复发性复发性多发性硬化症患者就业状况的纵向决定因素
E E A van Egmond1,2,3,4, K van der Hiele1, M J de Rooij5
1Leiden University, Department of Psychology, Health, Medical and Neuropsychology Unit, Leiden, the Netherlands.
IBRO neuroscience reports
|April 25, 2024
概括
抑郁症,疲劳,认知问题和工作场所的低支持预测了多发性硬化症 (MS) 患者的失业. 这些因素在开始时,而不是它们的进展,在三年内影响就业状况.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 职业健康 职业健康 职业健康
背景情况:
- 多发性硬化症 (MS) 显著影响个人的生活,经常影响他们维持就业的能力.
- 了解影响就业状况的因素对于支持MS患者进入劳动力中至关重要.
研究的目的:
- 检查MS患者就业状况与各种因素之间的纵向关联.
- 在三年时间内确定就业状况变化的预测因素.
主要方法:
- 170名患有多发性硬化症的就业人员参加了年度评估.
- 评估神经和神经心理状态,残疾,认知功能,抑郁,焦虑,疲劳,认知投诉,工作场所支持和应对.
- 利用多层次模型分析了三年来的变化及其与就业状况的关系.
主要成果:
- 在基线,后来经历了就业恶化的个人报告了更高的抑郁症,疲劳影响和认知投诉,以及更少的工作场所支持.
- 在这些因素随着时间的推移而发生的进展中,在稳定就业状态与恶化的就业状态之间没有发现显著差异.
- 与MS相关的残疾,焦虑,客观认知功能和应对策略与就业状况的变化无关.
结论:
- 抑郁症,疲劳,认知问题和工作场所支持的减少是MS患者就业地位下降的重要预测因素.
- 这些因素的初始水平,而不是它们的进展,是预测就业结果的关键.
- 专注于管理这些具体因素的干预措施可能有助于维持MS患者的就业.
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