Predictors of response to cognitive remediation in service recipients with severe mental illness.

Abstract:

OBJECTIVE:Cognitive challenges are prominent features of individuals diagnosed with schizophrenia, impairing occupational, social, and economic functioning. These challenges are predictive of social and work outcomes. Cognitive remediation has been shown to be effective in improving both cognitive and social functions. However, cognitive remediation does not produce improvement in all participants. We investigated demographic, neurocognitive, and psychopathological predictors associated with improvement following cognitive remediation interventions in service recipients with severe mental illnesses. METHOD:One hundred thirty-seven adult participants with a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.) were enrolled in 12-week cognitive remediation programs. Assessments of demographic and illness variables, together with baseline and end point assessment of psychopathology (Positive and Negative Syndrome Scale [PANSS]), neurocognition (Measurement and Treatment Research to Improve Cognition in Schizophrenia [MATRICS] Consensus Cognitive Battery [MCBB]), and social functions (Personal and Social Performance Scale [PSP]) were conducted. Change in cognitive domains was calculated using the reliable change index. Logistic regression analysis was used to assess predictors of cognitive improvement after the intervention. RESULTS:Sixty-two percent of participants improved on at least 1 of the MCCB domains. Higher baseline speed of processing, attention or vigilance, and working memory predicted a positive response to cognitive remediation. Younger age, higher education level, shorter length of stay, and lower PANSS Negative and Disorganized factors were additional predictors. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE:Our results indicate the clinical usefulness of cognitive remediation and identified a pattern of clinical and cognitive predictors of good response to the intervention. Identification of these predictive factors by clinicians may enhance the outcome and aid in the development of individualized rehabilitative cognitive remediation treatment plans. (PsycINFO Database Record

journal_name

Psychiatr Rehabil J

authors

Lindenmayer JP,Ozog VA,Khan A,Ljuri I,Fregenti S,McGurk SR

doi

10.1037/prj0000252

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

61-69

issue

1

eissn

1095-158X

issn

1559-3126

pii

2017-13255-003

journal_volume

40

pub_type

杂志文章
  • Measurement equivalence of the Empowerment Scale for White and Black persons with severe mental illness.

    abstract:OBJECTIVE:The current study examined the measurement equivalence on a measure of personal empowerment for Black and White consumers of mental health services. METHOD:Confirmatory factor analysis was used to assess measurement equivalence of the 28-item Empowerment Scale (Rogers, Chamberlin, Ellison, & Crean, 1997), us...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000069

    authors: Morris SB,Huang J,Zhao L,Sergent JD,Neuhengen J

    更新日期:2014-12-01 00:00:00

  • Towards a unified program of rehabilitation for those with psychiatric disabilities in Singapore.

    abstract::This paper sets out in detail how the Singapore Anglican Welfare Council (SAWC) has worked from its charter vision to a number of interlocking strategies and programs in the rehabilitation of those with psychiatric disabilities in Singapore. While the pathway toward a holistic and integrated model of rehabilitation ma...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/26.2002.3.12

    authors: Thio S

    更新日期:2002-07-01 00:00:00

  • Employment outcomes from VA vocational services involving transitional work for veterans with a diagnosis of posttraumatic stress disorder.

    abstract:OBJECTIVE:Transitional work (TW) for veterans with psychiatric disabilities is the predominant model of vocational rehabilitation in the Veterans Health Administration (VA). Although, on average, TW employment outcomes have been demonstrated to be inferior to supported employment, little is known about the potential su...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/prj0000357

    authors: Davis LL,Resnick SG,Maieritsch KP,Weber KC,Erbes CR,Strom TQ,McCall KP,Kyriakides TC

    更新日期:2019-09-01 00:00:00

  • "It suits my needs": Self-employed individuals with psychiatric disabilities and small businesses.

    abstract:OBJECTIVE:Small business is a favorably regarded institution in America. Given employment disparities among individuals with psychiatric disabilities compared to other workers, self-employment has potential to promote career development and community integration. However, little is known about what has helped or hinder...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000341

    authors: Ostrow L,Smith C,Penney D,Shumway M

    更新日期:2019-06-01 00:00:00

  • Pushing the envelope: shared decision making in mental health.

    abstract:TOPIC:This article reviews the literature on shared decision making in health and mental health and discusses tools in general health that are proposed for adaptation and use in mental health. PURPOSE:To offer findings from literature and a product development process to help inform/guide those who wish to create or i...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,评审

    doi:10.2975/34.1.2010.14.22

    authors: Curtis LC,Wells SM,Penney DJ,Ghose SS,Mistler LA,Mahone IH,Delphin-Rittmon M,del Vecchio P,Lesko S

    更新日期:2010-07-01 00:00:00

  • A program of supported education for adult Israeli students with schizophrenia.

    abstract::This report describes a supported education program (SEP), a novel community-based program of rehabilitation for psychiatric patients, started in Israel in 1999. Objectives, target population and activities are described. In addition, initial findings of two program-related studies are presented. One study explored th...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/29.2005.139.141

    authors: Sasson R,Grinshpoon A,Lachman M,Ponizovsky A

    更新日期:2005-10-01 00:00:00

  • I am a mental health professional; my credential: life experience.

    abstract::History is in the making in the mental health movement, with persons who live with a mental illness, are stable, and work in the mental health field as professionals (known as Consumer Providers). It is a new concept; and as with anything new, there is some resistance, some doubt about the wisdom of such a concept. Wi...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/26.2002.99.100

    authors: Fox V

    更新日期:2002-07-01 00:00:00

  • Psychiatric leisure rehabilitation: conceptualization and illustration.

    abstract::Leisure or recreational rehabilitation is not much developed in psychiatric rehabilitation. I present some definitions and a (very) brief history of the notion of leisure, as well as the role of leisure in health. I then describe a novel classification of leisure activities relevant to people with psychiatric disabili...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/29.2005.63.65

    authors: Rudnick A

    更新日期:2005-07-01 00:00:00

  • Implementing an intervention for parents with mental illness: building workforce capacity.

    abstract:OBJECTIVE:This article describes the challenges in building workforce capacity when implementing an intervention for families living with parental mental illnesses. METHOD:Data were obtained in the context of a larger, developmental, mixed-methods study. Participants included all agency employees working with families...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000046

    authors: Biebel K,Nicholson J,Woolsey K

    更新日期:2014-09-01 00:00:00

  • Effectiveness of peer-delivered Center for Independent Living supports for individuals with psychiatric disabilities: A randomized, controlled trial.

    abstract:OBJECTIVE:The goal of this study was to examine the effectiveness of peer-delivered core services of Centers for Independent Living (CILs), which include advocacy, information and referral, skills training, and peer support. METHOD:Ninety-nine individuals with a schizophrenia-spectrum or affective disorder who identif...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/prj0000220

    authors: Salzer MS,Rogers J,Salandra N,O'Callaghan C,Fulton F,Balletta AA,Pizziketti K,Brusilovskiy E

    更新日期:2016-09-01 00:00:00

  • Cognitive-behavioral group therapy for insomnia in individuals with serious mental illnesses: a preliminary evaluation.

    abstract::Chronic insomnia is a problem among individuals with serious mental illnesses. In an effort to expand treatment options, we examined whether well-established cognitive-behavioral treatments for insomnia developed for individuals in the general population generalize to those for people with serious mental illnesses. In...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/27.2004.235.242

    authors: Dopke CA,Lehner RK,Wells AM

    更新日期:2004-01-01 00:00:00

  • Follow-up client satisfaction in a supported education program.

    abstract::Satisfaction data have recently returned to popularity, as an outcome measure in managed behavioral healthcare systems. However, there are few examples of management uses of such data. We collected data 12 months after participants had completed a supported education program, concerning their retrospective satisfactio...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/h0095088

    authors: Mowbray CT,Bybee D,Collins ME

    更新日期:2001-01-01 00:00:00

  • Perceived stigma and community integration among clients of assertive community treatment.

    abstract::Facilitating the integration of persons with psychiatric disabilities is an important goal of community programs. In addition to limitations such as inadequate housing, poverty, and unemployment, a common barrier to community adjustment identified by people with psychiatric disabilities is their perception of being st...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/h0095005

    authors: Prince PN,Prince CR

    更新日期:2002-04-01 00:00:00

  • Is recovery possible outside the financial mainstream?

    abstract::As psychiatric rehabilitation practitioners, we have solid evidence that our field's services are effective in helping people become employed, participate in social and civic life, avoid restrictive and coercive psychiatric treatment, and thrive in stable and secure community residences. Yet, hundreds of thousands of ...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000242

    authors: Cook JA,Mueser KT

    更新日期:2016-12-01 00:00:00

  • Value of psychiatric rehabilitation in a behavioral health medicaid managed care system.

    abstract:OBJECTIVE:The present study was designed to describe individuals receiving psychiatric rehabilitation (PR) service and investigate program outcomes and factors associated with progress in a multisite, descriptive evaluation across Pennsylvania. METHOD:Through an outcomes-monitoring process integrated into routine serv...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000271

    authors: Hutchison SL,MacDonald-Wilson KL,Karpov I,Maise AM,Wasilchak D,Schuster JM

    更新日期:2017-06-01 00:00:00

  • Participant experiences in peer- and clinician-facilitated mental health recovery groups for veterans.

    abstract:OBJECTIVE:The purpose of the study was to characterize and compare participants' experiences of peer-facilitated versus clinician-facilitated recovery groups for veterans with mental illness. METHOD:We analyzed qualitative data from 24 interviews with veterans who participated in mental health recovery groups led by p...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/prj0000048

    authors: Beehler S,Clark JA,Eisen SV

    更新日期:2014-03-01 00:00:00

  • Self-stigma: A personal journey.

    abstract:TOPIC:This contribution describes a personal recovery journey and highlights the value and importance of engagement in peer-to-peer services to help promote growth and transformation. PURPOSE:In this contribution, the author emphasizes the significance of educating and supporting others to overcome the barriers of sel...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000140

    authors: Lipfird AC

    更新日期:2015-06-01 00:00:00

  • Culture, control, and family involvement: a comparison of psychosocial rehabilitation in India and the United States.

    abstract::Research has shown better prognosis rates for people with psychiatric disabilities in developing countries than in Western countries. By comparing psychosocial rehabilitation in India and the United States, this paper explores how cultual beliefs and practices impact the recovery of people with psychiatric disabilitie...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/h0095015

    authors: Stanhope V

    更新日期:2002-01-01 00:00:00

  • Health literacy training: A model for effective implementation and sustainability.

    abstract:OBJECTIVE:Training the mental health workforce to provide health promotion and support to people using their services to manage comorbid conditions is essential if full integration of physical and mental health is to become a reality. We document how a training model was explicitly designed to extend curricula beyond t...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000166

    authors: Davis K,Swarbrick P,Krzos IM,Ruppert S,O'Neill S

    更新日期:2015-12-01 00:00:00

  • Adjustment to community residential settings over time among older adults with serious mental illnesses.

    abstract::This exploratory cross-sectional study examined adjustment over time of three groups of seniors with serious mental illnesses (N=33), who were transferred from a psychiatric hospital to a community residential facility from 1995-1998. The study participants had lived in the community for 6-41 months. Outcomes included...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/29.2006.189.196

    authors: Larivière N,Gélinas I,Mazer B,Tallant B,Paquette I

    更新日期:2006-01-01 00:00:00

  • Can you hear me now? Teaching listening skills.

    abstract:TOPIC:This column provides an overview of methods for training to improve service provider active listening and reflective responding skills. PURPOSE:Basic skills in active listening and reflective responding allow service providers to gather information about and explore the needs, desires, concerns, and preference o...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000287

    authors: Nemec PB,Spagnolo AC,Soydan AS

    更新日期:2017-12-01 00:00:00

  • Barriers to exercise among people with severe mental illnesses.

    abstract:OBJECTIVE:Lack of exercise is a risk factor for various negative health outcomes. Some research suggests people with severe mental illnesses are less likely to engage in exercise than the general population. The purpose of this report is to document, analyze, and understand self-identified barriers to exercise that may...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/h0094747

    authors: Glover CM,Ferron JC,Whitley R

    更新日期:2013-03-01 00:00:00

  • One patient's search for antidotes to nihilism in psychiatry.

    abstract::A prosumer who experienced problems after misdiagnosis and mistreatment, the author searched for explanations of the short cuts inflicted on him by a mental health professional. Wanting to learn from the painful experience of willful incompetence, write to achieve closure and create a teaching tale to help other patie...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/27.2004.291.294

    authors: Sealey R

    更新日期:2004-01-01 00:00:00

  • A manual-based phenomenological art therapy for individuals diagnosed with moderate to severe depression (PATd): A randomized controlled study.

    abstract:OBJECTIVE:This study investigated the effects of manual-based Phenomenological Art Therapy for individuals living with depression in addition to treatment as usual (PATd/TAU) compared with only treatment as usual (TAU) for individuals diagnosed with moderate to severe depression. METHOD:79 adults (men = 29.1%) were in...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1037/prj0000300

    authors: Blomdahl C,Guregård S,Rusner M,Wijk H

    更新日期:2018-09-01 00:00:00

  • Measuring grit in veterans with mental illnesses: Examining the model structure of grit.

    abstract:: Objective: The purpose of this study was to examine the model structure, reliability, and validity of the Grit-S for veterans with mental illnesses. Method: A total of 156 veterans with mental illnesses (Mage = 37.85, SD = 10.7...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000420

    authors: Umucu E,Villegas D,Viramontes R,Jung H,Lee B

    更新日期:2020-05-04 00:00:00

  • Coping style is associated with parental distress beyond having a mental illness: A study among mothers with and without mental illness.

    abstract:OBJECTIVES:Based on previous literature showing that the association between coping styles and outcome depends on the context in which the coping takes place, the current study assessed the association between coping styles and parental distress among mothers with and without serious mental illness (SMI). METHOD:A tot...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000381

    authors: Malka T,Hasson-Ohayon I,Goldzweig G,Roe D

    更新日期:2020-06-01 00:00:00

  • Engagement and retention in services among formerly homeless adults with co-occurring mental illness and substance abuse: voices from the margins.

    abstract::This qualitative study analyzed 72 interviews with 39 formerly homeless psychiatric consumers to develop a grounded theory model of engagement and retention in mental health and substance abuse services. Person-centered themes included severity of mental illness and substance abuse (the latter also conflicting with pr...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/31.3.2008.226.233

    authors: Padgett DK,Henwood B,Abrams C,Davis A

    更新日期:2008-01-01 00:00:00

  • Planned Lifetime Assistance Network: a new service model with promising results.

    abstract::PLAN (Planned Lifetime Assistance Network) is a care model originated by parents to provide long-term support for their loved ones with mental illness or other physical or mental disabilities. PLANs help families plan for the future and assume some of the support role that parents have been playing. Currently there ar...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/h0094995

    authors: Obloy C,Hutcheson S

    更新日期:2002-04-01 00:00:00

  • Decision making in recovery-oriented mental health care.

    abstract:OBJECTIVE:Patient-centered communication has been linked to patient satisfaction, treatment adherence and outcomes. Shared decision making (SDM) has been advocated as an important and ethically essential aspect of patient-centered care, but SDM has received relatively little attention in mental health care, despite stu...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.2975/35.4.2012.305.314

    authors: Matthias MS,Salyers MP,Rollins AL,Frankel RM

    更新日期:2012-04-01 00:00:00

  • Affective forecasting in schizophrenia: comparing predictions to real-time Ecological Momentary Assessment (EMA) ratings.

    abstract:OBJECTIVE:"Affective forecasting" refers to the predictions people make about future affective experiences. These predictions influence decision making, which in turn might impact individuals' level of functioning, goal-directed behavior, and pursuit of potentially rewarding activities. In the current study, we explore...

    journal_title:Psychiatric rehabilitation journal

    pub_type: 杂志文章

    doi:10.1037/prj0000105

    authors: Brenner CJ,Ben-Zeev D

    更新日期:2014-12-01 00:00:00