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Cet article dresse un état des lieux de l’implication du fonctionnement cognitifdans le champ de l’insertion professionnelle et du maintien en emploi des personnes quisouffrent de troubles du spectre schizophrénique (TSS). L’objectif est de visualiser commentles déficits cognitifs s’articulent avec les autres dimensions du handicap rapportées dansla Classification internationale du fonctionnement, du handicap et de la santé (CIF), dansle domaine du travail. Les données de la littérature vont dans le sens du modèle de la CIF,à savoir un plus fort impact du fonctionnement cognitif sur les limitations d’activités (LA)plutôt que sur les restrictions de participation (RP). Ce sont en effet davantage lesfacteurs environnementaux et personnels qui prédisent la participation au travail. Enconclusion, ce cadre théorique offre de nouvelles perspectives, notamment que la prise encompte de l’interaction entre les déficits cognitifs et les limitations d’activités peutvenir étayer l’accompagnement vers et dans l’emploi des personnes souffrant deTSS.Objectives Cognitive impairment can be a barrier to employment ofpeople with a schizophrenia spectrum disorder (SSD). However, other factors have also beenidentified as potentially hindering work integration and job tenure. But the links betweenall these factors remain unknown. The objective of this article is to propound anintegrative model, using the International Classification of Functioning (ICF), of howcognitive impairment associated with SSD is related to other factors involved indifficulties in work integration and job tenure.Methods The description of the theoretical framework of the ICFenables to organize these factors in a comprehensive model. Then, a review of recentliterature allows us to identify factors associated with employment of people with SSD, andto see the link between cognitive functioning and other factors.Results Most of reviewed studies find moderate correlations or nocorrelation between cognitive impairments and work integration or job tenure. Strongercorrelations were nevertheless found between cognitive factors and work behavior orperformance. Considering other factors, like personal or environmental factors, and theframework of the ICF, a comprehensive view of the vocational rehabilitation for people withSSD is developed. Interactions between some personal (e.g. self-efficacy or selfesteem) and environmental (e.g. job coach or layout of workstation) factors mayinfluence the translation of cognitive difficulties into work participationrestrictions.Conclusion Vocational rehabilitation programs should furtherconsider the complexity of interactions between cognitive, personal and environmentalfactors, and how they impact work functioning. As defined in ICF, activity limitations mayrepresent an interesting mediator between cognitive variables and work functioning. Futureresearch should be conducted to bring a better understanding of these patterns ofinteractions

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Le fonctionnement cognitif et le travail chez les personnes souffrant de troubles du spectre schizophrénique : l’apport de la Classification internationale du fonctionnement