The Relationship Between Neuropsychological Measures and Employment Problems in Outpatients With Substance Abuse

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ObjectiveTo determine the relation between standard clinical neuropsychological tests and employment problems in persons with substance abuse.ParticipantsSixty-four patients enrolled in an intensive outpatient substance abuse treatment program.MeasuresEmployment Problem Severity Score (EPSS) of the Addiction Severity Index and a comprehensive neuropsychological evaluation, including standard measures of attention, executive function, and memory.ResultsMultiple regression analyses showed that response latency on the Vigilance trial of the Gordon Diagnostic System and scores on list acquisition and long-delay free recall of the California Verbal Learning Test were significant predictors of EPSS. Performance on measures of executive function did not predict EPSS.ConclusionsNeuropsychological tests may help to identify individuals at risk for employment problems, thereby improving outcomes for patients with substance abuse problems and cognitive deficits.

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