Effects of the Indianapolis Vocational Intervention Program (IVIP) on defeatist beliefs, work motivation, and work outcomes in serious mental illness

SCHIZOPHRENIA RESEARCH

卷:182

Article

Mervis, Joshua E.¹  Fiszdon, Joanna M.^2,3  Lysaker, Paul H.⁴  Nienow, Tasha M.⁵  Mathews, Laura⁶  Wardwell, Patricia⁶  Petrik, Tammy⁶  Thime, Warren⁷  Choi, Jimmy⁷ 

[1] Univ Minnesota, Dept Psychol, 75 East River Rd, Minneapolis, MN 55455 USA

[2] VA Connecticut Healthcare Syst, Psychol Serv, 950 Campbell Ave, West Haven, CT 06516 USA

[3] Yale Univ, Sch Med, 950 Campbell Ave, West Haven, CT 06516 USA

[4] Indiana Univ Sch Med, Roudebush VA Med Ctr, Indianapolis, IN 46202 USA

[5] Minneapolis VA Hlth Care Syst, 1 Vet Dr, Minneapolis, MN 55417 USA

[6] Hartford Hosp, Inst Living, Dept Psychiat Vocat Serv, 200 Retreat Ave, Hartford, CT 06106 USA

[7] Hartford Hosp, Inst Living, Schizophrenia Rehabil Program, 200 Retreat Ave, Hartford, CT 06106 USA

关键词: Schizophrenia;    Motivation;    Serious mental illness;    Defeatist beliefs;    Vocational rehabilitation;   

DOI  :  10.1016/j.schres.2016.10.036

来源: Elsevier

【 摘 要 】

Defeatist beliefs and amotivation are prominent obstacles in vocational rehabilitation for people with serious mental illnesses (SMI). The CBT-based Indianapolis Vocational Intervention Program (IVIP) was specifically designed to reduce defeatist beliefs related to work functioning. In the current study, we examined the impact of IVIP on defeatist beliefs and motivation for work, hypothesizing that IVIP would be associated with a reduction in defeatist beliefs and greater motivation for work. We also examined the effects of IVIP on these variables as well as work outcomes during a 12-month follow-up. Participants with SMI (n = 64) enrolled in a four-month work therapy program were randomized to IVIP or a support therapy group (SG). Assessments were conducted at baseline, post-treatment (4 months), and follow-up (1 year). Compared to those in SG condition, individuals randomized to IVIP condition reported greater reductions in defeatist beliefs and greater motivation for work at follow-up, along with greater supported employment retention rates. Specifically treating and targeting negative expectations for work therapy improves outcomes, even once active supports of the IVIP program and work therapy are withdrawn. (C) 2016 Elsevier B.V. All rights reserved.

【 授权许可】

Free