Occupational and Individual Factors Associated with Return to Work in Workers with Multiple Sclerosis
Objective: Multiple sclerosis (MS) is a chronic disease of the central nervous system that is usually diagnosed at the working-age (20-45 years) and can negatively affect patients' job performance and ability in work. The purpose of this study was to investigate occupational, individual, and di...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2022-12-01
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| Series: | Türk Nöroloji Dergisi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-96493 |
| _version_ | 1797912369967398912 |
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| author | Mahin Hosseininejad Elaheh Kabir-Mokamelkhah Mohammad Hossein Harirchian Razieh Sirous Saber Mohammadi Samaneh Kabiri |
| author_facet | Mahin Hosseininejad Elaheh Kabir-Mokamelkhah Mohammad Hossein Harirchian Razieh Sirous Saber Mohammadi Samaneh Kabiri |
| author_sort | Mahin Hosseininejad |
| collection | DOAJ |
| description | Objective: Multiple sclerosis (MS) is a chronic disease of the central nervous system that is usually diagnosed at the working-age (20-45 years) and can negatively affect patients' job performance and ability in work. The purpose of this study was to investigate occupational, individual, and disease-related factors in the return to work in patients with MS. Materials and Methods: This study was performed on all patients with clinically definite MS according to the McDonald criteria who were referred to a neurology clinic from September 2019 to April 2020. The Health and Safety Executive Questionnaire and Multidimensional Fatigue Inventory Questionnaire were used to assess job stress and fatigue level. Level of disability was assessed in patients through the validated version of the Expanded Disability Status Scale (EDSS). Based on the patients' return to work status, individuals were divided into two groups: the patients who returned to work (full time, part-time) and who did not return to work. Then, these two groups were compared in terms of occupational, individual, and disease-related factors. Results: Of 191 patients with MS, 127 (64%) returned to work after one year of diagnosis. The rate of returning to work was higher among younger patients, males and patients with the relapsing-remitting MS. Physical jobs, moderate level of neurological disability (EDSS >3) and severe fatigue were independently associated with unemployment. Conclusion: Findings of our study showed that older age, female gender, having a physical job, neurological disability, and severe fatigue were associated with no return to work in MS patients. Due to the high prevalence of MS in young people at working age, facilitating employment, adjusting factors related to the work environment, and support of colleagues and supervisors can play an important role in reducing stress and improving the general condition of the disease in these patients. |
| first_indexed | 2024-04-10T11:56:02Z |
| format | Article |
| id | doaj.art-8be491e16bb545d8bc19f0e09c333720 |
| institution | Directory Open Access Journal |
| issn | 1309-2545 |
| language | English |
| last_indexed | 2024-04-10T11:56:02Z |
| publishDate | 2022-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Nöroloji Dergisi |
| spelling | doaj.art-8be491e16bb545d8bc19f0e09c3337202023-02-15T16:16:49ZengGalenos YayineviTürk Nöroloji Dergisi1309-25452022-12-0128422322810.4274/tnd.2022.96493TJN-96493Occupational and Individual Factors Associated with Return to Work in Workers with Multiple SclerosisMahin Hosseininejad0Elaheh Kabir-Mokamelkhah1Mohammad Hossein Harirchian2Razieh Sirous3Saber Mohammadi4Samaneh Kabiri5Occupational Medicine Research Center, Department of Occupational Medicine, School of Medicine, Iran University of Medical Science,Tehran, IranOccupational Medicine Research Center, Department of Occupational Medicine, School of Medicine, Iran University of Medical Science,Tehran, IranIranian Center of Neurological Research, Tehran University of Medical Science, Tehran, IranOccupational Medicine Research Center, Department of Occupational Medicine, School of Medicine, Iran University of Medical Science,Tehran, IranOccupational Medicine Research Center, Department of Occupational Medicine, School of Medicine, Iran University of Medical Science,Tehran, IranIranian Center of Neurological Research, Tehran University of Medical Science, Tehran, IranObjective: Multiple sclerosis (MS) is a chronic disease of the central nervous system that is usually diagnosed at the working-age (20-45 years) and can negatively affect patients' job performance and ability in work. The purpose of this study was to investigate occupational, individual, and disease-related factors in the return to work in patients with MS. Materials and Methods: This study was performed on all patients with clinically definite MS according to the McDonald criteria who were referred to a neurology clinic from September 2019 to April 2020. The Health and Safety Executive Questionnaire and Multidimensional Fatigue Inventory Questionnaire were used to assess job stress and fatigue level. Level of disability was assessed in patients through the validated version of the Expanded Disability Status Scale (EDSS). Based on the patients' return to work status, individuals were divided into two groups: the patients who returned to work (full time, part-time) and who did not return to work. Then, these two groups were compared in terms of occupational, individual, and disease-related factors. Results: Of 191 patients with MS, 127 (64%) returned to work after one year of diagnosis. The rate of returning to work was higher among younger patients, males and patients with the relapsing-remitting MS. Physical jobs, moderate level of neurological disability (EDSS >3) and severe fatigue were independently associated with unemployment. Conclusion: Findings of our study showed that older age, female gender, having a physical job, neurological disability, and severe fatigue were associated with no return to work in MS patients. Due to the high prevalence of MS in young people at working age, facilitating employment, adjusting factors related to the work environment, and support of colleagues and supervisors can play an important role in reducing stress and improving the general condition of the disease in these patients.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-96493central nervous systemfatiguemultiple sclerosisreturn to workworker |
| spellingShingle | Mahin Hosseininejad Elaheh Kabir-Mokamelkhah Mohammad Hossein Harirchian Razieh Sirous Saber Mohammadi Samaneh Kabiri Occupational and Individual Factors Associated with Return to Work in Workers with Multiple Sclerosis Türk Nöroloji Dergisi central nervous system fatigue multiple sclerosis return to work worker |
| title | Occupational and Individual Factors Associated with Return to Work in Workers with Multiple Sclerosis |
| title_full | Occupational and Individual Factors Associated with Return to Work in Workers with Multiple Sclerosis |
| title_fullStr | Occupational and Individual Factors Associated with Return to Work in Workers with Multiple Sclerosis |
| title_full_unstemmed | Occupational and Individual Factors Associated with Return to Work in Workers with Multiple Sclerosis |
| title_short | Occupational and Individual Factors Associated with Return to Work in Workers with Multiple Sclerosis |
| title_sort | occupational and individual factors associated with return to work in workers with multiple sclerosis |
| topic | central nervous system fatigue multiple sclerosis return to work worker |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-96493 |
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