title: The influence of adjunctive treatment and metacognitive deficits in schizophrenia on the experience of work.
abstract: Enhancing work function is now widely considered a core element of comprehensive schizophrenia treatment. While research efforts have illuminated factors that influence how well patients perform at work, less is known about the factors influencing the subjective experience of work. It is not known how, and to what extent, symptoms, cognitive deficits or metacognitive capacities impact job satisfaction and whether treatment can have an effect on job satisfaction. To explore this issue, data from a trial in which participants in a six-month vocational program were assigned to either a standard support group or a cognitive behavioral group therapy, and asked to fill in weekly self-reports of job satisfaction was analyzed. Work satisfaction and the consistency of these ratings were compared between the two groups and the moderating influence of metacognitive capacity was analyzed. A significant interaction effect revealed that higher metacognitive capacity predicted higher average job satisfaction only in the CBT group. Additionally, higher metacognitive capacity led to a more varied appraisal of work satisfaction only in the support group.
authors.affiliation: GGZ Noord-Drenthe, Assen, The Netherlands; Rijksuniversiteit Groningen, Groningen, The Netherlands.
authors.forename: S
authors.initials: S
authors.lastname: de Jong
authors.affiliation: Rijksuniversiteit Groningen, Groningen, The Netherlands.
authors.forename: S B
authors.initials: SB
authors.lastname: Renard
authors.affiliation: Rijksuniversiteit Groningen, Groningen, The Netherlands; GGZ Friesland, Leeuwarden, The Netherlands.
authors.forename: R J M
authors.initials: RJ
authors.lastname: van Donkersgoed
authors.affiliation: Parnassia Psychiatric Institute, Den Haag, The Netherlands; VU University, Dept of Clinical Psychology, EMGO Institute of Health and Care Research, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: van der Gaag
authors.affiliation: GGZ Friesland, Leeuwarden, The Netherlands.
authors.forename: L
authors.initials: L
authors.lastname: Wunderink
authors.affiliation: Rijksuniversiteit Groningen, Groningen, The Netherlands; GGZ Noord-Drenthe, Assen, The Netherlands.
authors.forename: G H M
authors.initials: GH
authors.lastname: Pijnenborg
authors.affiliation: Roudebush VA Medical Center, Indianapolis, USA; Indiana University School of Medicine, Indianapolis, USA. Electronic address: Plysaker@iupui.edu.
authors.forename: P H
authors.initials: PH
authors.lastname: Lysaker
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000523:psychology / Q000628:therapy*; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology; D012657:Self-Help Groups; D013850:Thinking; D014829:Vocational Education; D014937:Work / Q000523:psychology*
keywords: Metacognition; Recovery; Schizophrenia; Subjective quality of life; Theory of mind; Work satisfaction