{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T07:47:34Z","timestamp":1791791254097,"version":"4.3.4"},"reference-count":45,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec id=\"S2056472426121243_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Employment rates remain critically low among individuals with severe mental illness. Although social cognition explains a significant portion of the variance in functional outcomes, research into social cognitive interventions has remained scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426121243_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the impact of a social cognitive remediation (SCR) programme on functional and psychological outcomes over a 6-month post-intervention period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426121243_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This randomised controlled trial was conducted across three sheltered employment centres in France (2020\u20132024; ClinicalTrials.gov protocol record: 2019-A00124-53). We evaluated the efficacy of a 12-week SCR programme versus an active control with respect to the ratio of hours effectively worked versus those expected at 6 months post treatment (primary outcome). Secondary outcomes included patient-reported measures of self-esteem, internalised stigma, recovery and anxiety. Intention-to-treat and per-protocol effects were estimated using targeted minimum loss-based estimation, with attrition accounted for through inverse probability of censoring weights.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426121243_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 105 randomised participants (SCR:\n                      <jats:italic>n<\/jats:italic>\n                      = 53; control:\n                      <jats:italic>n<\/jats:italic>\n                      = 52; mean age: 35.6 [s.d. = 8.8] years; 71% male), 39 dropped out, yielding a per-protocol sample of 33 participants per arm. Attrition was 28% immediately after the intervention and 37% at 6-month follow-up. SCR was associated with a 6.5% increase in the ratio of hours worked versus those expected in the intention-to-treat analysis and a 3.6% increase in the per-protocol analysis (both\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05). SCR also reduced internalised stigma at 6 months post treatment (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426121243_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings suggest that a 3-month SCR programme improves employment maintenance and reduces internalised stigma in individuals with severe mental illness. Future research should use larger samples and improve retention to confirm these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2026.12124","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T07:11:23Z","timestamp":1791789083000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating social cognitive remediation for labour participation in severe mental illness: insights from a small-scale randomised controlled trial"],"prefix":"10.1192","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8212-8053","authenticated-orcid":false,"given":"Guillaume","family":"Barbalat","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04c3yce28","id-type":"ROR","asserted-by":"publisher"}],"name":"Le Vinatier Hospital"},{"name":"Claude Bernard University Lyon 1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julien","family":"Plasse","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04c3yce28","id-type":"ROR","asserted-by":"publisher"}],"name":"Le Vinatier Hospital"},{"name":"Claude Bernard University Lyon 1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-C\u00e9cile","family":"Bralet","sequence":"additional","affiliation":[{"name":"University of Picardy Jules Verne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Cervello","sequence":"additional","affiliation":[{"name":"Le Vinatier Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Franck","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04c3yce28","id-type":"ROR","asserted-by":"publisher"}],"name":"Le Vinatier Hospital"},{"name":"Claude Bernard University Lyon 1"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"S2056472426121243_ref13","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2007.07060906"},{"key":"S2056472426121243_ref44","first-page":"CD002831","article-title":"Psychoeducation for schizophrenia","volume":"2011","author":"Xia","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"S2056472426121243_ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2005.08.019"},{"key":"S2056472426121243_ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.encep.2014.04.003"},{"key":"S2056472426121243_ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2003.08.008"},{"key":"S2056472426121243_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2017.08.005"},{"key":"S2056472426121243_ref30","volume-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM-5","year":"2013"},{"key":"S2056472426121243_ref32","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbn182"},{"key":"S2056472426121243_ref8","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.20230396"},{"key":"S2056472426121243_ref28","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-04149-x"},{"key":"S2056472426121243_ref25","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300146"},{"key":"S2056472426121243_ref24","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2007.58.4.449"},{"key":"S2056472426121243_ref35","doi-asserted-by":"publisher","DOI":"10.1080\/j.1440-1614.2006.01921.x"},{"key":"S2056472426121243_ref37","doi-asserted-by":"publisher","DOI":"10.1016\/j.scog.2018.10.001"},{"key":"S2056472426121243_ref40","doi-asserted-by":"publisher","DOI":"10.1177\/0962280216683570"},{"key":"S2056472426121243_ref2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201800420"},{"key":"S2056472426121243_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.scog.2014.09.004"},{"key":"S2056472426121243_ref27","first-page":"742106","article-title":"Can social functioning in schizophrenia be improved through targeted social cognitive intervention?","volume":"2012","author":"Roberts","year":"2012","journal-title":"Rehabil Res Pract"},{"key":"S2056472426121243_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2004.01.009"},{"key":"S2056472426121243_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291722000319"},{"key":"S2056472426121243_ref3","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.54.8.1129"},{"key":"S2056472426121243_ref19","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291725100986"},{"key":"S2056472426121243_ref36","unstructured":"36 Spielberger, CD , Rickman, RL. Assessment of State and Trait Anxiety . 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Essentials of WAIS-IV Assessment . John Wiley & Sons, 2012 (https:\/\/books.google.fr\/books?hl=en&lr=&id=SUqcospVEMcC&oi=fnd&pg=PR11&dq=WAIS-IV&ots=7iIesNlqcu&sig=0Zoaa0a4gLOOFS6jLmHwiqIdMRI)."},{"key":"S2056472426121243_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbi037"},{"key":"S2056472426121243_ref43","volume-title":"SuperLearner: Super Learner Prediction","author":"Polley","year":"2025"},{"key":"S2056472426121243_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000055"}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056472426121243","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T07:11:31Z","timestamp":1791789091000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056472426121243\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,12]]},"references-count":45,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,11]]}},"alternative-id":["S2056472426121243"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2026.12124","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,12]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e256"}}