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

Abstract Background No 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...

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Main Authors: Turhan Kahraman, Hasretgul Temiz, Zuhal Abasiyanik, Cavid Baba, Serkan Ozakbas
Format: Article
Language:English
Published: Wiley 2023-12-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.3299
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author Turhan Kahraman
Hasretgul Temiz
Zuhal Abasiyanik
Cavid Baba
Serkan Ozakbas
author_facet Turhan Kahraman
Hasretgul Temiz
Zuhal Abasiyanik
Cavid Baba
Serkan Ozakbas
author_sort Turhan Kahraman
collection DOAJ
description Abstract Background No 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. Methods Eighty‐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. Results Employed 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. Conclusion Cognitive function, as opposed to motor function, has been found to be a significant predictor of unemployment in pwMS.
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spelling doaj.art-3f79b2df2245428cb7146e81ac1ec8d72024-02-01T07:45:36ZengWileyBrain and Behavior2162-32792023-12-011312n/an/a10.1002/brb3.3299Dual‐task difficulties as a risk factor for unemployment in people with multiple sclerosisTurhan Kahraman0Hasretgul Temiz1Zuhal Abasiyanik2Cavid Baba3Serkan Ozakbas4Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences Izmir Katip Celebi University Izmir TurkeyGraduate School of Health Sciences Izmir Katip Celebi University Izmir TurkeyDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences Izmir Katip Celebi University Izmir TurkeyGraduate School of Health Sciences Dokuz Eylül University Izmir TurkeyDepartment of Neurology, Faculty of Medicine Izmir University of Economics Izmir TurkeyAbstract Background No 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. Methods Eighty‐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. Results Employed 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. Conclusion Cognitive function, as opposed to motor function, has been found to be a significant predictor of unemployment in pwMS.https://doi.org/10.1002/brb3.3299cognitiondifficultydual‐taskmotorwork
spellingShingle Turhan Kahraman
Hasretgul Temiz
Zuhal Abasiyanik
Cavid Baba
Serkan Ozakbas
Dual‐task difficulties as a risk factor for unemployment in people with multiple sclerosis
Brain and Behavior
cognition
difficulty
dual‐task
motor
work
title Dual‐task difficulties as a risk factor for unemployment in people with multiple sclerosis
title_full Dual‐task difficulties as a risk factor for unemployment in people with multiple sclerosis
title_fullStr Dual‐task difficulties as a risk factor for unemployment in people with multiple sclerosis
title_full_unstemmed Dual‐task difficulties as a risk factor for unemployment in people with multiple sclerosis
title_short Dual‐task difficulties as a risk factor for unemployment in people with multiple sclerosis
title_sort dual task difficulties as a risk factor for unemployment in people with multiple sclerosis
topic cognition
difficulty
dual‐task
motor
work
url https://doi.org/10.1002/brb3.3299
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AT zuhalabasiyanik dualtaskdifficultiesasariskfactorforunemploymentinpeoplewithmultiplesclerosis
AT cavidbaba dualtaskdifficultiesasariskfactorforunemploymentinpeoplewithmultiplesclerosis
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