The relationship between cognition, education, and employment in multiple sclerosis patients

Conway, Devon; Bermel, Robert A; Planchon, Sarah M.

doi:10.1177/20552173221118309

Cited by 7 publications

(7 citation statements)

References 38 publications

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Section: Discussionmentioning

confidence: 99%

“…This study highlights the relationship between cognition and employment difficulties relative to measures of physical disability and emphasizes the pernicious effects of cognitive impairment on work deterioration in PwMS more generally. 18,19,29,30 The reliability and validity of the PST are well established and represent an important step forward in bringing a digit-symbol coding assessment into the realm of computerized testing and self-administration. 12 In most studies, the reliability, sensitivity, and known-groups validity of the PST is comparable to SDMT, or slightly superior.…”

Section: Discussionmentioning

confidence: 99%

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Predicting employment deterioration with the Processing Speed Test (PST) and SDMT in multiple sclerosis

et al. 2023

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Background: Employment deterioration is common in people with multiple sclerosis (PwMS). Clinicians often learn of job loss after its occurrence, leaving no opportunity for preventive measures. Objectives: Identify which neuropsychological measures discriminate between healthy volunteers (HVs) and employed/disabled PwMS at baseline and predict work deterioration over 2 years. Methods: We examined 198 PwMS with computerized tests such as the Processing Speed Test (PST) and conventional tests such as the Symbol-Digit Modalities Test (SDMT), administered at baseline. Employment was assessed via Buffalo Vocational Monitoring Survey. Univariate and regression analyses identified significant predictors of PwMS categorized as work-stable versus work-deteriorated status. Results: PwMS were impaired on all baseline assessments relative to HVs ( p’s < 0.001). Post hoc analyses showed that employed PwMS and HVs performed similarly and better than work-disabled PwMS. At the univariate level, both PST and SDMT discriminated between work-deteriorated and work-stable PwMS ( p’s < 0.01). The logistic regression model accounting for all measures retained PST and the computerized Walking Speed Test. PwMS with increased negative work events had lower PST ( p < 0.001), SDMT ( p < 0.001), and BVMT- R ( p < 0.01) scores than stable PwMS. The related regression model retained PST and BVMT- R ( p < 0.001). Conclusion: Cognition, as measured by the PST and BVMT-R, are predictive of job deterioration in PwMS and may be a useful screening tool to identify those at high risk of unemployment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Predicting employment deterioration with the Processing Speed Test (PST) and SDMT in multiple sclerosis

et al. 2023

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“…There is a positive relationship between cognition, education, and employment in people with MS that greater education results in better baseline processing speed and is protective with respect to employment status (Conway et al., 2022 ). Conversely, people with lower education levels can face distinct challenges, experiencing comparatively lower dual‐task performance scores and a higher prevalence of unemployment.…”

Section: Discussionmentioning

confidence: 99%

Dual‐task difficulties as a risk factor for unemployment in people with multiple sclerosis

Kahraman,

Temiz,

Abasiyanik

et al. 2023

Brain and Behavior

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BackgroundNo study has investigated the impact of dual‐tasking difficulties as a risk factor for unemployment in people with multiple sclerosis (pwMS). The aim was to examine the influence of dual‐task performance on employment status and work difficulties and to identify the predictors of employment status in pwMS.MethodsEighty‐four pwMS, including 42 employed and 42 unemployed, participated in the study. Dual‐task difficulties were assessed using the Dual‐task Impact on Daily‐living Activities‐Questionnaire (DIDA‐Q), while dual‐task performance was evaluated through the 30‐second Walk Test and Nine‐Hole Peg Test, incorporating a cognitive task. Walking and cognitive function were also measured.ResultsEmployed pwMS had better scores in walking, cognitive function, single and dual‐task performance than unemployed pwMS (p < .05). Lower scores in walking (odds ratio [OR] = 1.81, p < .001) and upper extremity‐related (OR = 1.44, p = .019) dual‐task performance and higher scores in the cognitive subscale of the DIDA‐Q questionnaire (OR = 1.20, p = .037) were significantly associated with higher odds of being unemployed. Among employed pwMS, DIDA‐Q subscales showed moderate‐to‐strong correlations with MSWSDQ‐23 scores. The other variables showed weak‐to‐moderate correlations with subscale and total scores of MSWSDQ‐23.ConclusionCognitive function, as opposed to motor function, has been found to be a significant predictor of unemployment in pwMS.

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“…Their findings reveal that higher educational levels correlate with improved employment rates among the visually impaired, highlighting the critical need for accessible educational opportunities that can equip these individuals with the skills necessary to succeed in the job market. Conway et al (2022) analyze the interplay between cognition, education, and employment in patients with multiple sclerosis. Their study indicates that cognitive function has a significant impact on educational and employment outcomes in this population, emphasizing the need for cognitive assessments and supportive educational strategies to help manage the impacts of multiple sclerosis on professional life.…”

Section: Literature Reviewmentioning

confidence: 99%

Application of Audio-Magnetotelluric and Dual-Frequency Induced Polarization Joint Inversion in a Pb-Zn Deposit Exploration in Inner Mongolia, China

Arnone,

Angelillis,

Costantiello

et al. 2024

Preprint

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In this article, we analyze the relationships that connect graduates from high school, the training system and employment rates and conditions in the Italian regions between 2004 and 2022. The data used refer to the Istat Bes database. The results show that the growth in the number of high school graduates is positively associated with higher university education and employment with the exception of job satisfaction. Subsequently we also present a clusterization with k-Means algorithm confronting the Silhouette Coefficient with the Elbow Method. Finally, we confront seven different machine-learning algorithms for the prediction of the level of graduated from high school. We also present economic policy suggestions to increase schooling in the Italian regions. The results are critically discussed.

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The relationship between cognition, education, and employment in multiple sclerosis patients

Cited by 7 publications

References 38 publications

Predicting employment deterioration with the Processing Speed Test (PST) and SDMT in multiple sclerosis

Predicting employment deterioration with the Processing Speed Test (PST) and SDMT in multiple sclerosis

Dual‐task difficulties as a risk factor for unemployment in people with multiple sclerosis

Application of Audio-Magnetotelluric and Dual-Frequency Induced Polarization Joint Inversion in a Pb-Zn Deposit Exploration in Inner Mongolia, China

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