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Abstract

Work disability is common in multiple sclerosis (MS) and cognitive disorder discriminates disabled from employed patients. Our goal was to develop and validate an online vocational status monitoring tool measuring negative work events and use of accommodations. We enrolled 52 employed patients completing an online survey and a clinical examination including tests of motor function, cognitive abilities, and depression. The survey recorded a wide range of reported work problems. Regression models predicting negative work events, and use of accommodations, retained measures of ambulation, cognition, and depression. These data provide preliminary support for the validity of online vocational monitoring in MS.

Keywords

Multiple sclerosis cognitive impairment disability work capacity

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References

Messmer Uccelli

Specchia

Battaglia

. Factors that influence the employment status of people with multiple sclerosis: A multi-national study. J Neurol 2009; 256: 1989–1996.

Chiaravalloti

DeLuca

. Cognitive impairment in multiple sclerosis. Lancet Neurol 2008; 7: 1139–1151.

Benedict

Walton

. Evaluating cognitive outcome measures for MS clinical trials: What is a clinically meaningful change? Mult Scler 2012; 18: 1673–1679.

Honan

Brown

Hine

. The multiple sclerosis work difficulties questionnaire. Mult Scler 2012; 18: 871–880.

Benedict

RHB

Cox

Thompson

. Reliable screening for neuropsychological impairment in MS. Mult Scler 2004; 10: 675–678.

Schwid

Goodman

Mattson

. The measurement of ambulatory impairment in multiple sclerosis. Neurology 1997; 49: 1419–1424.

Mathiowetz

Weber

Kashman

. Adult norms for the Nine Hole Peg Test of finger dexterity. OTJR 1985; 5: 24–38.

Beck

Steer

Brown

. BDI-Fast screen for medical patients: Manual. San Antonio, TX: Psychological Corporation, 2000.

Benedict

RHB

Fischer

Archibald

. Minimal neuropsychological assessment of MS patients: A consensus approach. Clin Neuropsychol 2002; 16: 381–397.

10.

Delis

Kramer

Kaplan

. California Verbal Learning Test: Adult version. San Antonio, TX: Psy-chological Corporation, 2000.

11.

Benedict

RHB

. Brief Visuospatial Memory Test—Revised: Professional manual. Odessa, FL: Psychological Assessment Resources Inc, 1997.

12.

Smith

. Symbol Digit Modalities Test (SDMT) manual (revised). Los Angeles, CA: Western Psychological Services, 1982.

13.

Gronwall

. Paced auditory serial addition task: A measure of recovery from concussion. Percept Mot Skills 1977; 44: 367–373.

14.

Drake

Weinstock-Guttman

Morrow

. Psychometrics and normative data for the Multiple Sclerosis Functional Composite: Replacing the PASAT with the Symbol Digit Modalities Test. Mult Scler 2010; 16: 228–237.

15.

Benedict

RHB

Fishman

McClellan

. Validity of the Beck Depression Inventory—Fast Screen in multiple sclerosis. Mult Scler 2003; 9: 393–396.

16.

Parmenter

Testa

Schretlen

. The utility of regression-based norms in interpreting the minimal assessment of cognitive function in multiple sclerosis (MACFIMS). J Int Neuropsychol Soc 2010; 16: 6–16.

17.

Benedict

Wahlig

Bakshi

. Predicting quality of life in multiple sclerosis: Accounting for physical disability, fatigue, cognition, mood disorder, personality, and behavior change. J Neurol Sci 2005; 231: 29–34.

Negative work events and accommodations in employed multiple sclerosis patients

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