Enhanced cognitive-behavioral therapy for vocational rehabilitation in schizophrenia: Effects on hope and work.
To address the effects of dysfunctional cognitions on vocational outcome of people with schizophrenia spectrum disorders, we developed the Indianapolis Vocational Intervention Program (IVIP), a cognitive-behavioral program of group and individual interventions. Fifty participants with schizophrenia or schizoaffective disorder were offered 6-month work placements and randomized to receive IVIP (n = 25) or standard support services (n = 25). Hours worked were measured weekly, and work performance was assessed biweekly with the use of the Work Behavior Inventory. Hope and self-esteem were assessed at baseline and at 5 months with the Beck Hopelessness Scale and the Rosenberg Self-Esteem Schedule. Analysis of variance (ANOVA) revealed that the IVIP group worked significantly more weeks and had better average work performance than the standard support group. Repeated measures ANOVA of baseline and follow-up scores indicated that the IVIP group sustained baseline levels of hope and self-esteem through follow-up, while the standard support group experienced declines. Results provide initial evidence of the effectiveness of the IVIP.
Roudebush Department of Veterans Affairs (VA) Medical Center, Indianapolis, IN 46202, USA. plysaker@iupui.edu
Paul H
PH
Lysaker
Gary
G
Bond
Louanne W
LW
Davis
Gary J
GJ
Bryson
Morris D
MD
Bell
D000328:Adult; D000704:Analysis of Variance; D001521:Behavior Therapy / Q000379:methods; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011336:Probability; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000175:diagnosis / Q000534:rehabilitation*; D012016:Reference Values; D012050:Rehabilitation, Vocational / Q000379:methods*; D018570:Risk Assessment; D012559:Schizophrenia / Q000175:diagnosis / Q000534:rehabilitation*; D012649:Self Concept; D016896:Treatment Outcome