Self-reported occupational functioning in persons with relapsing-remitting multiple sclerosis: Does personality matter?

被引:10
作者
van Der Hiele, K. [1 ]
van Gorp, D. A. M. [2 ]
van Egmond, E. E. A. [1 ,2 ,3 ,4 ]
Jongen, P. J. [5 ,6 ]
Reneman, M. F. [7 ]
van Der Klink, J. J. L. [8 ,9 ]
Arnoldus, E. P. J. [4 ]
Beenakker, E. A. C. [10 ]
van Eijk, J. J. J. [11 ]
Frequin, S. T. F. M. [12 ]
de Gans, K. [13 ]
Hengstman, G. J. D. [14 ]
Hoitsma, E. [15 ]
Gerlach, O. H. H. [16 ]
Verhagen, W. I. M. [17 ]
Heerings, M. A. P. [18 ]
Middelkoop, H. A. M. [1 ,19 ]
Visser, L. H. [2 ,4 ]
机构
[1] Leiden Univ, Inst Psychol Hlth Med & Neuropsychol Unit, POB 9555, NL-2300 RB Leiden, Netherlands
[2] Univ Humanist Studies, Utrecht, Netherlands
[3] Natl Multiple Sclerosis Fdn, Rotterdam, Netherlands
[4] Elisabeth TweeSteden Hosp, Dept Neurol, Tilburg, Netherlands
[5] MS4 Res Inst, Nijmegen, Netherlands
[6] Univ Groningen, Univ Med Ctr Groningen, Dept Community & Occupat Med, Groningen, Netherlands
[7] Univ Groningen, Univ Med Ctr Groningen, Ctr Rehabil, Haren, Netherlands
[8] Tilburg Univ, Tranzo Sci Ctr Care & Welf, Dept Social & Behav Sci, Tilburg, Netherlands
[9] North West Univ South Africa, Optentia, Vanderbijlspark, South Africa
[10] Med Ctr Leeuwarden, Dept Neurol, Leeuwarden, Netherlands
[11] Jeroen Bosch Hosp, Dept Neurol, sHertogenbosch, Netherlands
[12] St Antonius Hosp, Dept Neurol, Nieuwegein, Netherlands
[13] Groene Hart Hosp, Dept Neurol, Gouda, Netherlands
[14] Upendo MS Clin, Boxtel, Netherlands
[15] Alrijne Hosp Leiden, Dept Neurol, Leiden, Netherlands
[16] Zuyderland Med Ctr, Dept Neurol, Sittard Geleen, Netherlands
[17] Canisius Wilhelmina Hosp, Dept Neurol, Nijmegen, Netherlands
[18] Radboud Univ Nijmegen, Donders Inst Brain Cognit & Behav, Dept Human Genet, Med Ctr, Nijmegen, Netherlands
[19] Leiden Univ, Dept Neurol, Med Ctr, Leiden, Netherlands
关键词
Multiple sclerosis; Occupational functioning; Personality; Mood; Fatigue; QUALITY-OF-LIFE; WORK DIFFICULTIES QUESTIONNAIRE; FATIGUE; VALIDITY; TRAITS; IMPAIRMENT; EMPLOYMENT; HEALTH; NEUROTICISM; VALIDATION;
D O I
10.1016/j.jns.2021.117561
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Multiple sclerosis (MS) poses a major threat to sustainable employability. Identifying conditions and factors that promote work participation is of great importance. Our objective was to explore the contribution of personality traits in explaining occupational functioning in MS. Methods: 241 participants with relapsing-remitting MS (78% female, median age: 42.0 years, median EDSS: 2.0) and 60 healthy controls (70% female, median age: 45.0 years) underwent neuropsychological and neurological examinations and completed questionnaires. Multivariate logistic and linear regression analyses were conducted to examine relations between personality traits and self-reported occupational functioning, while accounting for known correlates. Results: Personality traits were not associated with self-reported occupational functioning when correcting for known correlates. A higher impact of fatigue (B = -0.05, p = .005 and B = -0.04, p = .009) and depression (B = -0.22, p = .008 and B = -0.21, p = .01) were associated with no paid job (R2 = 0.13) and considering to reduce work hours (R2 = 0.12). A higher impact of fatigue (B = -0.05, p = .008, beta = 0.46, p = .001 and beta = -0.36, p = .001) was associated with absenteeism from work (R2 = 0.15), more presenteeism (R2 = 0.35) and lower work ability (R2 = 0.25). A higher impact of fatigue (beta = 0.46, p = .001) and anxiety (beta = 0.25, p = .001) were associated with more work difficulties (R2 = 0.54). Conclusion: Personality traits did not explain additional variance in self-reported occupational functioning in persons with relapsing-remitting MS with mild disability. The impact of fatigue was the main and most consistent correlate of occupational functioning, often combined with depression or anxiety. Total explained variance of the
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页数:10
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