title: Effects of Cognitive Enhancement Therapy on Employment Outcomes in Early Schizophrenia: Results From a Two-Year Randomized Trial.
abstract: OBJECTIVE
  To examine the effects of psychosocial cognitive rehabilitation on employment outcomes in a randomized controlled trial for individuals with early course schizophrenia.
  
  
  METHODS
  Early course schizophrenia outpatients (N= 58) were randomly assigned to Cognitive Enhancement Therapy (CET) or an Enriched Supportive Therapy (EST) control and treated for two years. Comprehensive data on cognition and employment were collected annually.
  
  
  RESULTS
  Individuals treated with CET were significantly more likely to be competitively employed, had greater earnings from employment, and were more satisfied with their employment status by the end of treatment compared to EST recipients. Mediator analyses revealed that improvements in both social and non-social cognition mediated the CET effects on employment.
  
  
  CONCLUSIONS
  CET can help facilitate employment in early schizophrenia, by addressing the cognitive impairments that limit functioning in the disorder. Inclusion of cognitive rehabilitation in social work practice can support more optimal functional recovery from schizophrenia.
authors.affiliation: School of Social Work, University of Pittsburgh ; Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine.
authors.forename: Shaun M
authors.initials: SM
authors.lastname: Eack
authors.forename: Gerard E
authors.initials: GE
authors.lastname: Hogarty
authors.forename: Deborah P
authors.initials: DP
authors.lastname: Greenwald
authors.forename: Susan S
authors.initials: SS
authors.lastname: Hogarty
authors.forename: Matcheri S
authors.initials: MS
authors.lastname: Keshavan