Social Cognition
Conditions
Keywords
rehabilitation, schizophrenia, emotional adjustment, theory of mind
Brief summary
Randomized controlled trial. Sixty-five participants (83% with schizophrenia or bipolar disorder) were recruited from community mental health teams. Fifty-seven met criteria and agreed to participate in the study. The conditions of cognitive rehabilitation were assigned randomly with support employment CR + IPS (n = 28) and IPS alone (n = 29). Cogpack program was used. Two groups were followed at 8 and 12 months after the baseline.
Detailed description
This work was developed in the island of Tenerife (Spain) within a public service specialised in labour integration of people with disabilities in which an IPS team was set up in 2005. The study was carried out in collaboration with the units of community mental health of the island. These units carry out the control of people with serious mental illnesses including pharmacological treatment and psychosocial programming. All research procedures were approved by the Medicine Committee of Canary Health Services. The follow-up period for the data collection was set between 2013 and 2014. Employment specialists belong to a public institution specialized in work disability.Sixty-five participants but only 57 signed written informed consent and completed the baseline. Two groups were assigned randomly:one with support employment and cognitive rehabilitation the second group with IPS alone
Interventions
OTHERCognitive Rehabilitation and Individual Placement and Support
Cognitive Rehabilitation and Individual Placement and Support
Sponsors
University of Santiago de Compostela
University of La Laguna
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Masking description
Experimental: ET and IPS Control: IPS
Intervention model description
Cognitive rehabilitation with a cognitive training program
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Participants had to: 1. comply with the state definitions of severe mental illness (SMI), which includes an ICD-10 (World Health Organization, 1992) diagnosis of F20- 29 (schizophrenia, schizotypal, delusional and other non-mood psychotic disorders) and F31-F32.3 (major mood affective disorders) 2. have previous difficulties to maintain a job 3. currently want a competitive job and 4. accept the job search starts
Exclusion criteria
People with no Severe mental illness and not want to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Positive and Negative Symptom Scale (PANSS) total score changes | At baseline and after 1 year treatment | Positive and negative subscales minimum 7 and maximum 49. General psychopathology subscale minimum 16 and maximum 112. Composite subscale minimum -42 and maximum +42. Categorize subtype positive \>0 and negative \<0. |
| Hinting Task total score changes | At baseline and after 1 year treatment | Total 1 minimum 0 and maximum 20. Total 2 minimum 0 and maximum 10. Cut-off point 18, less deficit. |
| Happé Strange Stories Test total score changes | At baseline and after 1 year treatment | Total control minimum 0 and maximum 16. Total theory of mind minimum 0 and maximum 16. Cut-off point 14, below the deficit. |
| Ekman 60 Faces Test total score changes | At baseline and after 1 year treatment | Minimum 0 and maximum 60. Between 20-40 years average 51.43, cut-off point 45, below deficit. Between 40-60 years, average 51.20, cut-off point 43, below deficit. |
| Faux Pas Recognition Test total score changes | At baseline and after 1 year treatment | FP stories and C questions, C stories and FP questions and C stories and C questions minimum 0 and maximum 20. FP stories and FP questions minimum 0 and maximum 60. Cut-off point without errors 54 and with errors 48, lower deficit scores. |
| Ambiguous Intentions and Hostility Questionnaire total score changes | At baseline and after 1 year treatment | Hostility, anger, guilt and aggression minimum 1 and maximum 5. Intentionality minimum 1 and maximum 6. Calculate the mean. |
| Movie for the Assessment of Social Cognition total score changes | At baseline and after 1 year treatment | Minimum 0 and maximum 42. |
| Screening for Cognitive Impairment in Psychiatry (SCIP-S) total score changes | At baseline and after 1 year treatment | Minimum 1 and maximum 99, very low range 1-2.5 and low range 2.5-15. The deterioration depends on the scale. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Employment | Up to 12 months in 2021 | Number of jobs |
Countries
Spain
Outcome results
None listed