A Systematic Review and Meta-Analysis of Psychosocial Intervention Targeting Social and Occupational Function in Early Psychosis

2021 ◽  
Author(s):  
Emma Frawley ◽  
Megan Cowman ◽  
Martin Lepage ◽  
Gary Donohoe

2017 ◽  
Vol 8 ◽  
Author(s):  
Melanie Claxton ◽  
Juliana Onwumere ◽  
Miriam Fornells-Ambrojo


2015 ◽  
Vol 44 ◽  
pp. 106-116 ◽  
Author(s):  
Kanokporn Sukhato ◽  
Chathaya Wongrathanandha ◽  
Ammarin Thakkinstian ◽  
Alan Dellow ◽  
Pornpot Horsuwansak ◽  
...  


2019 ◽  
Vol 48 ◽  
pp. 101214 ◽  
Author(s):  
Yoshikazu Takaesu ◽  
Tomohiro Utsumi ◽  
Isa Okajima ◽  
Akiyoshi Shimura ◽  
Nozomu Kotorii ◽  
...  


2020 ◽  
Vol 87 (9) ◽  
pp. S281
Author(s):  
David Kim ◽  
Alasdair Barr ◽  
Lulu Lian ◽  
Diane Fredrikson ◽  
William Honer ◽  
...  


2019 ◽  
Vol 64 ◽  
pp. S372
Author(s):  
Y. Takaesu ◽  
T. Utsumi ◽  
I. Okajima ◽  
A. Shimura ◽  
N. Kotorii ◽  
...  


Author(s):  
Megan Cowman ◽  
Laurena Holleran ◽  
Edgar Lonergan ◽  
Karen O’Connor ◽  
Max Birchwood ◽  
...  

Abstract Many individuals with early psychosis experience impairments in social and occupational function. Identification of modifiable predictors of function such as cognitive performance has the potential to inform effective treatments. Our aim was to estimate the strength of the relationship between psychosocial function in early psychosis and different domains of cognitive and social cognitive performance. We conducted a systematic review and meta-analysis of peer-reviewed, cross-sectional, and longitudinal studies examining cognitive predictors of psychosocial function. Literature searches were conducted in PsycINFO, PubMed, and reference lists of relevant articles to identify studies for inclusion. Of the 2565 identified, 46 studies comprising 3767 participants met inclusion criteria. Separate meta-analyses were conducted for 9 cognitive domains. Pearson correlation values between cognitive variables and function were extracted. All cognitive domains were related to psychosocial function both cross-sectionally and longitudinally. Importantly, these associations remained significant even after the effects of symptom severity, duration of untreated psychosis, and length of illness were accounted for. Overall, general cognitive ability and social cognition were most strongly associated with both concurrent and long-term function. Associations demonstrated medium effect sizes. These findings suggest that treatments targeting cognitive deficits, in particular those focusing on social cognition, are likely to be important for improving functional outcomes in early psychosis.



2014 ◽  
Vol 24 (5) ◽  
pp. 446-457 ◽  
Author(s):  
G. R. Bond ◽  
R. E. Drake ◽  
A. Luciano

Aims.Young adults with early psychosis want to pursue normal roles – education and employment. This paper summarises the empirical literature on the effectiveness of early intervention programmes for employment and education outcomes.Methods.We conducted a systematic review of employment/education outcomes for early intervention programmes, distinguishing three programme types: (1) those providing supported employment, (2) those providing unspecified vocational services and (3) those without vocational services. We summarised findings for 28 studies.Results.Eleven studies evaluated early intervention programmes providing supported employment. In eight studies that reported employment outcomes separately from education outcomes, the employment rate during follow-up for supported employment patients was 49%, compared with 29% for patients receiving usual services. The two groups did not differ on enrolment in education. In four controlled studies, meta-analysis showed that the employment rate for supported employment participants was significantly higher than for control participants, odds ratio = 3.66 [1.93–6.93],p < 0.0001. Five studies (four descriptive and one quasi-experimental) of early intervention programmes evaluating unspecified vocational services were inconclusive. Twelve studies of early intervention programmes without vocational services were methodologically heterogeneous, using diverse methods for evaluating vocational/educational outcomes and precluding a satisfactory meta-analytic synthesis. Among studies with comparison groups, 7 of 11 (64%) reported significant vocational/education outcomes favouring early intervention over usual services.Conclusions.In early intervention programmes, supported employment moderately increases employment rates but not rates of enrolment in education. These improvements are in addition to the modest effects early programmes alone have on vocational/educational outcomes compared with usual services.



Author(s):  
Lulu Lian ◽  
David D. Kim ◽  
Ric M. Procyshyn ◽  
Diane H. Fredrikson ◽  
Diana Cázares ◽  
...  


Author(s):  
Ingeborg Farver-Vestergaard ◽  
Anders Løkke ◽  
Robert Zachariae


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