当前的研究试图通过研究一种认知行为疗法来增强职业服务，以解决这一问题。52名接受职业服务的成年SMI患者参与了工作成功认知行为疗法（CBTw）干预的前后可行性试验。CBTw是一种为期12周的手册化干预措施，旨在解决影响工作功能的认知和行为因素。在基线前的12周和干预后评估竞争性工作成果。结果显示出席率高且流失率低。工作成果也有显著改善。具体而言，在基线时失业的参与者中，50.0%在随访期间找到了工作。这些发现提供了初步证据，表明CBTw可能是一种增强职业服务的可行干预措施；进一步的对照研究应检验其对SMI患者工作成果的益处。
