{
  "abstract": "Background 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. Aims To evaluate the impact of a social cognitive remediation (SCR) programme on functional and psychological outcomes over a 6-month post-intervention period. Method This randomised controlled trial was conducted across three sheltered employment centres in France (2020–2024; 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. Results Of the 105 randomised participants (SCR: n = 53; control: 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 P < 0.05). SCR also reduced internalised stigma at 6 months post treatment ( P < 0.03). Conclusions 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.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "name": "Guillaume Barbalat"
    },
    {
      "name": "Julien Plasse"
    },
    {
      "name": "Marie-Cécile Bralet"
    },
    {
      "name": "Sophie Cervello"
    },
    {
      "name": "Nicolas Franck"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dk4e2ye62vhx2.bib",
  "cited_by": 0,
  "doi": "10.1192/bjo.2026.12124",
  "fulltext_url": null,
  "id": "dk4e2ye62vhx2",
  "issns": [
    "2056-4724"
  ],
  "landing_url": "https://u-picardie.hal.science/hal-05799672v1",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "hal",
      "0.sdv"
    ],
    [
      "hal",
      "1.sdv.mhep"
    ],
    [
      "hal",
      "2.sdv.mhep.psm"
    ],
    [
      "openalex",
      "2738|Schizophrenia research and treatment"
    ]
  ],
  "openalex": "W7221541546",
  "pdf_url": "https://www.cambridge.org/core/services/aop-cambridge-core/content/view/395D36D1CB05F440683B7409D6A7211D/S2056472426121243a.pdf/div-class-title-evaluating-social-cognitive-remediation-for-labour-participation-in-severe-mental-illness-insights-from-a-small-scale-randomised-controlled-trial-div.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-12",
  "publisher": "Cambridge University press",
  "ris": "https://research.draconitic.com/paper/dk4e2ye62vhx2.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:57Z",
      "native_id": "hal-05799672",
      "source": "hal",
      "url": "https://u-picardie.hal.science/hal-05799672v1"
    }
  ],
  "subjects": [
    {
      "field": "biology",
      "origin": "hal:0.sdv",
      "subfield": "general"
    },
    {
      "field": "medicine",
      "origin": "hal:2.sdv.mhep.psm",
      "subfield": "psychiatry"
    }
  ],
  "title": "Evaluating social cognitive remediation for labour participation in severe mental illness: insights from a small-scale randomised controlled trial",
  "title_text": "Evaluating social cognitive remediation for labour participation in severe mental illness: insights from a small-scale randomised controlled trial",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:57Z",
  "url": "https://research.draconitic.com/paper/dk4e2ye62vhx2",
  "venue": "BJPsych Open",
  "versions": []
}