Profile of cognitive problems in schizophrenia and implications for vocational functioning

Tan, Bhing Leet (2009) Profile of cognitive problems in schizophrenia and implications for vocational functioning. Australian Occupational Therapy Journal, 56 4: 220-228. doi:10.1111/j.1440-1630.2008.00759.x

Author Tan, Bhing Leet
Title Profile of cognitive problems in schizophrenia and implications for vocational functioning
Journal name Australian Occupational Therapy Journal   Check publisher's open access policy
ISSN 0045-0766
Publication date 2009-01-01
Year available 2008
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/j.1440-1630.2008.00759.x
Open Access Status Not yet assessed
Volume 56
Issue 4
Start page 220
End page 228
Total pages 9
Editor Froude, E.
Fricke, J.
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Subject C1
110319 Psychiatry (incl. Psychotherapy)
110321 Rehabilitation and Therapy (excl. Physiotherapy)
920201 Allied Health Therapies (excl. Mental Health Services)
920410 Mental Health
920505 Occupational Health
Formatted abstract
Aim: This literature review attempts to profile specific areas of cognition that have shown unique and consistent evidence of dysfunction among people with schizophrenia. In addition, their impact on vocational functioning is illustrated, so as to highlight the importance of managing these cognitive difficulties in vocational rehabilitation.

Methods: Literature search was carried out on seven key cognitive domains identified by the National Institute of Mental Health in the USA. Their impact on vocational function was also reviewed.

Results: It is found that attention, declarative and working memory, reasoning, problem-solving and social cognition are areas of impairment that have great impact on vocational functioning. Attention and memory problems affect learning of new work tasks. Executive function is particularly crucial in determining supported and open employment outcomes, as executive dysfunction cannot be easily compensated. Lastly, social cognition plays a major role in determining the success of workplace social exchanges.

Conclusion: Occupational therapists need to have a good understanding of the profile of cognitive problems among people with schizophrenia, in order to tailor our intervention according to their cognitive strengths and difficulties. Several cognitive remediation strategies and programs have been designed specifically for people with mental illness. Equipping ourselves with skills in conducting such programs will augment our expertise in vocational rehabilitation.
Keyword attention
vocational rehabilitation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: 2009 Higher Education Research Data Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 17 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 19 times in Scopus Article | Citations
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Created: Thu, 26 Mar 2009, 02:02:43 EST by Sheila Cleary on behalf of Psychiatry - Royal Brisbane and Women's Hospital