title: [Longer-term effects of inpatient vocational and ergotherapeutic measures on the vocational integration of patients with schizophrenia].
abstract: OBJECTIVE
  Unemployment rates are high in people with schizophrenia, so that considerable importance is attached to measures to improve their ability to work and their vocational integration.
  
  
  METHODS
  In a study of the German Research Network on Schizophrenia the long-term effects of four-week vocational and ergotherapeutic measures on in-patients were investigated. The target criteria were the vocational integration, level of general functioning (Global Assessment of Functioning Scale) and psychopathology (Positive and Negative Syndrome Scale). 227 patients were randomized and assigned either to a work-oriented vocational therapy group, or to a creativity-oriented ergotherapy group; 163 patients completed the study. Data was available for 89 patients at the last catamnesis point after two years.
  
  
  RESULTS
  No differences were seen between the effects of the two forms of therapy on the development of vocational integration or on general functioning level and psychopathology after two years. The number of patients in regular work declined over this period.
  
  
  CONCLUSIONS
  It is assumed from this that short-lasting vocational and ergotherapeutic measures do not have any long-term influence on the vocational integration of patients with schizophrenia.
authors.affiliation: Die Institutsangaben sind an Ende des Beitrags gelistet. wiltrud.bayer@med.uni-tuebingen.de
authors.forename: Wiltrud
authors.initials: W
authors.lastname: Bayer
authors.forename: Margitta
authors.initials: M
authors.lastname: Köster
authors.forename: Hans Joachim
authors.initials: HJ
authors.lastname: Salize
authors.forename: Werner
authors.initials: W
authors.lastname: Höhl
authors.forename: Wielant
authors.initials: W
authors.lastname: Machleidt
authors.forename: Karl H
authors.initials: KH
authors.lastname: Wiedl
authors.forename: Gerhard
authors.initials: G
authors.lastname: Buchkremer
authors.forename: Gerhard
authors.initials: G
authors.lastname: Längle
mesh_terms: D004185:Disability Evaluation; D004651:Employment; D005500:Follow-Up Studies; D005858:Germany; D006760:Hospitalization; D006801:Humans; D009788:Occupational Therapy; D011569:Psychiatric Status Rating Scales; D012050:Rehabilitation, Vocational; D012559:Schizophrenia / Q000175:diagnosis / Q000534:rehabilitation*; D012565:Schizophrenic Psychology