Personalized cognitive remediation therapy to facilitate return to work or to school in recent-onset psychosis

ABSTRACT

Cognitive deficits are barriers to job acquisition or return to school, and can be reduced through Cognitive remediation therapy (CRT). The main goal of this multiple case study was to investigate the effect of personalized CRT on occupational status in three participants with a recent-onset psychosis. Two cases improved their occupational status at post-treatment, and showed improvements in cognitive, psychological, and/or clinical variables. This study suggests that personalized CRT may facilitate job acquisition or return to school. However, the different pathways showed by our cases indicate that personalized CRT may influence occupational status through multiple mechanisms, underlining the relevance of treatment personalization.

KEYWORDS:

• Cognitive remediation
• work
• school
• recent-onset psychosis
• schizophrenia

Disclosure statement

No potential conflict of interest was reported by the authors.

Supplementary material

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Additional information

Funding

This work was supported by the Chaire Richelieu de recherche sur la jeunesse, l’enfance et la famille (CC is the chair holder), by a salary grant from Fonds de Recherche du Québec en Santé (FRQS) for AMA, a studentship from FRQS for ET and a studentship from Canadian Institutes of Health Research (CIHR) for WP.