Identifying employed multiple sclerosis patients at-risk for job loss: When do negative work events pose a threat?

Kordovski, Victoria M.; Frndak, Seth; Fisher, Carrie S.; Rodgers, Jonathan D.; Weinstock‐Guttman, Bianca; Benedict, Ralph H. B.

doi:10.1016/j.msard.2015.07.005

Cited by 36 publications

(45 citation statements)

References 25 publications

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“…Cognitive symptoms can be one of the earliest symptoms and are present in up to 70% of patients [5, 6]. In fact, cognitive impairments in particular as well as depression, fatigue, and motor function resulting from MS have been shown to contribute to lowered work performance [7] and increased unemployment rates [8–11], reduced social activities [12], long-term disability [10], mental health [13], and overall quality of life [14]. …”

Section: Introductionmentioning

confidence: 99%

The Relationship between Psychosocial Factors and Cognition in Multiple Sclerosis

Alosaimi

AlMulhem

Moscovici

et al. 2017

Behavioural Neurology

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Introduction Multiple sclerosis (MS) is a common disorder in some regions of the world, with over 2.3 million people diagnosed worldwide. Cognitive impairment is one of the earliest symptoms to present in the course of the disease and can cause significant morbidity. We proposed a study to explore the psychosocial predictors of cognitive impairment in MS patients in Saudi Arabia, a previously unexplored patient population. Methods Demographic data, depression scale (PHQ9), symptom burden (PHQ15), anxiety (GAD7), disease duration, and Montreal Cognitive Assessment (MOCA) scores were collected from 195 patients in a neurology clinic in Ryiadh, Saudi Arabia. Univariate and multiple regression analyses were conducted to identify variables that are significantly associated with cognitive impairment. Results Variables that were identified to be significantly associated with cognition, p < 0.05, were education level, disease duration, and family history. Discussion Both education level and disease duration were variables identified in previous studies. We showed family history to be a significant variable, and no association was found with depression or anxiety, which is unique to our study population. Conclusions We identified several psychosocial predictors that are associated with cognition in our patient population. It was also noted that a difference exists between patient populations, highlighting the need for further studies in specific geographical regions.

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Section: Introductionmentioning

confidence: 99%

The Relationship between Psychosocial Factors and Cognition in Multiple Sclerosis

Alosaimi

AlMulhem

Moscovici

et al. 2017

Behavioural Neurology

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“…4–9 Recent studies have focused on the process of job loss in MS patients by monitoring the occurrence of negative work events and the use of accommodations. 4,10–12 As may be expected, both negative work events (e.g. formal discipline or verbal criticism for errors) and accommodations (e.g.…”

Section: Introductionmentioning

confidence: 60%

“…In previous research, 30%–33% of employed MS patients reported negative work events. 4,12 This percentage may be higher because of the inclusion of progressive MS patients in these studies.…”

Section: Discussionmentioning

confidence: 92%

“…Questions pertaining to negative work events and accommodations were adapted from the Buffalo Vocational Monitoring Survey. 4,10–12,22 Six negative work events were specified and participants were asked to indicate whether they experienced such an event in the past three months. A list of 37 possible job accommodations was provided and participants were asked to indicate whether the accommodation was used at that time.…”

Section: Methodsmentioning

confidence: 99%

“…physical aids) were found to be more common among employed MS patients than among healthy employees. 12 The presence of negative work events and accommodations was associated with measures of ambulation, cognition and depression in MS. 4 Among other variables, reporting a negative work event was found predictive of future job loss in MS patients. 10 This confirms the importance of monitoring the vocational situation of MS patients.…”

Section: Introductionmentioning

confidence: 94%

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Coping strategies in relation to negative work events and accommodations in employed multiple sclerosis patients

Hiele

Gorp

Benedict

et al. 2016

Multiple Sclerosis Journal - Experimental, Translational and Cl

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BackgroundJob loss is common in multiple sclerosis (MS) and is known to exert a negative effect on quality of life. The process leading up to job loss typically includes negative work events, productivity losses and a need for accommodations. By using active coping strategies job loss may be prevented or delayed.ObjectiveOur goal was to examine negative work events and accommodations in relation to coping strategies in employed relapsing–remitting MS patients.MethodsNinety-seven MS patients (77% females; 21–59 years old) completed questionnaires concerning the patient’s work situation, coping strategies, demographics, physical, psychological and cognitive functioning. Forward binary logistic regression analyses were conducted to examine coping strategies and other (disease) characteristics predictive of reported negative work events and accommodations.ResultsNineteen per cent of the employed MS patients reported one or more negative work events, associated with a higher use of emotion-oriented coping and more absenteeism. Seventy-three per cent reported using one or more work accommodations, associated with a higher educational level and more presenteeism. MS patients reporting physical changes to the workplace employed more emotion-oriented coping, while flexible scheduling was associated with task-oriented coping.ConclusionEmotion-oriented and task-oriented coping strategies are associated with negative work events and the use of accommodations.

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Supported Employment: A Case Study to Highlight Experiences and to Inform Support Practices

Bend

2020

The Palgrave Handbook of Disability at Work

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Identifying employed multiple sclerosis patients at-risk for job loss: When do negative work events pose a threat?

Cited by 36 publications

References 25 publications

The Relationship between Psychosocial Factors and Cognition in Multiple Sclerosis

The Relationship between Psychosocial Factors and Cognition in Multiple Sclerosis

Coping strategies in relation to negative work events and accommodations in employed multiple sclerosis patients

Supported Employment: A Case Study to Highlight Experiences and to Inform Support Practices

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