Cognition.pdf (4.7 MB)
Cognitive and metacognitive factors predict engagement in employment in individuals with First Episode Psychosis
Version 2 2023-06-07, 06:27
Version 1 2023-06-07, 06:25
journal contribution
posted on 2023-06-07, 06:27 authored by Abigail Christine Wright, Kim T Mueser, Susan R McGurk, David FowlerDavid Fowler, Kathryn GreenwoodKathryn GreenwoodBackground: Research has demonstrated that cognitive abilities predict work outcomes in people with psychosis. Cognitive Remediation Programs go some way in improving work outcomes, but individuals still experience difficulty maintaining employment. Metacognition has been demonstrated to predict work performance in individuals with schizophrenia, but this but this has not yet been applied to First Episode Psychosis (FEP). This study assessed whether metacognition, intellectual aptitude and functional capacity can predict engagement in work and number of hours working in FEP. Methods: Fifty-two individuals with psychosis, from Early Intervention in Psychosis services, completed measures of IQ, metacognition (Metacognitive Assessment Interview), functional capacity (UPSA), and functional outcome (hours spent in structured activity per week, including employment). Results: Twenty-six participants (22 males, 4 females) were employed and twenty-six (22 males, 4 females) were not employed. IQ and metacognition were significantly associated with whether the individual was engaged in employment [IQ (p=.02) and metacognition (p=006)]. When controlling for IQ, metacognition (differentiation subscale) remained significant (p=.04). Next, including only those employed, no cognitive nor metacognitive factors predicted number of hours in employment. Discussion: This is the first study to directly assess metacognition as a predictor of work hours in people with FEP. This study highlights the importance of enhancing metacognitive ability in order to improve likelihood of, and engagement in, employment for those with FEP.
History
Publication status
- Published
File Version
- Published version
Journal
Schizophrenia Research: CognitionISSN
2215-0013Publisher
ElsevierExternal DOI
Department affiliated with
- Psychology Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2019-04-17First Open Access (FOA) Date
2019-05-02First Compliant Deposit (FCD) Date
2019-04-17Usage metrics
Categories
No categories selectedKeywords
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC