Can computer-assisted cognitive remediation improve employment and productivity outcomes of patients with severe mental illness? A meta-analysis of prospective controlled trials
Publication in refereed journal


摘要Background: Computer-assisted cognitive remediation (CACR) has been demonstrated to enhance cognition of patients with severe mental illness (SMI). Patients with improved cognitive skills may find it easier to be employed, and the ability to maintain employment is an important sign of recovery. Aim: To assess whether CACR is an effective method to enhance work-related outcomes in patients with SMI. Method: Prospective controlled trials evaluating CACR on productivity outcomes were systematically identified from the OVID databases. Employment rates, total days of work in a year, and total annual earnings were defined as the productivity outcomes. Results: Nine trials were published between 2005 and 2014 and were conducted in the United States, Germany, Italy, Singapore and Japan. A total of 740 patients with mean age of 36.4 years were included. The duration of CACR ranged from 2 months to 2 years, and the patients were followed-up from 1 year to 3 years. Patients receiving CACR showed 20% higher employment rate (95% CI=5%-35%), worked 19.5 days longer in a year (95% CI=2.5-36.6 days), and earned US$959 more in total annual earnings (95% CI=US$285 to US$1634) than those not receiving CACR. Conclusion: CACR can enhance productivity outcomes for patients with SMI, including higher employment rate, longer duration of work and higher income. The economic benefit of CACR can enhance the quality of life for patients with SMI, and may reduce financial burden on the health and welfare system. Therefore, CACR can be recommended and incorporated into regular vocational rehabilitation programs.
著者Chan J.Y.C., Hirai H.W., Tsoi K.K.F.
期刊名稱Journal of Psychiatric Research
出版社Pergamon Press Ltd.
出版地United Kingdom
頁次293 - 300
關鍵詞Computer-assisted cognitive remediation, Employment rate, Productivity outcomes, Schizophrenia, Severe mental illness

上次更新時間 2020-17-09 於 03:30