Joshua E Mervis1, Paul H Lysaker2, Joanna M Fiszdon3, Morris D Bell3, Amanda E Chue4, Carol Pauls5, Joseph Bisoglio5, Jimmy Choi6. 1. a Department of Psychology , University of Minnesota , Minneapolis , MN , USA. 2. b Roudebush VA Medical Center, Indiana University School of Medicine , Indianapolis , IN , USA. 3. c Psychology Service, VA Connecticut Healthcare System, West Haven, CT & Yale University School of Medicine , New Haven , CT , USA. 4. d Department of Psychology , American University , Washington , DC , USA. 5. e Columbia Psychiatry, Columbia University , New York , NY , USA , and. 6. f Institute of Living/Hartford Healthcare Corporation , Hartford , CT , USA.
Abstract
BACKGROUND: Adults with serious mental illness (SMI) may struggle with expectations of failure in vocational rehabilitation. These expectations can be global and trait-like or performance-specific and related to ability. AIMS: To date, it has not been examined whether global or performance-specific defeatist beliefs are related to functional outcomes. METHOD: The Indianapolis Vocational Intervention Program (IVIP) is a CBT intervention used to address expectations of failure and improve work performance. We examined the relationships between defeatist beliefs, self-esteem, social functioning, and work behaviors in 54 adults with SMI who completed IVIP within a work therapy program. RESULTS: Baseline work-specific defeatist beliefs were related to baseline self-esteem, employment attitude, and work behaviors. Decline in work-specific defeatist beliefs was associated with better social functioning, self-esteem, and work behaviors. Decline in global defeatist beliefs was only associated with improvements in social functioning. CONCLUSIONS: Performance-specific expectations about work may be an appropriate therapeutic target to enhance work outcome in SMI.
BACKGROUND: Adults with serious mental illness (SMI) may struggle with expectations of failure in vocational rehabilitation. These expectations can be global and trait-like or performance-specific and related to ability. AIMS: To date, it has not been examined whether global or performance-specific defeatist beliefs are related to functional outcomes. METHOD: The Indianapolis Vocational Intervention Program (IVIP) is a CBT intervention used to address expectations of failure and improve work performance. We examined the relationships between defeatist beliefs, self-esteem, social functioning, and work behaviors in 54 adults with SMI who completed IVIP within a work therapy program. RESULTS: Baseline work-specific defeatist beliefs were related to baseline self-esteem, employment attitude, and work behaviors. Decline in work-specific defeatist beliefs was associated with better social functioning, self-esteem, and work behaviors. Decline in global defeatist beliefs was only associated with improvements in social functioning. CONCLUSIONS: Performance-specific expectations about work may be an appropriate therapeutic target to enhance work outcome in SMI.
Entities:
Keywords:
Defeatist beliefs; schizophrenia; severe mental illness; vocational rehabilitation
Authors: William P Horan; Yuri Rassovsky; Robert S Kern; Junghee Lee; Jonathan K Wynn; Michael F Green Journal: J Psychiatr Res Date: 2009-12-14 Impact factor: 4.791
Authors: Paul H Lysaker; Giancarlo Dimaggio; Antonino Carcione; Michele Procacci; Kelly D Buck; Louanne W Davis; Giuseppe Nicolò Journal: Schizophr Res Date: 2009-05-19 Impact factor: 4.939
Authors: Joshua E Mervis; Joanna M Fiszdon; Paul H Lysaker; Tasha M Nienow; Laura Mathews; Patricia Wardwell; Tammy Petrik; Warren Thime; Jimmy Choi Journal: Schizophr Res Date: 2016-10-29 Impact factor: 4.939